Roflumilast Phosphodiesterase 4 Inhibitor, Attenuates Allergen-Induced Asthmatic Reactions

Roflumilast Phosphodiesterase
Roflumilast is an oral, once-daily inhibitor of phosphodiesterase type 4 (PDE4) that prevents the breakdown of cyclic adenosine monophosphate (cAMP) levels, leading to inhibition of pro-inflammatory signalling. This study investigated the effects of repeated doses of 250 or 500 µg of roflumilast on airway asthma responses to allergen. (more…)

Penicillin Allergy Testing: Re-prescription Of Penicillin After Allergic-Like Events

Penicillin Allergy Testing
Suspected drug allergy is not easy to investigate. In the UK, few centers have the necessary facilities and expertise, the evidence base of the available diagnostic tests is not robust, and their interpretation of drug allergy reaction is not straightforward. This has led many clinicians increasingly to rely on the patient’s recollection of previous response to individual allergies medicines when anticipating the likely tolerability of future exposure. (more…)

Otitis Media With Effusion: Allergic Inflammation In Middle Ear & Upper Airway

Otitis media with effusion is a chronic inflammatory disease of the middle ear space characterized by the accumulation of fluid. Previous investigations have suggested that the immunopathological mechanism underlying the development of middle ear effusion in allergy patients largely involves the effects of Th2 mediators. The investigators set out to determine whether the middle ear compartment may be a component of the united airways in allergic disease by comparing the inflammatory profiles of the middle ear with those of the upper airway. Middle ear effusions, torus tubaris (Eustachian tube mucosa at the nasopharyngeal orifice) and adenoidal tissue biopsies were obtained from 45 patients undergoing simultaneous tympanostomy tube placement for Otitis media with effusion and adenoidectomy for adenoid hypertrophy. (more…)

Drug Allergy and Adverse Drug Reactions from Immunologic Basic Perspective

drug allergy drug sensitivity
Drug allergy and adverse drug reactions are common among many people. Those side affect of consuming drugs affecting an about 30% of hospitalized patients. Unintended and undesired reactions of consuming drugs may be immunologic or non immunologic nature. The latter let in drug toxicity, side effects, food intolerance symptoms, and idiosyncratic reactions, popular known as drug allergy. (more…)