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 to come regularly to build up to the top dose. High doses are more effective than lower doses. Continue reading “IS RESPONSE TO ALLERGY IMMUNOTHERAPY PREDICTABLE?”
FCAAIA Notes: Weight loss and good physical conditioning are so important in virtually every aspect of health that we should not just concentrate on asthma. It is pretty clear that obesity contributes to diminished respiratory status with more shortness of breath and so on. My interpretation of the data are that at least some of that is because of other factors such as increased incidence of GE reflux, increased “work of breathing” because of the very thick and stiff chest wall, and overall de-conditioning resulting in worse exercise tolerance.
If you are overweight or obese, work hard to lose weight. Your ideal body mass index (BMI) should be 18.5-24.9. Curious? Continue reading “IS THERE A ROLE FOR WEIGHT LOSS IN OBESE PATIENTS WITH 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 study air pollution is a big risk factor for the onset and for exacerbations of asthma. Outdoor air pollution is something over which individuals have little control (think globally; act locally!). Indoor air pollution is easier to control. Active and passive smoking are major triggers to allergic airway disease. Wood stoves, fireplaces, and wood burning stoves are also a big source of indoor air pollution.
Vitamin D is a hot topic in asthma control. Continue reading “STRATEGIES TO ALTER THE NATURAL HISTORY OF CHILDHOOD ASTHMA”
FCAAIA Notes: Air pollution is not just an outdoor problem. In fact, many patients neglect the effect that air pollution can have inside their homes. Air purifiers are useful for some people with asthma or allergies, but not others. This study looked at the effect of air purifiers on asthma control as it relates to small particulates that are irritants, not allergens.
Fireplaces, kerosene heaters, smoking, and wood stoves are some common and easily avoidable sources of particulate indoor air pollution. Continue reading “EFFECTIVENESS OF AIR PURIFIER ON HEALTH OUTCOMES AND INDOOR PARTICLES IN HOMES OF CHILDREN WITH ALLERGIC DISEASES IN FRESNO, CALIFORNIA: A PILOT STUDY”