June 18, 2022

Diagnostic therapeutic care pathway for pediatric food allergies and intolerances in Italy: a joint position paper by the Italian Society for Pediatric Gastroenterology Hepatology and Nutrition (SIGENP) and the Italian Society for Pediatric Allergy and Immunology (SIAIP)

  • Review
  • Open Access

Abstract


Epidemiologic data suggest an increased prevalence of pediatric food allergies and intolerances (FAIs) during the last decades. This changing scenario has led to an increase in the overall healthcare costs, due to a growing demand for diagnostic and treatment services. There is the need to establish Evidence-based practices for diagnostic and therapeutic intervention that could  be adopted in the context of public health policies for FAIs are needed.

June 17, 2022

Food protein-induced enterocolitis syndrome in a tertiary pediatric center: safety of guideline-conforming food challenges

  • Letter to the editor
  • Open Access


Allergy, Asthma & Clinical Immunology volume 18, Article number: 54 (2022)

Abstract

Food protein-induced enterocolitis syndrome is a non-IgE-mediated reaction to food that is poorly understood, and underdiagnosed. Trigger foods can belong to any food group, but are most commonly milk, soy, rice, oat, egg, and fish. In this retrospective study (2015–2020), we describe the clinical presentations and triggers of 37 children referred to tertiary hospital with a confirmed or suspected diagnosis of food protein-inducted enterocolitis.

June 16, 2022

Long-Term Natural History of Severe Asthma Exacerbations and Their Impact on the Disease Course


Lee TY, Petkau J, Sadatsafavi M. Ann Am Thorac Soc. 2022 Jun;19(6):907-915. doi: 10.1513/AnnalsATS.202012-1562OC. 

Abstract

Rationale: The long-term natural history of asthma in terms of successive severe exacerbations and the influence of each exacerbation on the course of the disease is not well studied.

Objectives: To investigate the long-term natural history of asthma among patients who are hospitalized for asthma for the first time in terms of the risk of future severe exacerbations and heterogeneity in this risk across patients.

Methods: Using the administrative health databases of British Columbia, Canada (January 1, 1997 to March 31, 2016), we created an incident cohort of patients with at least one asthma exacerbation that required inpatient care.

June 15, 2022

Efficacy and Safety of Masitinib in Corticosteroid-Dependent Severe Asthma: A Randomized Placebo-Controlled Trial

Davidescu L, Ursol G, Korzh O, Deshmukh V, Kuryk L, Nortje MM, Godlevska O, Devouassoux G, Khodosh E, Israel E, Moussy A, Mansfield CD, Hermine O, Chanez P. J Asthma Allergy. 2022 Jun 7;15:737-747. doi: 10.2147/JAA.S337284.

Background: Masitinib is an oral tyrosine kinase inhibitor that selectively targets mast cell activity and platelet-derived growth factor receptor (PDGFR) signaling, both of which are implicated in various mechanisms of asthma pathogenesis.

Objective: Assessment of masitinib as an add-on to standard maintenance therapy as compared with placebo in the treatment of oral corticosteroid-dependent severe asthma.

June 13, 2022

Patient selection for milk and egg ladders using a food ladder safety checklist

Letter to the editor - Open Access

Gilbert T. Chua, Edmond S. Chan, Joanne Yeung, Scott B. Cameron, Lianne Soller, Brock A. Williams, Alanna Chomyn, Timothy K. Vander Leek, Elissa M. Abrams, Raymond Mak & Tiffany Wong 


Allergy, Asthma & Clinical Immunology volume 18, Article number: 51 (2022)

Abstract

A food ladder is a form of home-based dietary advancement therapy that gradually increases exposure to an allergenic food through the gradual introduction of egg or milk containing food with increasing quantity and allergenicity from extensively heated forms, such as baked goods, to less processed products.

June 11, 2022

Simplifying the drug provocation test in non-immediate hypersensitivity reactions to amoxicillin in children: The experience of a tertiary care allergy unit


Abstract

Background

Mild non-immediate reactions (NIR) to beta-lactams (βLs) are the most common manifestation of adverse drug reactions in children, and the drug provocation test (DPT) remains the gold standard for diagnosis. However, there are still controversies about the protocol that should be used, especially regarding the administration of doses and the DPT length.

Objective

This study aimed to evaluate a pediatric population with a history of mild NIR to amoxicillin (AMX) or to amoxicillin-clavulanic acid (AMX/CL) who underwent a diagnostic workup including a DPT with the culprit drug, to understand if a graded DPT or, instead, a single full dose could be the most appropriate way of administration in clinical practice.

June 10, 2022

Serum antioxidant vitamins and respiratory morbidity and mortality: a pooled analysis

  • Research
  • Open Access

Abstract

Background

Oxidative stress plays a key role in the pathogenesis of respiratory diseases; however, studies on antioxidant vitamins and respiratory outcomes have been conflicting. We evaluated whether lower serum levels of vitamins A, C, D, and E are associated with respiratory morbidity and mortality in the U.S. adult population.

Methods

We conducted a pooled analysis of data from the 1988–1994 and 1999–2006 National Health and Nutrition Examination Survey (participants aged ≥ 20 years). We estimated covariate-adjusted odds ratios (aOR) per interquartile decrease in each serum vitamin level to quantify associations with respiratory morbidity, and covariate-adjusted hazard ratios (aHR) to quantify associations with respiratory mortality assessed prospectively through 2015.

June 7, 2022

Development and Validation of the Anaphylaxis Quality of Life Scale for Adults

Background

Anaphylaxis is a severe and potentially life-threatening allergic reaction that can have a detrimental impact on quality of life (QoL). There are no validated scales to measure the impact of anaphylaxis on QoL of adults.

Objective

The aim of this study was to develop and assess the reliability and validity of a QoL scale for adults with anaphylaxis (Anaphylaxis Quality of Life Scale for Adults [A-QoL-Adults]).

Methods

All participants were recruited from a specialist allergy clinic and had a confirmed diagnosis of anaphylaxis (as per the World Allergy Organization diagnostic criteria) to food, drugs, venom, or latex or had spontaneous anaphylaxis. Interviews were conducted with 13 adults; data were analyzed using thematic analysis to extract items for a QoL scale. A prototype QoL scale was then completed by 115 participants alongside validated scales to measure generic QoL (World Health Organization Quality of Life Scale [Brief Version] [WHOQoL BREF]), anxiety and depression (Hospital Anxiety and Depression Scale [HADS]), and stress (Perceived Stress Scale [PSS]).

Results

The A-QoL-Adults scale has 21 items demonstrating excellent internal reliability (Cronbach α = 0.96). Factor analysis produced 3 subscales: Emotional Impact; Social Impact; and Limitations on Life. Each has excellent internal reliability (0.92, 0.92, and 0.91, respectively). Poorer anaphylaxis-related QoL (total A-QoL-Adults score and subscale scores) correlated significantly with poorer general QoL and greater anxiety, depression, and stress (all P < .01 with medium-to-large effect sizes).

Conclusions

The A-QoL-Adults scale is a reliable measure of QoL in adults with anaphylaxis and shows good construct validity. It will offer health care professionals a means to further understand the impact of anaphylaxis on adult patients and could help direct and monitor allergy management and the need for further psychological intervention.

Knibb RC, Huissoon AP, Baretto R, Ekbote A, Onyango-Odera S, Screti C, Newman KL, Krishna MT. Development and Validation of the Anaphylaxis Quality of Life Scale for Adults. J Allergy Clin Immunol Pract. 2022 Mar 5:S2213-2198(22)00224-0. doi: 10.1016/j.jaip.2022.02.023. Epub ahead of print.

June 6, 2022

Predictive Response to Immunotherapy Score: A Useful Tool for Identifying Eligible Patients for Allergen Immunotherapy

Mormile I, Granata F, Detoraki A, Pacella D, Della Casa F, De Rosa F, Romano A, de Paulis A, Rossi FW. Biomedicines. 2022 Apr 22;10(5):971. doi: 10.3390/biomedicines10050971.

Abstract


Stratification of patients in three groups according to the Predictive

Response to Immunotherapy Score (PRIS) results and their ΔMSS-24.
A specific predictive tool of allergen immunotherapy (AIT) outcome has not been identified yet. This study aims to evaluate the efficacy of a disease score referred to as Predictive Response to Immunotherapy Score (PRIS) to predict the response to AIT and identify eligible patients. A total of 110 patients diagnosed with allergic rhinitis with or without concomitant asthma were enrolled in this study. Before beginning sublingual immunotherapy (SLIT), patients were evaluated by analyzing clinical and laboratory parameters. A specific rating was assigned to each parameter to be combined in a total score named PRIS.

Breathing Better Starts with Understanding How Asthma and Allergy Are Connected

World Allergy Week June 5-11, 2022, will focus on airway allergies.

Milwaukee, WI. May 19, 2022. World Allergy Organization (WAO) will host World Allergy Week from June 5 to 11, 2022, to raise awareness about how asthma and allergic airway diseases are connected and how important it is for both physicians and patients to understand and manage both. 

Allergic airway diseases of the respiratory system are the most common chronic diseases in humans. These diseases such as asthma, allergic rhinitis, chronic rhinosinusitis, chronic cough, eosinophilic bronchitis, allergic bronchopulmonary mycosis (ABPM), and others often occur together. 


June 5, 2022

A rare type 1 hypersensitivity to latex in dental treatment setting and management


Shiva Shankar Bugude

Adv Dermatol Allergol 2022; XXXIX (2): 421-423

DOI: https://doi.org/10.5114/ada.2020.99949

Latex gloves are considered to be the most effective barrier to blood-borne pathogens. Latex allergies in health professionals and patients are not quite uncommon. Reactions to latex gloves can vary from minor irritation to allergic reactions. In finished latex products, protein allergens account for up to 2 percent by weight. Latex allergies clinically can manifest as contact dermatitis or immediate type I hypersensitivity or delayed type IV hypersensitivity. This scientific article presents 2 cases of latex allergy type I hypersensitivity and uneventful management. 

Article file
A rare type 1.pdf  [0.11 MB]

June 4, 2022

Oral Janus kinase inhibitors in the treatment of atopic dermatitis: A systematic review and meta-analysis

SYSTEMATIC REVIEW Open Access

Kevin P. Lee,John Plante,Jeffrey E. Korte,Dirk M. Elston

https://doi.org/10.1002/ski2.133

Abstract

Background

Janus kinase (JAK) inhibitors are being evaluated as promising upcoming treatments for atopic dermatitis (AD)

Objectives

To systematically assess the efficacy of oral JAK inhibitors in patients with AD and provide comparisons among JAK inhibitors.

June 2, 2022

Keratinocytes: An Enigmatic Factor in Atopic Dermatitis

by
 ,,,,, * and *

Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research (NIPER)-Kolkata, Chunilal Bhawan, 168 Maniktala Main Road, Kolkata 700054, West Bengal, India
Academic Editor: Cord Brakebusch
Cells 202211(10), 1683; https://doi.org/10.3390/cells11101683
Received: 14 March 2022 / Revised: 4 May 2022 / Accepted: 9 May 2022 / Published: 19 May 2022

Abstract

Atopic dermatitis (AD), characterized by rashes, itching, and pruritus, is a chronic inflammatory condition of the skin with a marked infiltration of inflammatory cells into the lesion. It usually commences in early childhood and coexists with other atopic diseases such as allergic rhinitis, bronchial asthma, allergic conjunctivitis, etc. With a prevalence rate of 1–20% in adults and children worldwide, AD is gradually becoming a major health concern. Immunological aspects have been frequently focused on in the pathogenesis of AD, including the role of the epidermal barrier and the consequent abnormal cytokine expressions.

May 30, 2022

Primary eosinophilic gastrointestinal disorders and allergy: Clinical and therapeutic implications

Abstract

Primary eosinophilic gastrointestinal disorders (EGID) are increasingly prevalent, immune‐mediated, chronic conditions which primarily affect pediatric and young adult patients, leading to substantial disease burden, and poor quality of life. EGID may either involve single portions of the gastrointestinal tract (i.e., esophagus, stomach, small bowel, and colon) or a combination. Their strong association with allergic disorders has been recently recognized, and although their shared pathophysiological basis remains partly elusive, this feature greatly impacts the diagnostic and treatment work‐up.

May 28, 2022

Allergological study in patients vaccinated against COVID-19 with suspected allergic reactions

  • Research
  • Open Access

Abstract

Background

One of the main barriers to vaccination against SARS-CoV-2 is the fear of developing hypersensitivity reactions to any of its components. Although these reactions are very rare, it is necessary to establish an effective protocol to detect patients at risk of developing them. The aim of this study was to evaluate hypersensitivity reactions in vaccinated patients in order to allow or not to complete the vaccination protocol.