Is There Benefit in Identifying Asthma Triggers During an Exacerbation?

2019 ◽  
Vol 59 (2) ◽  
pp. 142-147
Author(s):  
Pushpom James ◽  
Anna Cornish ◽  
Kaylan Brady ◽  
Jennifer Morrison ◽  
Yvonne Giunta ◽  
...  

Introduction. Allergen-specific IgE (sIgE) testing provides an objective assessment of sensitization to an allergen. Goal. To identify the time when serum measurements of sIgE would be most sensitive. Methods. This was a prospective study conducted between September 1, 2015, and February 25, 2019. Subjects ≥5 and ≤18 years of age, seen in the ED or admitted with an asthma exacerbation, were tested for total IgE and 8 perennial sIgE levels. Subjects with elevated sIgE were tested again after symptom resolution. Results. A total of 104 subjects were enrolled; 50 subjects were eligible for inclusion in the analysis. There were statistically significant differences between the visits for all sIgE, except Alternaria alternatum. Conclusions. In pediatric patients, serum sIgE levels measured during an asthma exacerbation were elevated compared with when their asthma was in better control. sIgE testing during an asthma exacerbation may help identify asthma triggers, mitigate exposure, and hence improve asthma control.

Cephalalgia ◽  
1983 ◽  
Vol 3 (4) ◽  
pp. 231-234 ◽  
Author(s):  
A. Pradalier ◽  
S. Weinman ◽  
J. M. Launay ◽  
J. F. Baron ◽  
J. Dry

A prospective study of total IgE, specific IgE against 12 common foods, and prick-tests with 11 common food allergens was performed on 50 consecutive migraine sufferers. Total IgE levels were found above 100 kU/I for seven patients, but five of them were atopic. Prick-tests and PAST were positive for four and six patients (class 1), respectively. Food challenge on these six patients did not cause any migraine attacks. This study thus indicates a very low frequency of allergic dietary migraine to common foods.


Author(s):  
Nienke Z Borren ◽  
Millie D Long ◽  
Robert S Sandler ◽  
Ashwin N Ananthakrishnan

Abstract Background Fatigue is a disabling symptom in patients with inflammatory bowel disease (IBD). Its prevalence, mechanism, and impact remain poorly understood. We determined changes in fatigue status over time and identified predictors of incident or resolving fatigue. Methods This was a prospective study nested within the IBD Partners cohort. Participants prospectively completed the Multidimensional Fatigue Inventory and the Functional Assessment of Chronic Illness Therapy-Fatigue at baseline, 6 months, and 12 months. A Functional Assessment of Chronic Illness Therapy-Fatigue score ≤43 defined significant fatigue. Multivariable regression models using baseline covariates were used to identify risk factors for incident fatigue at 6 months and to predict the resolution of fatigue. Results A total of 2429 patients (1605 with Crohn disease, 824 with ulcerative colitis) completed a baseline assessment, and 1057 completed a second assessment at 6 months. Persistent fatigue (at baseline and at 6 months) was the most common pattern, affecting two-thirds (65.8%) of patients. One-sixth (15.7%) of patients had fatigue at 1 timepoint, whereas fewer than one-fifth (18.5%) of patients never reported fatigue. Among patients not fatigued at baseline, 26% developed fatigue at 6 months. The strongest predictor of incident fatigue was sleep disturbance at baseline (odds ratio, 2.91; 95% confidence interval, 1.48–5.72). In contrast, only 12.3% of those with fatigue at baseline had symptom resolution by month 6. Resolution was more likely in patients with a diagnosis of ulcerative colitis, quiescent disease, and an absence of significant psychological comorbidity. Conclusions Fatigue is common in patients with IBD. However, only a few fatigued patients experience symptom resolution at 6 or 12 months, suggesting the need for novel interventions to ameliorate its impact.


BMJ Open ◽  
2017 ◽  
Vol 7 (5) ◽  
pp. e012289 ◽  
Author(s):  
A'man Talal Inayah ◽  
Lucman A Anwer ◽  
Mohammad Abrar Shareef ◽  
Akram Nurhussen ◽  
Haifa Mazen Alkabbani ◽  
...  

Author(s):  
Christian Calvo-Henriquez ◽  
Franklin Mariño-Sánchez ◽  
Jerome R. Lechien ◽  
Byron Maldonado Alvarado ◽  
Antonino Maniaci ◽  
...  

PEDIATRICS ◽  
1977 ◽  
Vol 60 (5) ◽  
pp. 669-672
Author(s):  
Shashikant M. Sane ◽  
Robert A. Worsing ◽  
Cornelius W. Wiens ◽  
Rajiv K. Sharma

To assess the value of routine preoperative chest x-ray films in pediatric patients, a prospective study of 1,500 patients, ages newborn to 19 years, was undertaken. Of all the patients, 7.5% demonstrated at least one roentgenographic abnormality, with 4.7% of the patients demonstrating a totally unsuspected significant roentgenographic anomaly. In 3.8% of the patients, surgery was either postponed or cancelled or the anesthetic technique was altered as a result of the roentgenographic finding. It is believed that the routine preoperative chest film is justified if the film is evaluated before surgery and the results clinically followed up.


2021 ◽  
Vol 41 (10) ◽  
pp. e871-e876
Author(s):  
Lukas G. Keil ◽  
Mikaela H. Sullivan ◽  
Sahil Dadoo ◽  
Matthew R. Stillwagon ◽  
Anna D. Vergun

2015 ◽  
Vol 53 (7) ◽  
pp. 709-716 ◽  
Author(s):  
Shilan Mohammadi ◽  
Soheila Khalilzadeh ◽  
Koroush Goudarzipour ◽  
Maryam Hassanzad ◽  
Alireza Mahdaviani ◽  
...  

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