Tag Archives: natural history

PREDICTIVE FACTORS FOR MODERATE OR SEVERE EXACERBATIONS IN ASTHMA PATIENTS RECEIVING OUTPATIENT CARE

FCAAIA Notes: This study tells us that the best predictor of having a moderate or severe asthma exacerbation is a history of a previous such flare.  Incorrect inhaler technique was also predictive. Of course, correct inhaler technique is a subset … Continue reading

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IS RESPONSE TO ALLERGY IMMUNOTHERAPY PREDICTABLE?

FCAAIA Notes: Allergen immunotherapy (IT) is the only disease-modifying treatment and thus the only potential cure for allergies. People respond at different rates to different extents, but it is a highly effective treatment. For IT to be helpful, you need … Continue reading

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ALLERGY QUESTIONNAIRE HELPS DETERMINE TRUE PENICILLIN ALLERGY IN CHILDREN

FCAAIA Notes: Up to 95% of people who are labelled allergic to penicillin (amoxicillin, etc.) are not allergic.  Some never were; either they had something happen that was while taking the antibiotic but was unrelated to it, others avoid it … Continue reading

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STRATEGIES TO ALTER THE NATURAL HISTORY OF CHILDHOOD ASTHMA

FCAAIA Notes: I guess one of the best ways to avoid having asthma is to choose the right parents, as asthma and other allergic disease are more common in children whose parents have allergies. Of course, as shown in this … Continue reading

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NEW GUIDELINE FOR PREVENTION OF PEANUT ALLERGY: WHERE WE STAND NOW IN PREVENTING FOOD ALLERGIES

FCAAIA Notes: Early introduction of solids including peanut decreases the risk of later allergy.  This recently published guideline regarding early introduction of allergenic foods is an extension of the LEAP and EAT studies about which I previously posted.  Babies with … Continue reading

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NIH PANEL RECOMMENDS EARLY PEANUT INTRODUCTION FOR HIGH-RISK INFANTS

FCAAIA Notes: Early introduction of solids including peanut decreases the risk of later allergy. This recently published guideline regarding early introduction of allergenic foods to infants is an extension and formal recommendation after the LEAP and EAT  studies about which … Continue reading

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THUMB-SUCKING, AMISH AND THE HYGIENE HYPOTHESIS

FCAAIA Notes: I guess this explains my good non-allergic fortune….I was both a finger sucker and nail biter and here I am without allergies! But seriously, advocates of the hygiene hypothesis never claimed it was the only reason for the … Continue reading

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TESTING PENICILLIN ALLERGY CUTS WIDE-SPECTRUM ANTIBIOTIC USE

FCAAIA Notes: Of all the medications out there, the one for which we have the best data about how to interpret testing is penicillin.  If your testing to penicillin and a metabolite of penicillin (Pre-Pen®) is negative, there is up … Continue reading

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PRESCRIBERS HAVE POOR UNDERSTANDING OF PENICILLIN ALLERGY

FCAAIA Notes: Penicillin is still the drug of choice for some infections.  It is inexpensive and has a relatively narrow spectrum of anti-bacterial coverage. It is estimated that up to 95% of people who are labelled “penicillin allergic” are actually … Continue reading

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VITAMIN D MECHANISM IN CORTICOSTEROID-RESISTANT ASTHMA DISCOVERED

FCAAIA Notes: Vitamin D is a hot topic in medicine, not just in allergy and immunology.  Like many hot topics that have come and gone over the years, it is not a panacea and we still have a lot to … Continue reading

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