May 30, 2016

Avascular necrosis after oral corticosteroids in otolaryngology: Case report and review of the literature

Logo of allrhinoSearchwww.oceansidepubl.comAllergy & Rhinology

Patrick Kennedy, Jr., B.A.,corresponding author1 Ahmed Bassiouni, M.B.B.S.,2 Alkis Psaltis, M.B.B.S.,3 Jastin Antisdel, M.D.,4 and Joseph Brunworth, M.D.4

Abstract
Objective:
In this report, we present a rare case of avascular necrosis (AVN) in an otherwise healthy 42-year-old male patient treated with low dose oral corticosteroids for his bronchitis. A systematic review of the literature related to AVN and corticosteroids was performed.

May 29, 2016

Cow’s milk allergy in Dutch children: an epigenetic pilot survey

 
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  • Nicole C. M. PetrusEmail author,
  • Peter Henneman,
  • Andrea Venema,
  • Adri Mul,
  • Femke van Sinderen,
  • Martin Haagmans,
  • Olaf Mook,
  • Raoul C. Hennekam,
  • Aline B. Sprikkelman and
  • Marcel Mannens
Contributed equally
Abstract
Background
Cow’s milk allergy (CMA) is a common disease in infancy. Early environmental factors are likely to contribute to CMA. It is known that epigenetic gene regulation can be altered by environmental factors. We have set up a proof of concept study, aiming to detect epigenetic associations specific with CMA.

Multisystem reactions during egg oral food challenges may be associated with less severe reactions on initial presentation

 
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  • Girish VitalpurEmail author,
  • Ann Esquivel,
  • Kirsten M. Kloepfer,
  • James E. Slaven and
  • Frederick E. Leickly
Contributed equally
Abstract
In this study, we assessed whether multisystem reactions to egg and extensively-heated (EH) egg during OFCs were associated with a history of multisystem reactions. Records of children, who underwent OFC to egg or EH egg over a five-year period were reviewed.

Cost Utility of Omalizumab Compared with Standard of Care for the Treatment of Chronic Spontaneous Urticaria

pp 1–13
  • Jonathan Graham
  • Doreen McBride
  • Donald Stull
  • Stamatia Theodora Alexopoulos
  • Maria-Magdalena Balp
  • Matthew Griffiths
  • Ion Agirrezabal
  • Torsten Zuberbier
  • Alan Brennan

  • DOI: 10.1007/s40273-016-0412-1
  • Abstract
    Background
    Chronic spontaneous urticaria (CSU) negatively impacts patient quality of life and productivity and is associated with considerable indirect costs to society.
    Objective
    The aim of this study was to assess the cost utility of add-on omalizumab treatment compared with standard of care (SOC) in moderate or severe CSU patients with inadequate response to SOC, from the UK societal perspective.
  • A new framework for the interpretation of IgE sensitization tests

    DOI: 10.1111/all.12939
    1. Graham Roberts1,*
    2. Markus Ollert2
    3. Rob Aalberse3
    4. Moira Austin4
    5. Adnan Custovic5
    6. Audrey DunnGalvin6
    7. Philippe A Eigenmann7
    8. Filippo Fassio8
    9. Clive Grattan9
    10. Peter Hellings10
    11. Jonathan Hourihane11,
    12. Edward Knol12
    13. Antonella Muraro13,
    14. Nikolaos Papadopoulos14,15
    15. Alexandra F. Santos16,17,18
    16. Sabine Schnadt19and
    17. Kassiani Tzeli15
    Abstract
    IgE sensitization tests, such as skin prick testing and serum specific IgE, have been used to diagnose IgE-mediated clinical allergy for many years. Their prime drawback is that they detect sensitization which is only loosely related to clinical allergy. Many patients therefore require provocation tests to make a definitive diagnosis; these are often expensive and potentially associated with severe reactions.

    May 26, 2016

    Intralymphatic immunotherapy induces allergen specific plasmablasts and increases tolerance to skin prick testing in a pilot study



      Johannes Martin Schmid
      ,
    • Homaira Nezam,
    • Hans Henrik Torp Madsen,
    • Alexander Schmitz and
    • Hans Jürgen HoffmannEmail author
    Abstract
    Background
    Allergen Immunotherapy is a promising treatment of allergy. Seven patients with rhinoconjunctivitis to grass allergen were treated with intralymphatic immunotherapy (ILIT) to explore whether this treatment could be performed. Effect of treatment was assessed as change in symptom medication score, response in skin prick test and nasal allergen provocation. ILIT deposits allergen in an inguinal lymph node to elicit a strong immune stimulus. This allowed us to monitor appearance of allergen specific plasmablasts 7 days after allergen injection.

    Primary immunodeficiencies associated with eosinophilia

    Abstract
    Background
    Eosinophilia is not an uncommon clinical finding. However, diagnosis of its cause can be a dilemma once common culprits, namely infection, allergy and reactive causes are excluded. Primary immunodeficiency disorders (PID) are among known differentials of eosinophilia. However, the list of PIDs typically reported with eosinophilia is small and the literature lacks an inclusive list of PIDs which have been reported with eosinophilia. This motivated us to review the literature for all PIDs which have been described to have elevated eosinophils as this may contribute to an earlier diagnosis of PID and further the understanding of eosinophilia.

    ASSURE-CSU: a real-world study of burden of disease in patients with symptomatic chronic spontaneous urticaria

    • Karsten WellerEmail author,
    • Marcus Maurer,
    • Clive Grattan,
    • Alla Nakonechna,
    • Mohamed Abuzakouk,
    • Frédéric Bérard,
    • Gordon Sussman,
    • Ana M. Giménez-Arnau,
    • Javier Ortiz de Frutos,
    • André Knulst,
    • G. Walter Canonica,
    • Kelly Hollis,
    • Doreen McBride and
    • Maria-Magdalena Balp
    Received: 27 April 2015
    Accepted: 30 June 2015
    Published: 17 August 2015
    Abstract
    Background
    Chronic spontaneous urticaria (CSU) formerly known as chronic idiopathic urticaria (CIU) is a severe and distressing skin condition that remains uncontrolled in approximately one half of patients, despite the use of licensed, recommended doses of modern, second-generation H1-antihistamines. So far, the humanistic, societal and economic burden of CSU/CIU has not been well quantified. Therefore it is important to broaden our understanding of how CSU/CIU impacts patients, society, and healthcare systems, by determining the disease burden of CSU/CIU and the associated unmet need; as well as to further guide the use of new treatments in an efficient and cost-effective manner.