Avoidance of any one of the individual risk factors associated with childhood asthma has not been successful in preventing its development. The purpose of this study was to determine the effectiveness of a multifaceted intervention programme for the primary prevention of asthma in high-risk infants at 7 years of age. Five hundred and forty-five high-risk infants with an immediate family history of asthma and allergies were prospectively randomized into intervention and control groups pre-natally. (more…)
The authors investigated whether environmental control during pregnancy and early life affects sensitization and lung function at t ...
Two factors thought to influence the risk factor asthma are the promoting effect of sensitization to house dust mites and the preve ...
The prevalence of atopic dermatitis is increasing in Western societies. The hygiene hypothesis proposes that this is due to red ...
To prevent the development of allergy, allergen avoidance has to be instituted before sensitization has occurred. The specific ...
Exposure to allergens plays a role in the development of BHR and in the chronic inflammatory response seen in asthmatic patients. R ...
Diagnosis of food hypersensitivity is a clinical challenge and the only current definitive test is the Double Blind Placebo-Controlled Food Challenges. Although the Double Blind Placebo-Controlled Food Challenges is the current gold standard, it is difficult to perform and is very time-consuming. Hence, researchers are continually evaluating new tests and assessing the value of the available serum tests. (more…)
The food eating challenges materials used at different centers vary considerably. Some centers use freeze-dried foods, some use con ...
Over the last 5 years some studies have suggested that the atopy patch test (APT) may be a useful test in atopic dermatitis childre ...
The diagnostic approach to allergic food reactions comprises three steps. The first step includes the medical allergy history, ...
This population-based cross-sectional study, funded by a UK government agency, aimed to establish the rate of sensitization to food ...
If you suspect that certain foods trigger wheezing or asthma symptoms in your child, your first action should be a consultation ...
Over the last 5 years some studies have suggested that the atopy patch test (APT) may be a useful test in atopic dermatitis children who have suspected food hypersensitivity and may even obviate the need for oral challenges. An alternative test to oral allergy challenges with high sensitivity and specificity would be helpful in the diagnosis of food hypersensitivity. (more…)
One of the popular allergy testing besides food allergy testing is skin allergy testing. Allergy patch test is the most commo ...
Diagnosis of food hypersensitivity is a clinical challenge and the only current definitive test is the Double Blind Placebo-Control ...
This population-based cross-sectional study, funded by a UK government agency, aimed to establish the rate of sensitization to food ...
The diagnostic approach to allergic food reactions comprises three steps. The first step includes the medical allergy history, ...
The food eating challenges materials used at different centers vary considerably. Some centers use freeze-dried foods, some use con ...

The prevalence of atopic dermatitis is increasing in Western societies. The hygiene hypothesis proposes that this is due to reduced exposure to environmental allergens and infections during early life. The authors examined factors associated with a diagnosis of atopic dermatitis at 3.5 years of age, especially those factors implicated by the hygiene hypothesis. The Auckland Birthweight Collaborative study is a case–control study of risk factors for small-for-gestational-age babies. Cases were born at term with birth weight at or below the 10th centile; controls were appropriate for gestational age, with birth weight above the 10th centile. (more…)
Atopic Dermatitis is considered to be one of the first manifestations in the atopic march. The aim of this study was to investi ...
Breast milk contains a variety of bioactive substances, among them soluble CD14 (sCD14), which plays an important role in innat ...
Atopic Dermatitis is a chronic relapsing skin disease. Several investigations concerning the long-term prognosis of Atopic Derm ...
Avoidance of any one of the individual risk factors associated with childhood asthma has not been successful in preventing its deve ...
Atopic dermatitis is a chronic inflammatory condition of the skin which usually starts in infancy. It is sometimes called ‘atop ...

A paradigm of immune development underlies allergy development and progression in early childhood. Briefly, the immune system of the fetus is maintained in a tolerogenic state, preventing adverse immune responses and rejection between the mother and fetus. Placental interleukin-10 (IL-10) suppresses the production of immune-potentiating inter-feron gamma (IFN-y) by fetal immune cells. IFN-y downregulates the production of pro-allergic cytokines, such as IL-4 and IL-13. (more…)
In the Tucson CRS study, about 50% of young children experienced a period of recurrent wheezing and/or coughing in the first 6 ...
Treatment with omalizumab has been shown to reduce serum free IgE concentrations and to have beneficial effects on allergic airway ...
The precise mechanisms underlying the effects of Specific Immunotherapy are not well understood but several studies have shown ...
Recently, UK Department of Health has circulated advice aimed at reducing the development of peanut allergy. The advice, base ...
Exposure and allergic sensitization to cockroach was associated with a significantly greater risk of asthma hospitalization and ...

Systemic allergic reactions are a relatively common clinical emergency. In their mildest form, they may just manifest as systemic cutaneous reactions with pruritis, allergy urticaria and angioedema. In more severe cases there are cardiorespiratory symptoms such as stridor, wheeze, difficulty in breathing or hypotension. Anaphylaxis has been defined as a ‘severe, life-threatening generalized or systemic hypersensitivity reaction’. The prevalence of systemic allergic reactions is unclear because of the lack of a clear, consistent definition and large prospective population studies. (more…)
Anaphylactic reactions to Hymenoptera venom are relatively uncommon but can be life-threatening: venom immunotherapy is the treatme ...
Definitions of anaphylaxis vary considerably, impeding the comparison of different clinical studies. Different definitions of a ...
It will be helpful for you to have some understanding of the terms that are currently being used by practitioners in the field ...
The safety of immunotherapy has been a constraint on this form of treatment for allergic disease. Although retrospective survey ...
Families frequently do not use their self-injectable adrenaline device, even when their kids is experiencing a potentially life ...

Families frequently do not use their self-injectable adrenaline device, even when their kids is experiencing a potentially life-threatening cardiorespiratory allergic reaction to a food allergen. Fatal food allergy anaphylaxis is rare but well recognized and the early use of intramuscular adrenaline may be life-saving. (more…)
Systemic allergic reactions are a relatively common clinical emergency. In their mildest form, they may just manifest as system ...
Definitions of anaphylaxis vary considerably, impeding the comparison of different clinical studies. Different definitions of a ...
No cure is available for food allergy and food-allergic patients and their families are therefore burdened with the need to con ...
Although most forms of allergy causes uncomfortable situations, an extreme allergic reaction to an allergen can eventually lead to ...
It is quite likely you've known someone with a severe allergy. From peanuts to gluten, such food allergies have grown to be much mo ...

To prevent the development of allergy, allergen avoidance has to be instituted before sensitization has occurred. The specific type of aero allergens may vary depending on the climatic and economic situation. For example, House Dust Mite is the most important allergen in humid climates and pet allergens assume importance in cold countries, while cockroach allergen is the major sensitizing agent in crowded, inner city areas. Several large prospective studies have instituted House Dust Mites avoidance measures during pregnancy, at birth and later in childhood, and assessed children for asthma and allergic manifestations. (more…)
Allergen exposure plays a role in the development of asthma bronchial hyper-responsiveness and in the acute inflammatory response ...
Two factors thought to influence the risk factor asthma are the promoting effect of sensitization to house dust mites and the preve ...
Exposure to allergens plays a role in the development of BHR and in the chronic inflammatory response seen in asthmatic patients. R ...
Asthma attacks can be triggered by a range of items such as second hand smoke, mold spores, pet dander, and pollen. The basic ...
Asthma and allergic diseases are common in both children and adults. Their development depends on an interaction between asthma ...

The protective effect of breast-feeding on asthma and allergy has been debated for more than 60 years without any hope of a consensus. A major problem is the lack of randomized controlled trials. However, breast-feeding has a number of other benefits and should be recommended irrespective of any effect on asthma or allergy. This is why randomized trials are not considered ethical. Thus, we have to rely on observational studies, which have produced conflicting results. Mothers who do or do not breastfeed differ in several environmental exposures, including socio-economic class, smoking and area of living, which influence indoor and outdoor exposure to pollutants. Despite statistical adjustment for these confounding factors, the evidence is never as robust as it would be with an randomized controlled trial. (more…)
Breast milk contains a variety of bioactive substances, among them soluble CD14 (sCD14), which plays an important role in innat ...
The prevalence of atopic dermatitis is increasing in Western societies. The hygiene hypothesis proposes that this is due to red ...
The prevalence of asthma increases with increasing levels of Dichlorodiphenyldichloroethylene (DDE). However, the effect of early-l ...
If the breast-fed baby is lactose intolerant (usually a temporary condition following intestinal infection at this age), moth ...
Avoidance of any one of the individual risk factors associated with childhood asthma has not been successful in preventing its deve ...

The increasing prevalence of allergic disease in the Western world has led to the concept of the ‘allergic march’ to describe the evolving spectrum of disease that often begins in childhood. The use of allergen immunotherapy in children has the potential of altering the natural course of allergic disease. However, concerns regarding the safety of using this treatment in children are an obstacle to attenuating the allergic march. The study of Di Rienzo and colleagues reviews the safety of Sublingual Immunotherapy in children between the ages of 3 and 5 years. (more…)
Allergen-specific immunotherapy aims to correct the underlying immune imbalance associated with specific immunotherapy allergic rhi ...
The immunologic mechanisms of sublingual immunotherapy are less established. In Cochrane analysis, the authors concluded that t ...
The specific treatment of allergy has previously relied upon allergen avoidance and sublingual immunotherapy. These approaches have ...
The safety of immunotherapy has been a constraint on this form of treatment for allergic disease. Although retrospective survey ...
Allergic rhinitis is a high-prevalence disease. This high prevalence translates into a high cost to society in terms of overall ...