May 11, 2016

Effect of Levothyroxine Treatment on Clinical Symptoms in Hypothyroid Patients with Chronic Urticaria and Thyroid Autoimmunity

Original Article  Open Access


         

Ann Dermatol. 2016 Apr;28(2):199-204. English.
Do Hun Kim, Nam Hee Sung and Ai Young Lee
Abstract

Background
Thyroid autoimmunity has been increasingly reported to be associated with chronic urticaria (CU), and the possible clinical benefit of thyroid hormone or anti-thyroid drugs in some CU patients with autoimmune thyroid disease has been studied. However, the effect of thyroid hormone or anti-thyroid drugs on clinical symptoms of CU remains unclear.

May 9, 2016

Increased risk of allergic rhinitis among children delivered by cesarean section: a cross-sectional study nested in a birth cohort

 
OPEN ACCESS
  • Heli Vieira BrandãoEmail author,
  • Graciete Oliveira Vieira,
  • Tatiana de Oliveira Vieira,
  • Paulo Augusto Camargos,
  • Carlos Antonio de Souza Teles,
  • Armênio Costa Guimarães,
  • Alvaro Augusto Cruz and
  • Constança Margarida Sampaio Cruz
Abstract
Background
Few studies have evaluated the association between delivery by cesarean section (CS) and asthma, allergic rhinitis and chronic rhinitis and whether this association is different in children with and without a family history of asthma. This study aims to investigate whether children born by CS have a higher chance to develop asthma, allergic rhinitis and chronic rhinitis and to evaluate the influence of parental history of asthma on these associations.

Diagnostic accuracy of skin-prick testing for allergic rhinitis: a systematic review and meta-analysis

 
OPEN ACCESS
  • Immaculate F. NevisEmail author,
  • Karen Binkley and
  • Conrad Kabali

Abstract
Background
Allergic rhinitis is the most common form of allergy worldwide. The accuracy of skin testing for allergic rhinitis is still debated. Our primary objective was to evaluate the diagnostic accuracy of skin-prick testing for allergic rhinitis using the nasal provocation as the reference standard. We also evaluated the diagnostic accuracy of intradermal testing as a secondary objective.

IgE serum concentration against airborne fungi in children with respiratory allergies

RESEARCH OPEN ACCESS

Geusa Felipa de Barros Bezerra, Denise Maria Costa Haidar, Marcos Antonio Custódio Neto da Silva, Walbert Edson Muniz Filho, Ramon Moura dos Santos, Ivone Garros Rosa, Graça Maria de Castro Viana, Luís Zaror and Maria do Desterro Soares Brandão Nascimento

Abstract

Background
To evaluate total and specific E immunoglobulin (IgE) antibody concentrations in underage subjects with respiratory allergic diseases.

Methods
This study was a transversal-type study in 100 underage subjects between 4 and 14 years old, with asthma and/or allergic rhinitis. Total and specific IgE were quantified for airborne fungi in the city of São Luís, Maranhão, Brazil. Five distinct regions—North, South, Center, East and West—were selected so fungi could be collected monthly for 1 year.

Differential gene network analysis for the identification of asthma-associated therapeutic targets in allergen-specific T-helper memory responses


Niamh M. Troy, Elysia M. Hollams, Patrick G. Holt and Anthony Bosco
BMC Medical Genomics BMC series – open, inclusive and trusted20169:9 DOI: 10.1186/s12920-016-0171-z

Abstract

Background
Asthma is strongly associated with allergic sensitization, but the mechanisms that determine why only a subset of atopics develop asthma are not well understood. The aim of this study was to test the hypothesis that variations in allergen-driven CD4 T cell responses are associated with susceptibility to expression of asthma symptoms.

May 5, 2016

Need for medication and stuffy nose predict the severity of allergic rhinitis

Asia Pac Allergy. 2016 Apr;6(2):133-135. English.
Taneli Salo,1 Sirpa Peura,2 Johanna Salimäki,2 Paula Maasilta,3 Tari Haahtela,1 and Paula Kauppi

To the Editor,
As a part of the Finnish Allergy Programme 2008-2018 [1], we surveyed patients to assess allergic rhinitis symptoms, the use of medications and health care services in Finland.
The study cohort consisted of 1,114 patients aged 5–75 years (mean age, 47 years; 72% females) who obtained asthma or allergy medication from 382 Finnish pharmacies (47% of all 812 pharmacies) across the country. The participants were the first consecutive 1–5 clients per pharmacy purchasing asthma or allergy medication during 1 week period in September 2010 [2]. Participants (or their parents for those 5 to 16 years old) completed a self-administered questionnaire to assess their allergy symptoms, use of medications, health care service use (number of hospital admissions and physician appointments).

A review on the role of moisturizers for atopic dermatitis


Giam YC, Hebert AA, Dizon MV, Van Bever H, Tiongco-Recto M, Kim KH, Soebono H, Munasir Z, Diana IA, Luk DC

Abstract


Effective management of atopic dermatitis (AD) involves the treatment of a defective skin barrier. Patients with AD are therefore advised to use moisturizers regularly. To date, there are few comparative studies involving moisturizers in patients with AD, and no classification system exists to objectively determine which types of moisturizers are best suited to specific AD phenotypes. With this in mind, a group of experts from allergy and immunology, adult and pediatric dermatology, and pediatrics centers within Southeast Asia met to review current data and practice, and to develop recommendations regarding the use of moisturizers in patients with AD within the Asia-Pacific region.

Mometasone furoate nasal spray: a systematic review

 
OPEN ACCESS
  • Desiderio PassaliEmail author,
  • Maria Carla Spinosi,
  • Anna Crisanti and
  • Luisa Maria Bellussi
The inflammatory diseases of the nose, rhino-pharynx and paranasal sinuses (allergic and non allergic rhinitis, NARES; rhinosinusitis with/without nasal polyposis, adenoidal hypertrophy with/without middle ear involvement) clinically manifest themselves with symptoms and complications severely affecting quality of life and health care expenditure.
Intranasal administration of corticosteroids, being fast, simple, and not requiring cooperation, is the preferred way to treat the patients, to optimize their quality of life, at the same time minimizing the risk of exacerbations and complications.

May 1, 2016

Effectiveness of the Polish program for the treatment of severe allergic asthma with omalizumab: a single-center experience


Izabela Kupryś-Lipińska , Paweł Majak, Joanna Molinska and Piotr Kuna

Abstract
Background
A national program for the treatment of severe allergic (IgE-dependent) asthma with omalizumab (OMA) was implemented in Poland in 2013. This observational study evaluated the effectiveness of the Polish OMA program and monitored asthma control after treatment discontinuation.

Childhood asthma and physical activity: a systematic review with meta-analysis and Graphic Appraisal Tool for Epidemiology assessment

Lene Lochte, Kim G. Nielsen, Poul Erik Petersen and Thomas A. E. Platts-MillsBMC PediatricsBMC series – open, inclusive and trusted201616:50
Abstract
Background
Childhood asthma is a global problem affecting the respiratory health of children. Physical activity (PA) plays a role in the relationship between asthma and respiratory health. We hypothesized that a low level of PA would be associated with asthma in children and adolescents. The objectives of our study were to (1) summarize the evidence available on associations between PA and asthma prevalence in children and adolescents and (2) assess the role of PA in new-onset or incident asthma among children and adolescents.

April 26, 2016

Introduction to systematic reviews and meta-analysis

Invited review series: Modern Statistical Methods in Respiratory Medicine

Respirology Volume 21Issue 4pages 626–637, May 2016

Abstract
Systematic reviews provide a method for collating and synthesizing research, and are used to inform healthcare decision making by clinicians, consumers and policy makers. A core component of many systematic reviews is a meta-analysis, which is a statistical synthesis of results across studies. In this review article, we introduce meta-analysis, focusing on the different meta-analysis models, their interpretation, how a model should be selected and discuss potential threats to the validity of meta-analyses. We illustrate the application of meta-analysis using data from a review examining the effects of early use of inhaled corticosteroids in the emergency department treatment of acute asthma.

April 25, 2016

Recurrent wheezing in children

Authors: Laura Tenero, Michele Piazza, Giorgio Piacentini
Abstract
Recurrent wheezing have a significant morbidity and it’s estimated that about one third of schoolage children manifest the symptom during the first 5 years of life. Proper identification of children at risk of developing asthma at school age may predict long-term outcomes and improve treatment and preventive approach, but the possibility to identify these children at preschool age remains limited.

Inhaler technique: facts and fantasies. A view from the Aerosol Drug Management Improvement Team (ADMIT)

Review Article | O

April 22, 2016

Antigenic Fingerprinting following Primary RSV Infection in Young Children Identifies Novel Antigenic Sites and Reveals Unlinked Evolution of Human Antibody Repertoires to Fusion and Attachment Glycoproteins

Abstract

Respiratory Syncytial Virus (RSV) is the major cause of pneumonia among infants. Here we elucidated the antibody repertoire following primary RSV infection and traced its evolution through adolescence and adulthood. Whole genome-fragment phage display libraries (GFPDL) expressing linear and conformational epitopes in the RSV fusion protein (F) and attachment protein (G) were used for unbiased epitope profiling of infant sera prior to and following RSV infection. F-GFPDL analyses demonstrated modest changes in the anti-F epitope repertoires post-RSV infection, while G-GFPDL analyses revealed 100-fold increase in number of bound phages. The G-reactive epitopes spanned the N- and C-terminus of the G ectodomain, along with increased reactivity to the central conserved domain (CCD). Panels of F and G antigenic sites were synthesized to evaluate sera from young children (- 2 yr), adolescents (14–18 yr) and adults (30–45 yr) in SPR real-time kinetics assays.