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https://www.readbyqxmd.com/read/27363230/esophagitis-in-adolescents
#1
REVIEW
Philip E Putnam
Esophagitis is the end result of a variety of insults to epithelial homeostasis. Eosinophilic esophagitis is a manifestation of non-IgE-mediated food allergy that most commonly affects the esophagus of males who have other atopic phenomena. Reflux esophagitis reflects repeated exposure to acidic gastric contents because of failure of the normal protections afforded by the LES. Because certain histologic features can be present in either condition, endoscopic biopsy alone does not distinguish them. Their symptoms overlap, but the treatment options are very different, such that making a formal diagnosis by following consensus guidelines is essential...
2016: Adolescent Medicine: State of the Art Reviews
https://www.readbyqxmd.com/read/27207694/-food-allergy-in-adulthood
#2
Thomas Werfel
Food allergies can newly arise in adulthood or persist following a food allergy occurring in childhood. The prevalence of primary food allergy is basically higher in children than in adults; however, in the routine practice food allergies in adulthood appear to be increasing and after all a prevalence in Germany of 3.7 % has been published. The clinical spectrum of manifestations of food allergies in adulthood is broad. Allergy symptoms of the immediate type can be observed as well as symptoms occurring after a delay, such as indigestion, triggering of hematogenous contact eczema or flares of atopic dermatitis...
June 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/26120513/food-allergies-resulting-from-immunological-cross-reactivity-with-inhalant-allergens-guidelines-from-the-german-society-for-allergology-and-clinical-immunology-dgaki-the-german-dermatology-society-ddg-the-association-of-german-allergologists-aeda-and-the-society
#3
Margitta Worm, Uta Jappe, Jörg Kleine-Tebbe, Christiane Schäfer, Imke Reese, Joachim Saloga, Regina Treudler, Torsten Zuberbier, Anja Waßmann, Thomas Fuchs, Sabine Dölle, Martin Raithel, Barbara Ballmer-Weber, Bodo Niggemann, Thomas Werfel
A large proportion of immunoglobulin E (IgE)-mediated food allergies in older children, adolescents and adults are caused by cross-reactive allergenic structures. Primary sensitization is most commonly to inhalant allergens (e.g. Bet v 1, the major birch pollen allergen). IgE can be activated by various cross-reactive allergens and lead to a variety of clinical manifestations. In general, local and mild - in rare cases also severe and systemic - reactions occur directly after consumption of the food containing the cross-reactive allergen (e...
2014: Allergo Journal International
https://www.readbyqxmd.com/read/25904389/eczema-therapeutics-in-children-what-do-the-clinical-trials-say
#4
REVIEW
Theresa N H Leung, K L Hon
Eczema or atopic dermatitis is a common childhood atopic disease associated with chronicity and impaired quality of life. As there is no cure for the disease, treatment relies on topical and systemic anti-allergic or immunomodulating therapies. Topical corticosteroid, macrolide immunosuppressants, and oral immunomodulating drugs for recalcitrant disease have been the mainstay of therapy. Management of atopic dermatitis must consider the individual symptomatic variability of the disease. Basic therapy is focused on patient/family education, hydrating topical treatment, and avoidance of specific and non-specific provocative factors...
June 2015: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/22813359/guidelines-for-treatment-of-atopic-eczema-atopic-dermatitis-part-ii
#5
REVIEW
J Ring, A Alomar, T Bieber, M Deleuran, A Fink-Wagner, C Gelmetti, U Gieler, J Lipozencic, T Luger, A P Oranje, T Schäfer, T Schwennesen, S Seidenari, D Simon, S Ständer, G Stingl, S Szalai, J C Szepietowski, A Taïeb, T Werfel, A Wollenberg, U Darsow
The existing evidence for treatment of atopic eczema (atopic dermatitis, AE) is evaluated using the national standard Appraisal of Guidelines Research and Evaluation. The consensus process consisted of a nominal group process and a DELPHI procedure. Management of AE must consider the individual symptomatic variability of the disease. Basic therapy is focused on hydrating topical treatment, and avoidance of specific and unspecific provocation factors. Anti-inflammatory treatment based on topical glucocorticosteroids and topical calcineurin inhibitors (TCI) is used for exacerbation management and more recently for proactive therapy in selected cases...
September 2012: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/22805051/guidelines-for-treatment-of-atopic-eczema-atopic-dermatitis-part-i
#6
J Ring, A Alomar, T Bieber, M Deleuran, A Fink-Wagner, C Gelmetti, U Gieler, J Lipozencic, T Luger, A P Oranje, T Schäfer, T Schwennesen, S Seidenari, D Simon, S Ständer, G Stingl, S Szalai, J C Szepietowski, A Taïeb, T Werfel, A Wollenberg, U Darsow
The existing evidence for treatment of atopic eczema (atopic dermatitis, AE) is evaluated using the national standard Appraisal of Guidelines Research and Evaluation. The consensus process consisted of a nominal group process and a DELPHI procedure. Management of AE must consider the individual symptomatic variability of the disease. Basic therapy is focused on hydrating topical treatment, and avoidance of specific and unspecific provocation factors. Anti-inflammatory treatment based on topical glucocorticosteroids and topical calcineurin inhibitors (TCI) is used for exacerbation management and more recently for proactive therapy in selected cases...
August 2012: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/22270131/-food-dependent-exercise-induced-anaphylaxis-that-was-difficult-to-evoke-by-a-provocation-test
#7
Naoyuki Inoue, Asuka Yamamoto, Sayoko Matsumoto, Nobuo Ishigaki
As a result of ingesting wheat- and soybean-based food products in school meals, an 8-year-old boy repeatedly experienced dyspnea and urticaria while exercising. Based on the symptoms, he was assumed to have been experiencing a food-dependent exercise-induced anaphylactic reaction. Based on the Japanese pediatric guideline for oral food challenge in food allergy 2009, examination using various combinations of food products (wheat and soybeans), medicine (aspirin), and exercise was performed. However, the examination failed to elicit any symptoms...
November 2011: Arerugī, [Allergy]
https://www.readbyqxmd.com/read/20406588/eosinophilia-as-a-predictor-of-food-allergy-in-atopic-dermatitis
#8
Geunwoong Noh, Hyunjung Jin, Jimin Lee, Joonyong Noh, Won Myo Lee, Sangsun Lee
Food allergy plays an important role in atopic dermatitis (AD). Adequate predictors and guidelines for when dietary manipulation is indicated for AD are needed. The clinical significance of eosinophilia as a predictor for food allergy of late eczematous reactions in AD was investigated. Three hundred three patients with AD were studied, using elimination diets and food challenge tests. Food allergy prevalence was compared in groups of eczematoid AD patients with high or normal eosinophil levels. The effects on the blood eosinophil fraction of an elimination diet and milk allergy provocation of late eczematous reactions were evaluated...
March 2010: Allergy and Asthma Proceedings:
https://www.readbyqxmd.com/read/19732254/etfad-eadv-eczema-task-force-2009-position-paper-on-diagnosis-and-treatment-of-atopic-dermatitis
#9
REVIEW
U Darsow, A Wollenberg, D Simon, A Taïeb, T Werfel, A Oranje, C Gelmetti, A Svensson, M Deleuran, A-M Calza, F Giusti, J Lübbe, S Seidenari, J Ring
BACKGROUND: The diagnosis of atopic dermatitis (AD) is made using evaluated clinical criteria. Management of AD must consider the symptomatic variability of the disease. METHODS: EADV eczema task force developed its guideline for atopic dermatitis diagnosis and treatment based on literature review and repeated consenting group discussions. RESULTS AND DISCUSSION: Basic therapy relies on hydrating topical treatment and avoidance of specific and unspecific provocation factors...
March 2010: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/19483616/double-blind-placebo-controlled-food-challenge-in-adults-in-everyday-clinical-practice-a-reappraisal-of-their-limitations-and-real-indications
#10
REVIEW
Riccardo Asero, Montserrat Fernandez-Rivas, André C Knulst, Carla Afm Bruijnzeel-Koomen
PURPOSE OF REVIEW: The double-blind, placebo-controlled food challenge (DBPCFC) is widely considered as the 'gold standard' for the diagnosis of food allergy. However, in adult patients, this procedure is rather rarely performed outside the academic context. This review article aims to reappraise the pros and cons of DBPCFC and to elicit some critical thoughts and discussions about the real indications of this diagnostic procedure in adult patients in everyday practice. RECENT FINDINGS: There are many data showing that the DBPCFC poses a number of critical problems that are difficult to overcome in normal outpatient clinics and hospitals, and that are generally not addressed in most articles dealing with this issue...
August 2009: Current Opinion in Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/19371249/approach-to-suspected-food-allergy-in-atopic-dermatitis-guideline-of-the-task-force-on-food-allergy-of-the-german-society-of-allergology-and-clinical-immunology-dgaki-and-the-medical-association-of-german-allergologists-ada-and-the-german-society-of-pediatric
#11
Thomas Werfel, Stephan Erdmann, Thomas Fuchs, Margot Henzgen, Jörg Kleine-Tebbe, Ute Lepp, Bodo Niggemann, Martin Raithel, Imke Reese, Joachim Saloga, Stefan Vieths, Torsten Zuberbier, , et al.
The following guideline of the "Arbeitsgruppe Nahrungsmittelallergie der DGAKI" (Task Force on Food Allergy of the German Society of Allergology and Clinical Immunology) and the ADA ("Arzteverband Deutscher Allergologen", Medical Association of German Allergologists) and the GPA (German Society of Pediatric Allergology) summarizes the approach to be taken when food allergy is suspected in patients with atopic dermatitis (neurodermatitis, atopic eczema). The problem is clinically relevant because many patients assume that allergic reactions against foods are responsible for triggering or worsening their eczema...
March 2009: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/10209703/antihistamines-in-urticaria
#12
J Ring, K Brockow, M Ollert, R Engst
Urticaria is one of the most common and, in its chronic course, excruciating dermato-allergic diseases. Apart from the dermatological diagnosis, the identification and evaluation of causal triggering factors is of utmost importance. Here a 'three-step guideline' (according to Ring and Przybilla) has gained acceptance, ranging a general basic examination via an intensive investigation until oral provocation tests for food allergy and oral provocation tests for idiosyncrasy (OPTI) against food additives. Apart from true IgE-mediated allergies, pseudo-allergic reactions against food additives as well as food contents represent a major problem in chronic urticaria...
March 1999: Clinical and Experimental Allergy: Journal of the British Society for Allergy and Clinical Immunology
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