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Asia Pacific Allergy

Yoon-Seok Chang
No abstract text is available yet for this article.
October 2018: Asia Pacific Allergy
Steven Chow, Chew Swee Seow, Maria Victoria Dizon, Kiran Godse, Henry Foong, Vicheth Chan, Tran Hau Khang, Leihong Xiang, Syarief Hidayat, M Yulianto Listiawan, Danang Triwahyudi, Srie Prihianti Gondokaryono, Endang Sutedja, Inne Arline Diana, Oki Suwarsa, Hartati Purbo Dharmadji, Agnes Sri Siswati, Retno Danarti, Retno Soebaryo, Windy Keumala Budianti
Background: Atopic dermatitis (AD) is a common skin condition among Asians. Recent studies have shown that Asian AD has a unique clinical and immunologic phenotype compared with European/American AD. Objective: The Asian Academy of Dermatology and Venereology Expert Panel on Atopic Dermatitis developed this reference guide to provide a holistic and evidence-based approach in managing AD among Asians. Methods: Electronic searches were performed to retrieve relevant systematic reviews and guidelines on AD...
October 2018: Asia Pacific Allergy
Semra Demir, Adem Atici, Raif Coskun, Muge Olgac, Derya Unal, Remzi Sarikaya, Aslı Gelincik, Bahattin Colakoglu, Huseyin Oflaz, Mehmet Rasih Sonsoz, Suna Buyukozturk
Background: It is not known how cardiac functions are affected during anaphylaxis. Objective: Our aim was to measure the cardiac functions shortly after an anaphylaxis attack using a new technique that detects subclinical left ventricular dysfunction. Methods: Patients in our hospital who experienced anaphylaxis and urticaria (control group) due to any cause were included in the study. Tryptase levels were measured on the third hour of the reaction and 6 weeks later...
October 2018: Asia Pacific Allergy
Ha Thi Chu, Isabelle Godin, Nguyễn Thanh Phương, Lan Huu Nguyen, Tran Thi Mong Hiep, Ngo Minh Xuan, Francis Corazza, Olivier Michel
Background: In the view of the epidemic growth of sensitization to indoor allergens in Southern Vietnam, there is a requirement to screen large population. Objective: To evaluate skin prick tests (SPTs) as predictors of positive specific IgE (sIgE) to dust allergens, among patients with chronic respiratory diseases (CRDs). Methods: The sensitization to Blomia tropicalis (Blo t), Dermatophagoides pteronissinus (Der p), and Blattella germanica allergens (Bla g) were evaluated among 610 CRD, both SPT (≥4 mm) and sIgE by immuno-CAP (≥0...
October 2018: Asia Pacific Allergy
Bernard Yu-Hor Thong
Nonsteroidal anti-inflammatory drug (NSAID) hypersensitivity reactions (HSRs) are often nonimmunologically mediated reactions which present with immediate HSR type manifestations. These are mediated by cyclooxygenase inhibition resulting in shunting towards the excessive production of leukotrienes. Important disease associations include asthma, nasal polyposis, and chronic spontaneous urticaria, especially among adults. The European Network on Drug Allergy/Global Allergy and Asthma European Network 2013 classification of NSAID HSR comprises nonselective HSR i...
October 2018: Asia Pacific Allergy
Hirotake Takai, Izumi Kato, Kanako Mitsunaga, Mayumi Hara, Takahiro Kodama, Masaki Kanazawa, Masaru Terai
Tipepidine hibenzate (Asverin) is commonly used as an antitussive drug for acute and chronic cough in various age groups and is generally safe and well-tolerated. However, we experienced a case of tipepidine hibenzate-induced anaphylactic shock in a 1-year-old boy. After ingesting cold medication including tipepidine hibenzate, the patient presented with generalized erythema and urticaria, swollen face, coughing, wheezing and vomiting, together with hypotension and a decreased level of consciousness. To identify the culprit drug, we performed skin prick tests (SPTs) and oral drug provocation tests (DPTs)...
October 2018: Asia Pacific Allergy
Rajniti Prasad, Ravi Shankar Ayathu Venkata, Praveen Ghokale, Pavitra Chakravarty, Fahmina Anwar
Background: Cow's milk protein causes an unfavorable and unwanted reaction in some individuals called cow's milk protein allergy (CMPA). It is more often imprecise and easily missed in primary care settings. Cow's Milk-related Symptom Score (CoMiSS) was developed as a screening and awareness tool to suggest the presence of CMPA using general, dermatological, gastrointestinal, and respiratory symptoms. Objective: Assess the utility of CoMiSS in the diagnosis of CMPA in Indian children aged between 0 and 24 months...
October 2018: Asia Pacific Allergy
Claudia Fsadni, Peter Fsadni, Stephen Montefort, Stephen Fava
Background: The prevalence of allergic conditions is increasing in most countries. One possible explanation may be childhood nutrition. Objective: The aim of the study was to investigate the relationship between consumption of pre-specified types of food in school-aged children and presence of respiratory and allergic symptoms. Methods: A total of 191 students aged 9-11 years were recruited from 5 schools to geographically cover all of Malta...
October 2018: Asia Pacific Allergy
Kok Wee Chong, Karen Wright, Anne Goh, Rosan Meyer, Rajeshwar Rao
Background: Although it is known that children with food allergies are at risk of impaired growth, this has not been well studied in South-East Asia. Objective: The aim of this cross-sectional study is to survey the growth of children with food allergies in Singapore and the factors impacting it. Methods: Anthropometric data, demographic data, type of food allergy, foods eliminated, and atopic comorbidities were recorded. Malnutrition was defined using World Health Organization standards (≤-2 z -score for weight-for-height [WH], weight-for-age [WA], and height-for-age [HA])...
October 2018: Asia Pacific Allergy
Vivien Wai Yun Lai, Gayan Bowatte, Luke David Knibbs, Kanishka Rangamuwa, Alan Young, Shyamali Dharmage, Francis Thien
Background: There is increasing interest in the role of traffic-related air pollution (TRAP) in allergic airway diseases. Few studies investigate the relationship between TRAP exposure and acute exacerbations of asthma. Objective: The 2016 Melbourne thunderstorm asthma epidemic provided an opportunity to investigate the relationship between proxies of TRAP exposure and asthma exacerbation requiring urgent healthcare in the previous 12 months. Methods: Current asthmatics who presented to the 3 Emergency Departments of Melbourne's second-largest health service with epidemic thunderstorm asthma in November 2016 were identified and completed a standard questionnaire...
October 2018: Asia Pacific Allergy
Yoon-Seok Chang
No abstract text is available yet for this article.
July 2018: Asia Pacific Allergy
Mackenzie Kwak, Colin Somerville, Sheryl van Nunen
Tick-induced mammalian meat allergy has become an emergent allergy world-wide after van Nunen et al. first described the association between tick bites and the development of mammalian meat allergy in 2007. Cases of mammalian meat allergy have now been reported on all 6 continents where humans are bitten by ticks, in 17 countries - Australia, United States of America (USA), Europe (France, Spain, Germany, Belgium, Switzerland, Sweden, United Kingdom, Italy, and Norway), Asia (Korea and Japan), Central America (Panama), South America (Brazil), and Africa (South Africa and Ivory Coast)...
July 2018: Asia Pacific Allergy
Cristina Isabel de Figueiredo Ornelas, Fátima Cabral Duarte, Maria Conceição Galvão Pereira Dos Santos, Manuel Augusto de Castro Pereira Barbosa
Food allergy has an estimated prevalence of 6%-8% in children. Meat allergy and multiple food allergy due to sensitization to cross-reactive components in infancy is, however, less frequent. A 5-year-old girl was referred to our department with a multiple food allergy history. She had severe immediate worsening of her atopic dermatitis with hen's egg (6 months) and cow's milk introduction (7 months). At the age of 9 months, she presented with recurrent and reproducible atopic dermatitis' worsening and lip edema with the introduction of different meats (chicken, turkey, cow, pork, and rabbit), having the same complaints with fish at 12 months (salmon and hake)...
July 2018: Asia Pacific Allergy
Spurthi Chitta, Berenice Xueli Lian, Rajeshwar Rao, Wenyin Loh, Anne Goh, Kok Wee Chong
Background: There has been an increasing trend of nut allergies in Singapore. Objective: The aim of this study was to review the clinical characteristics of children with cashew nut allergy. Methods: A retrospective analysis was conducted in a tertiary paediatric referral centre in Singapore from 2008 to 2015. A total of 99 subjects with positive specific IgE (≥0.35 IU/L) to cashew nut were identified. Clinical features including demographics, clinical reaction to cashew nut, associations with other nuts and test specific measurements were recorded...
July 2018: Asia Pacific Allergy
Inês Mota, Susana Piedade, Ângela Gaspar, Filipe Benito-Garcia, Graça Sampaio, Luís Miguel Borrego, Mário Morais-Almeida
Background: Oral immunotherapy (OIT) has been recognized as a promising treatment for severe and long-lasting cow's milk (CM) allergy. Once maintenance has been achieved, patients should maintain daily intake of CM to ensure desensitization. Clinical experience concerning long-term follow-up is scarce. Objective: The authors aimed to assess long-term efficacy and safety of a maintenance phase of OIT in real life. Methods: Prospective study of all children and adolescents, who underwent CM-OIT and were subsequently followed at our allergy center on maintenance dose (200 mL daily) for at least 36 months after reaching the maintenance phase (from 2009 to 2016)...
July 2018: Asia Pacific Allergy
Yusuf Ehi, Hatice Kose Ozlece
Background: Nasal polyposis is a chronic disease presenting with nasal obstruction as the most frequent complaint. It has been documented that nasal polyposis results in deterioration of quality of life and disturbances of sleep. However, remarkable consequences of nasal polyposis such as psychological and cognitive outcomes are relatively poorly studied. Objective: The aim of the present study was to evaluate whether there is an impairment of concentration and attention in nasal polyposis patients due to hypoxia caused by nasal obstruction...
July 2018: Asia Pacific Allergy
Semra Demir, Derya Unal, Muge Olgac, Nilgun Akdeniz, Esin Aktas-Cetin, Asli Gelincik, Bahauddin Colakoglu, Suna Buyukozturk
Both immediate and nonimmediate type hypersensitivity reactions (HRs) with a single dose of quinolone in the same patient have not been previously reported. A 47-year-old female patient referred to us because of the history of a nonimmediate type HR to radio contrast agent and immediate type HR to clarithromycin. She experienced anaphylaxis in minutes after the second dose of 50 mg when she was provocated with moxifloxacin. She was treated immediately with epinephrine, fluid replacement and methylprednisole and pheniramine...
July 2018: Asia Pacific Allergy
Cecilia Gretchen Navarro-Locsin, Margaret Lim-Jurado
Background: There is a large global variation in sensitization patterns to aeroallergens due to differences in climate, urbanization, and lifestyle. Knowledge of the most common inhalant allergens is important for appropriate prevention and management of allergic rhinitis (AR). Objective: This study aims to provide data on aeroallergen sensitization patterns and associated comorbid diseases of adult Filipinos with AR. Methods: Medical records of adult Filipinos seen in an Otolaryngology-Allergy Clinic from January 2011 to 2016 were reviewed...
July 2018: Asia Pacific Allergy
Koichiro Asano, Katsuhiko Kamei, Akira Hebisawa
Allergic bronchopulmonary mycosis (ABPM) develops mainly in patients with asthma or cystic fibrosis via types I and III hypersensitivity reactions to filamentous fungi. Aspergillus spp., especially Aspergillus fumigatus , is the major causative fungus because of its small conidia, thermophilic hyphae, and ability to secrete serine proteases. The cardinal histological feature of ABPM is allergic (eosinophilic) mucin-harboring hyphae in the bronchi, for which the formation of extracellular DNA trap cell death (ETosis) of eosinophils induced by viable fungi is essential...
July 2018: Asia Pacific Allergy
Mitsuhiro Kamimura, Tatsuya Ibe, Munehisa Fukusumi, Atsuto Mouri, Yoichiro Hamamoto
Background: Fractional exhaled nitric oxide (FeNO) is an indicator of bronchial inflammation in asthma patients. However, nitric oxide is also produced in the oral cavity, with production depending on the local anaerobic flora and intraoral acidity. Objective: To evaluate the influence of oral care on measurement of FeNO, to investigate the influence of sleep when the oral environment changes dramatically, and to assess the impact of oral care on FeNO in the real clinical setting...
July 2018: Asia Pacific Allergy
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