FCAAIA Notes: Daily inhaled corticosteroids (ICS) are the treatment of choice to prevent symptoms in patients with persistent asthma. If such a patient starts to have flaring symptoms, does increasing the dose even 4-5 fold help? Maybe. Maybe not. Over the years, there have been conflicting studies, as described here.
It seems to me that it has become routine advice that patients double their ICS dose when symptoms flare and they enter the “yellow zone” of asthma control. But any one paying close attention to his patients will know it doesn’t always make a difference. Continue reading “NO BENEFIT TO UPPING INHALED STEROIDS DURING ASTHMA ‘YELLOW ZONE’”
FCAAIA Notes: I have posted a couple articles about alpha-gal in this blog. In contrast to more typical allergic reactions, alpha-gal differs in that reactions do not usually start quickly after ingestion. Onset may take at least 4-6 hours (as compared to less than 30 minutes in more typical cases). Interestingly, because of the immune mechanisms involved, we still call alpha-gal allergy “immediate type hypersensitivity”.
This review is interesting and useful because Continue reading “ALPHA-GAL CHALLENGES FOOD ALLERGY PARADIGM”
FCAAIA Notes: I’m so far behind schedule in updating our website, that this review isn’t such news anymore. But, it is a good reminder that our approach to feeding infants highly allergenic foods took a 180º turn several years or so ago.
It is now clear that early introduction and continued feeding of peanut and egg (if tolerated) greatly decreases the likelihood of the infant becoming allergic. Although there are no data that the same thing holds for other foods, we have no reason to believe it does not. Continue reading “PRACTICE GUIDELINES FOR PEANUT ALLERGIES”
FCAAIA Notes: I do not want to see my patients with food allergy crippled by their dietary limitations. They and their families should live entirely normal lives with exception of avoiding the offending food(s).
I know accidents happen, so like the Boy Scouts, it is important to “Be Prepared”. Continue reading “KIDS WITH FOOD ALLERGIES OFTEN PUT AT RISK BY THEIR PARENTS”