ITEMS IN AFP WITH KEYWORD:
Allergy and Anaphylaxis
Sep 1, 2016 Issue
Second-Generation H1-Antihistamines for Chronic Spontaneous Urticaria [Cochrane for Clinicians]
There is good evidence that second-generation H1-antihistamines are helpful in the short- and intermediate-term suppression of urticaria. Cetirizine (Zyrtec) in a dosage of 10 mg daily is effective at completely suppressing symptoms of chronic spontaneous urticaria (number needed to treat [NNT] = 4).
This consensus communication focuses on new data that support introducing peanuts early in infants, and it aims to assist with decisions about introduction; it can be used for guidance while formal guidelines are being developed.
Timothy grass pollen allergen extract produces small improvements in allergic rhinitis symptoms and the use of allergy relief medications, with a high rate of adverse effects. It may, however, be an option for patients who desire an alternative to standard allergy symptom relief but who do not want to begin injectable desensitization treatment.
Allergic rhinitis can affect quality of life and productivity, and can exacerbate other conditions such as asthma. Optimal treatment includes allergen avoidance and pharmacotherapy. Learn the treatment options based on severity of symptoms and responsiveness to initial therapies.
The American Academy of Otolaryngology–Head and Neck Surgery Foundation has released a clinical practice guideline for the purpose of optimizing patient care, promoting effective diagnosis and therapy, and reducing harmful or unnecessary interventions in adults and children with allergic rhinitis.
Sep 15, 2015 Issue
Atopic Eczema and Early Introduction of Solid Foods [FPIN's Clinical Inquiries]
In most children, solid foods may be introduced before four to six months of age without increasing the risk of atopic eczema.
These results add further credence to the idea that the gastrointestinal system plays a big role in the development of our immune system (i.e., the hygiene hypothesis). Washing children's bottles and eating utensils by hand instead of using an automatic dishwasher was associated with a lower risk of developing an allergic disorder.
A girl with a history of asthma and eczema presented with burning rash on her legs after exposure to limes.
For children with potentially life-threatening food allergies, the school environment can present significant management challenges. A substantial proportion of food allergy reactions occur in school, and these reactions can be fatal.
Patients with suspected food allergies are commonly seen in clinical practice. Although up to 15 percent of parents believe their children have food allergies, these allergies have been confirmed in only 1 to 3 percent of all Americans. Family physicians must be able to separate true food allergies ...