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Showing posts with label foodallergy. Show all posts
Showing posts with label foodallergy. Show all posts

Thursday, October 29, 2015

ASTHMA / ASMA - What is new in Asthma / Asma

Asthma is an allergic disease, mainly in children.

Rhinitis and Asthma are related.

Food Allergy causes asthma, in children and adults.








Summary

Asthma is a chronic disease that affects your airways. Your airways are tubes that carry air in and out of your lungs. If you have asthma, the inside walls of your airways become sore and swollen. That makes them very sensitive, and they may react strongly to things that you are allergic to or find irritating. When your airways react, they get narrower and your lungs get less air.
Symptoms of asthma include
  • Wheezing
  • Coughing, especially early in the morning or at night
  • Chest tightness
  • Shortness of breath
Not all people who have asthma have these symptoms. Having these symptoms doesn't always mean that you have asthma. Your doctor will diagnose asthma based on lung function tests, your medical history, and a physical exam. You may also have allergy tests.
When your asthma symptoms become worse than usual, it's called an asthma attack. Severe asthma attacks may require emergency care, and they can be fatal.
Asthma is treated with two kinds of medicines: quick-relief medicines to stop asthma symptoms and long-term control medicines to prevent symptoms.
NIH: National Heart, Lung, and Blood Institute

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Page last updated on 28 October 2015 Topic last reviewed: 21 August 2015

Thursday, October 1, 2015

PEDIATRIC ALLERGY / The Allergic Child



Publicado por C.A. Centro Medico De Caracas el: 24/01/2011
Ubicación
Tipo de vendedor Profesional Oferta
Descripción
Carlos E Mijares, MD Certified USA University of Kansas. School of Medicine. Asthma, Allergies & Immunology, pediatrician. Pediatra Alergólogo, Inmunólogo, Neumonólogo. Headquartes: C.A. Centro Médico de Caracas. San Bernardino. Caracas 1010. Venezuela. Phones +58 550 5238 555.9379 555.9522 Mobile: 0412 393.2265 0416 408.4342 0424 1525291 Web: www.centromedicodecaracas.com.ve, paginasamarillascantv.com.ve,infoguia.com,worldallergy.org,svaaai.org.ve

Our methods of diagnosis and care are those extensively proved, approved --and used by the FDA, WHO,WAO (World Allergy Organization).

Emergencies, Anaphylaxis. Keep and use Epipen as needed. Or Auvi-Q de Sanofi.

Send your resume or contact us (round the cloc'k) 0412 393.2265 0416 408.4342

We are Members of Who is Who in the World of Professionals, since 2002

Monday, September 21, 2015

ANESTESIA Y ALERGIA ALIMENTARIA



Los pacientes alérgicos a la soja y los alérgicos al huevo pueden recibir anestesia sin ningún riesgo (Soy-allergic and Egg-allergic Patients Can Safely Receive Anesthesia)


Este artículo ha sido reseñado por Thanai Pongdee, MD, FAAAAI

La AAAAI recientemente informó sobre la seguridad de los inhaladores para el asma en pacientes alérgicos a la soja y a los maníes, a pesar de algunas preocupaciones debidas a percepciones erróneas con respecto a los ingredientes de los inhaladores. Han surgido similares preocupaciones con respecto a posibles alérgenos alimentarios en medicamentos de aplicación por vía intravenosa utilizados para la anestesia.

El propofol es un medicamento de aplicación por vía intravenosa utilizado para la anestesia previa a cirugías y otras intervenciones médicas, y para algunas personas con respirador artificial. El propofol se mezcla en un líquido que contiene aceite de soja y una sustancia llamada lecitina de huevo. La lecitina es una sustancia grasa que se encuentra en los tejidos de algunas plantas y algunos animales.

Los pacientes que son alérgicos a los alimentos, incluso a la soja y al huevo, son alérgicos a las proteínas contenidas en los alimentos y no son alérgicos a los aceites y grasas presentes en los alimentos. El aceite de soja y la lecitina de huevo pueden contener una cantidad minima de proteína residual, sin embargo, no se han demostrado reacciones alérgicas causadas por ello. Si bien el maní y la soja pertenecen a la familia de las legumbres, la enorme mayoría de pacientes alérgicos al maní no son clínicamente alérgicos a la soja, e incluso si lo fueran, probablemente no reaccionarían al aceite de soja.

Hay informes de reacciones al propofol donde aparecen urticarias u otros síntomas de reacciones alérgicas sistémicas (anafilaxia). Sin embargo, la mayoría de los informes de anafilaxia al propofol se han producido en pacientes que no son alérgicos al huevo, y la enorme mayoría de pacientes alérgicos al huevo reciben propofol sin tener reacciones. Algunos pacientes pueden ser alérgicos al mismo propofol. Además, la mayoría de los pacientes  que reaccionan luego de recibir propofol han recibido otros medicamentos al mismo tiempo que pueden provocar o empeorar la anafilaxia, incluso antibióticos, miorrelajantes y analgésicos opiáceos. De esta manera, si bien está claro que  el propofol puede causar reacciones anafilácticas, la causa de estas reacciones no es clara y parece no estar relacionada con la alergia a la soja o al huevo.

En resumen: Los pacientes alérgicos a la soja o al huevo pueden recibir propofol sin necesidad de precauciones especiales. Cualquier paciente, sea o no alérgico a la soja o al huevo, que tenga una aparente reacción alérgica al propofol debe ser evaluado por un alergista.

Alergias Alimentarias

Thursday, February 5, 2015

THE ALLERGIC TENSION - FATIGUE SYNDROME by Frederic Speer, MD. USA.









Speer, Frederic.: The Allergic tension-fatigue syndrome. Pediatrics Clinics of North America. I:1029, 1 954.

------------------ : The allergic tension-fatigue syndrome in children. International Archives of Allergy. 12:207,  1958.

-------------------: Historical development of allergy of the nervous system. Annals of Allergy 16-14, 1958



ALLERGY AND BEHAVIOR BY FRED J. KITTLER CHAPTER 44 in

ALLERGY AND IMMUNOLOGY IN CHILDHOOD in FREDERIC SPEER,M.D. and
.
ROBERT J. DOCKHORN, MD. University of Kansas and Children’s Mercy Hospital,

Kansas City Kansas & Kansas City Missouri. 1 973. CHARLES C THOMAS

PUBLISHER Illinois. USA.


The child with behavior problems has been examined from a variety of viewpoints by pediatricians, psychologists, and psychiatrists. Genetic inheritance, environment, pampering, sight, and hearing have been studied meticulously. The ego, interpersonal relations, and the psyche have been dissected in many cases, and sometimes the dissection bears fruit. Listless, irritable, and hyperreactive children are brought in vast numbers to psysicians for care, and the management of their behavior disorders is a leading pediatric concern..

Parents and teachers are especially concerned when fatigue or irritability affect the child’s performance in school. On investigation it is often found that the teacher is not able to hold the child’s attention or interest. Instead the child may sit and stare dreamily. An abnormally restless, jittery hyperkinetic child is not only miserable himself but can destroy the study patterns of the entire classroom. Punishment is a common early reaction, because parents feel that the child is naughty or trying to get attention

ALLERGY OF THE NERVOUS SYSTEM by Norman Ward Clein and William G. Crook in THE ALLERGIC CHILD edited by Frederic Speer, M.D. Harper & Row Publishers

Speer, F.: The allergic tension-fatigue syndrome. Pediat. Clinic. North America. I: 1029, 1954.

--------: The allergic tension – fatigue syndrome in children. Internat. Arch. Allergy.
12:207, 1958

As Fred J. Kittler wrote: there is growing awareness, among pediatric allergists at least, of the role allergy plays in causing restlessness and listlessness in children.  This has been especially true since Speer helped clarify our thinking by coining a new term, the allergic tension-fatigue syndrome, for an old but previously unnamed allergic syndrome.



Kittler, cites Speer, 1954 Pediatric clinics of North America 1:1029, 1954. Speer cites himself  in Allergy Migraine in Headache 11:63, 1971; Allergic Factors in Migraine en Modern Medicine, Feb 8 p. 100, 1971 and ALLERGIC MIGRAINE in ALLERGY AND IMMUNOLOGY IN CHILDHOOD, 1973.

Clein, Speer, Crook, Dees, Glaser, Rowe, Arce y Calzada en El síndrome tensión-fatiga del niño como manifestación alérgica en Anales Casa Salud Valdecilla 16:177, 1955.

Speer , again in Historical development of allergy of the nervous system in Ann. Allergy, 16:14. 1958

Norman W. Clein in COW’S MILK ALLERGY IN INFANTS . Pediatric Clinics of North America. Vol. 1 Number 4, November 1954 References: Abt. I.A.: Milk as a Food for Infants. Chicago M. Rec.March 1912: Alvarez W. C. Puzzling Nervous Storm Due to Allergy. Gastroenterology 7:241, 1946; Speer, Role of Allergy in Infectious Diarrhea of Infancy. J. Kansas M. Soc. Nov. 1952. Rowe; Food Allergy. J.Allergy, 1:172, 1938. Cohen.: Milk Allergy. Am. J. Dis. Child, 38:741, 1929. Ratner, B. Treatment of Milk Allergy and its Basic Principles. J.A.M.A. 105:934, 1935.

Piness G: Allergic Manifestations in Infancy and Chilhood. Arch Ped.42:557, 1925.

Frandland William UK, London, Noon, 1911. Immunotherapy for Pollen Allergy. Watch in youtube: www.alergiascaracasmarketing.blogspot.com, Dr Frandland still alive.


Speer in 1971 outlined the following diseases to be considered in differential diagnosis  of The Allergic Tension-Fatigue Syndrome:

Defective vision, defective hearing, mild retardation, malnutrition, intestinal parasites, lead poisoning, sickle-cell anemia, neuroses, , and psychosis.  Any type of stress, such as excessive television viewing, family and school problems, and economic deprivation, may need to be considered. Minimal brain damage from diseases in infancy or during the mother’s pregnancy or from meningitis may also need to be thought of.

See five (5) causes of food allergy in children: cow’s milk, wheat, egg, soy, peanuts and hard nuts.



COW´S MILK ALLERGI IN INFANTS . 206 cases presented by Dr. Norman W. Clein in Pediatrics of North America. 1954. Copy handed out to me by Dr Speer, personally.
At his Allergy Clinic, Shwanee- Mission  Outlook Street. Kansas City Kansas. USA

Vincent J. Fontana, M.D. director of Pediatric Allergy, Bellevue Hospital , New York, new York, recommended me to Dr Speer.
Follows a resume of Dr. Clein's paper:

Breast milk is not only the best food, but is also the ideal and natural food for the newborn infant. Few infants are allergic to breast milk. even though the mother may be a highly allergic person. Cow's milk is only a substitute for breast milk and as such may present a relatively high degree of allergenicity.

   The majority of babies in this country are presently fed on a cow's milk formula in one form or another and do quite well. There are also a relatively large number who suffer simple colic or become desperately ill as a result of an allergy or sensitivity to milk. For many years it has been hinted that cow's milk may disagree with some babies. Abt, in 1 911 mentioned that some infants have an idiosincrasy to cow's milk which produces "toxic symptoms and injuries to the baby". Piness, in 1 925 called attention to allergic manifestation from food in infants. Pediatric textbooks barely mention milk allergy or refer meagerly to minor gastrointestinal symptoms. Several clinical reports have stressed the intestinal manifestations, omitting or barely mentioning any other type of symptoms. The fact remains  that allergty to cow's milk is a common cause of symptoms in many infants. A formula ideal for some babies may be another baby's poison.

   A critical clinical analysis of 206 infants allergic to cow's milk reveals a multipicity of ordinary or strange, baffling, mild to serious and often apparently unrelated clinical syndromes.  Various prolonged, complicated and expensive diagnostic tests, treatments and even operations have been performed in an effort to relieve these unfortunate infants, because allergy to milk was not suspected as a cause of their symptoms. The type and location of symptoms depend on two factors: (1) the tissue or organ affected and (2) the results of the pathologic mechanism of allergic disease on the particular organ or tissue involved ( edema of mucus membranes, spam of smooth muscle and excess mucus secretion ). If the allergic "trigger"area is in the nose, we expect  swelling, stuffiness and excess secretions as well as other local and constitutional symptoms that follow.

Below we show the twelve clinical entities described by Dr. Clein:



Eczema 91 cases

Pylorospasm 78 cases

Colic 65 cases

Diarrhea 47 cases

Very unhappy all the time, 40 cases

Cough, croup, choking, gagging, excess mucus in throat 36 cases

Nose cold all the time, 27 cases

Constipation 10 cases

Asthma 15 cases

Refuses milk entirely – anorexia 7 cases

Toxemia –apathetic, listless, cyanotic, collapse 4 cases

Urticaria –angioedema 3 cases.


Note: I myself have seen these cases in my practice and I have follow the American way of solving them.


www.infoguia.com / alergólogos


www.worldallergy.org, 

www.svaai,org.ve / Carlos E Mijares

Above you can read the current publications of the World Allergy Organization. WAO as presented by a panel of distinguished Allergists / Immunologists but The Allergy Tension - Fatigue Syndrome coined by the American Allergist Frederic Speer in 1.954 is not mentioned,  been a breakthrough.

The Global Atlas of Allergic Rhinitis and Chronic Rhinosinusitis by the EAACI in its Chapter 20, says: The concept of Allergic Fatigue is attributed to Melvyn Danzig (1989).