Allergy-Related Symptoms Are Poorly Predicted by IgE and Skin Prick Testing in Early Life

2021 ◽  
pp. 1-11
Author(s):  
Neea Mustonen ◽  
Heli Siljander ◽  
Onni Niemelä ◽  
Jorma Ilonen ◽  
Tari Haahtela ◽  
...  
Keyword(s):  
Atopic Dermatitis ◽  
Early Life ◽  
Clinical Symptoms ◽  
Skin Prick Testing ◽  
Food Allergies ◽  
Dependent Manner ◽  
Test Results ◽  
Skin Prick Tests ◽  
Allergic March ◽  
Better Than

<b><i>Introduction:</i></b> In childhood, the so-called allergic march involves progression from IgE sensitization to allergy-related symptoms. Both IgE sensitization and relevant clinical symptoms are required for the diagnosis of allergy, but concordance between test results and clinical symptoms varies greatly, creating challenges for the diagnostics and for the prediction of outcomes. We assessed the prevalence of IgE sensitization and allergy symptoms, concordance between 2 IgE sensitization testing methods, and predictive value of these tests in relation to clinical symptoms in young Finnish children. <b><i>Methods:</i></b> The current study included 2 series of children: a birth cohort, in which the participants were followed prospectively from birth up to 3 years, and a young children cohort observed from 3 to 5 years of age. They were regularly monitored for sensitization by measuring serum allergen-specific IgEs (sIgEs) and performing skin prick tests (SPTs). The emergence of atopic dermatitis, wheezing, and symptoms associated with food allergies was recorded. <b><i>Results:</i></b> Over the first 5 years of life, the prevalence of sIgE sensitization was 46%, while it was 36% for positive SPTs. Disease prevalence was 26% for atopic dermatitis, 25% for wheezing, and 19% for symptoms associated with food allergies. Concordance between sIgE and SPT results was good for aeroallergens, but poor for dietary allergens. The association between clinical symptoms and sensitization was stronger at 5 years than at 3 years of age. The proportion of children with concordant combinations of allergy symptoms and sensitization markers in contrast to those with discordant combinations increased from 3 to 5 years. <b><i>Conclusion:</i></b> In early childhood, testing for IgE sensitization predicts allergy-related symptoms in an age-dependent manner, but not particularly well. Tests predict symptoms caused by aeroallergens clearly better than those caused by dietary allergens. The clinical relevance of sensitization testing in early life is therefore limited in the prediction of true allergy.

scholarly journals Food allergies in children: a comparison of parental reports and skin prick test results

2018 ◽  
Vol 58 (2) ◽  
pp. 59-65
Author(s):  
Camilia Metadea Aji Savitri ◽  
Azwin Mengindra Putera Lubis ◽  
Gatot Soegiarto
Keyword(s):  
Skin Prick Test ◽  
Skin Prick Testing ◽  
Food Allergies ◽  
P Value ◽  
Positive Skin Prick Test ◽  
Test Results ◽  
Cross Sectional ◽  
Positive Skin ◽  
Prick Test ◽  
Parental Reports

Background Food allergy is common in children and its prevalence is generally on the rise. Imprecise parental reports about reactions to particular foods can lead to unnecessary restrictions. Since children have specific growth requirements, such nutritional restrictions may have disturbing effects on children’s growth and development.Objective To compare parental reports on food reactions to skin prick test results in their children.Method Retrospective, cross sectional study using patient’s medical record data during one-year study period. Data were analyzed manually and statistically, to assess the degree of agreement (Kappa’s coefficient) and significance (P).Results We collected data from 154 subjects aged 0-18 years. For every allergen assessed, parents reported more food reactions than positive skin prick test results. Allergy incidence were caused, in order, by cow’s milk and chicken (25.3%), eggs (22.1%), chocolate (20.1%), fruits (14.3%), seafood (13%), and saltwater fish (1.9%). Kappa coefficient are all poor (<0.2) and P value are all >0.05 except for chicken (P=0.02).Conclusion Most parents tend to overestimate which food cause reactions in their children, as reactions reported were not necessarily allergenic. Therefore, every patient experiencing allergy reactions should undergo skin prick testing to confirm the possibility of allergy.

scholarly journals Early allergy symptoms in infants aged 0-6 months on breast milk substitutes

2015 ◽  
Vol 55 (1) ◽  
pp. 13
Author(s):  
Mulya Safri ◽  
Aulia Rahman Putra
Keyword(s):  
Atopic Dermatitis ◽  
Breast Milk ◽  
Univariate Analysis ◽  
Food Allergies ◽  
Cow’S Milk ◽  
Initial Symptom ◽  
Cow's Milk ◽  
Breast Milk Substitutes ◽  
Milk Substitutes ◽  
Allergic March

Background Atopic diseases are common in children and a serious health problem worldwide. Atopic dermatitis, food allergies, asthma and allergic rhinitis, have been described as the natural progression of allergic diseases, also known as the “allergic march”. Cow’s milk protein is known to be a common trigger of food allergies and hypersensitivity reactions during infancy. Objective To give an overview of the breast milk substitutes (BMS) and incidence of early allergy onset (allergic march) in atopic infants aged 0-6 months. Methods This cross-sectional study included a total of 40 atopic infants collected by consecutive sampling. A questionnaire was used for interview that inquired information on the type of BMS used, initial allergy complaints, the age of the emergence of early allergic symptoms, and the breakdown for BMS type. Univariate analysis was carried out to describe their characteristics as frequency distributions and percentages of each variables. Results Atopic dermatitis and wheezing were more common in boys (62.5%). Atopic dermatitis was the most common initial symptom to occur in atopic infants (52.5%). Atopic dermatitis and wheezing occurred together in 27.5% subjects. Early allergy symptoms that first occurred at the age of 1 month were seen in 42.9% for atopic dermatitis category, 37.5% for wheezing category, and 63.6% for both symptoms category, respectively. Cow’s milk was the most common type of BMS given to atopic infants in the first 6 months of life (47.5%). Conclusion Early symptoms of allergies, such as atopic dermatitis and wheezing, are more common in boys than girls. Atopic dermatitis is the most common early symptom to arise, but both symptoms occur at an early age, often during the first month of life. 

scholarly journals Skin Prick Tests and Patch Tests in Children with Food Allergies.

2020 ◽  
pp. 1-4
Keyword(s):  
Immunoglobulin E ◽  
Skin Prick Testing ◽  
Food Challenge ◽  
Diagnostic Methods ◽  
Food Allergies ◽  
Sufficient Evidence ◽  
Patch Tests ◽  
Specific Immunoglobulin E ◽  
Specific Immunoglobulin ◽  
Skin Prick Tests

Abstract Diagnosing food allergies can be challenging for patients and health professionals. Standard diagnostic methods include skin prick testing, food-specific immunoglobulin E (IgE) and oral food challenge. There is no scientifically sufficient evidence for routine use of patch testing for food allergy evaluation in children.

scholarly journals Atopic Dermatitis: a Case Report of a 3-year-old Food Allergy Child Sensitive to Multiple Allergens

2021 ◽  
Author(s):  
Meiyi Wang ◽  
Xueqing Liang ◽  
Baoqing Sun ◽  
Huimin Huang
Keyword(s):  
Atopic Dermatitis ◽  
Food Allergy ◽  
Case Report ◽  
Milk Powder ◽  
Food Allergies ◽  
Test Results ◽  
Formula Milk ◽  
Infant Formula Milk ◽  
Medical University

Abstract Background: It was estimated that about 10% of the population suffer from food allergy. Atopic dermatitis is often associated with food allergy. In this case report, we presented a child with atopic dermatitis who was sensitive to multiple food and inhaled allergens.Case report: A 3-year-old boy was admitted to the First Affiliated Hospital of Guangzhou Medical University due to skin allergy caused by drinking semi-hydrolyzed infant formula milk powder. Allergen test results showed that the boy was sensitive to multiple food and inhaled allergens. we conducted the follow-up interview by phone to completed the questionnaire.Conclusion: Atopic dermatitis children with multiple food allergies must pay attention to diet adjustment to prevent or delay the development of the disease.

scholarly journals Atopic Dermatitis: A Case Report of a 3-Year-Old Food Allergy Child Sensitive to Multiple Allergens

2020 ◽  
Author(s):  
Meiyi Wang ◽  
Xueqing Liang ◽  
Baoqing Sun ◽  
Huimin Huang
Keyword(s):  
Atopic Dermatitis ◽  
Food Allergy ◽  
Case Report ◽  
Milk Powder ◽  
Food Allergies ◽  
Test Results ◽  
Formula Milk ◽  
Infant Formula Milk ◽  
Medical University

Abstract Background: It was estimated that about 10% of the population suffer from food allergy. Atopic dermatitis is often associated with food allergy. In this case report, we presented a child with atopic dermatitis who was sensitive to multiple food and inhaled allergens. Case report: A 3-year-old boy was admitted to the First Affiliated Hospital of Guangzhou Medical University due to skin allergy caused by drinking semi-hydrolyzed infant formula milk powder. Allergen test results showed that the boy was sensitive to multiple food and inhaled allergens. we conducted the follow-up interview by phone to completed the questionnaire. Conclusion: Atopic dermatitis children with multiple food allergies must pay attention to diet adjustment to prevent or delay the development of the disease.

Implementasi Voip Server Berbasis IPV6 Dengan Raspberry PI

2019 ◽  
Vol 9 (01) ◽  
pp. 47-54
Author(s):  
Rabbai San Arif ◽  
Yuli Fitrisia ◽  
Agus Urip Ari Wibowo
Keyword(s):  
Internet Protocol ◽  
Wireless Transmission ◽  
Raspberry Pi ◽  
Test Results ◽  
Average Delay ◽  
Ipv6 Network ◽  
Ip Network ◽  
Selection Of ◽  
Better Than

Voice over Internet Protocol (VoIP) is a telecommunications technology that is able to pass the communication service in Internet Protocol networks so as to allow communicating between users in an IP network. However VoIP technology still has weakness in the Quality of Service (QoS). VOPI weaknesses is affected by the selection of the physical servers used. In this research, VoIP is configured on Linux operating system with Asterisk as VoIP application server and integrated on a Raspberry Pi by using wired and wireless network as the transmission medium. Because of depletion of IPv4 capacity that can be used on the network, it needs to be applied to VoIP system using the IPv6 network protocol with supports devices. The test results by using a wired transmission medium that has obtained are the average delay is 117.851 ms, jitter is 5.796 ms, packet loss is 0.38%, throughput is 962.861 kbps, 8.33% of CPU usage and 59.33% of memory usage. The analysis shows that the wired transmission media is better than the wireless transmission media and wireless-wired.

Kemampuan Komunikasi Matematika: Studi Komparasi Pembelajaran Number Head Together (NHT) dan Media Power Point (PPT)

2020 ◽  
Vol 3 (1) ◽  
pp. 39-50
Author(s):  
Bernadeta Ritawati ◽  
Sri Wahyuni
Keyword(s):  
Communication Skills ◽  
Hypothesis Test ◽  
Test Results ◽  
Mathematical Communication ◽  
Cluster Technique ◽  
Significance Level ◽  
Quasi Experimental ◽  
Power Point ◽  
Media Power ◽  
Better Than

This research is a quasi-experimental study that aims to determine the comparison of students' mathematical communication abilities with the cooperative learning model of the NHT and PPT media in class VII SMP Negeri 02 Ngabang. The population in this study were all students of class VII SMP 02 Ngabang consisting of 3 classes. The sample in this study was taken by using the Random Sampling Cluster technique. Class VII A as class I experimental class with 24 students and class VII B as a experimental class II with 24 students. The instruments used were pretest and posttest in the form of description. Data analysis uses the t test with a significance level of 5%. The results showed the average posttest for the NHT class was 72.5 and the average posttest for the PP class was 66.666. From the posttest hypothesis test results obtained t hitung> t tabel (1.9522> 1,667). Because t_hitung> t_tabel, H_0 is rejected and H_a is accepted. This means that students' mathematical communication skills taught with the NHT are better than using Power point media.

Synthesis and Assessment of Novel Anti-chlamydial Benzylidene Acylhydrazides Derivatives

2018 ◽  
Vol 15 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Xiaofeng Bao ◽  
Ying Xue ◽  
Chao Xia ◽  
Yin Lu ◽  
Ningjing Yang ◽  
...  
Keyword(s):  
Inhibitory Effect ◽  
Dependent Manner ◽  
Iron Starvation ◽  
Hydrochloride Salt ◽  
Obligate Intracellular ◽  
Biphasic Life Cycle ◽  
Ic50 Value ◽  
Ic50 Values ◽  
Dose Dependent ◽  
Better Than

Background: Chlamydiae, characterized by a unique biphasic life cycle, are a group of Gram-negative obligate intracellular bacterial pathogens responsible for diseases in a range of hosts including humans. Benzylidene acylhydrazide CF0001 could inhibit chlamydiae independent of iron starvation and T3SS inhibition. This finding promoted us to design and synthesize more benzylidene acylhydrazides to find novel anti-chlamydial agents. Methods: The carboxylic acids 1a-1d were coupled with Boc-hydrazide inpresence of EDCI and DMAP to obtain the intermediate 2a-2d in 60-62% yields. N-Boc deprotections were performed to obtain hydrazide hydrochloride salt 3a-3d. Nextly, the hydrazides were subjected to condensation with aldehydes to obtain benzylidene acylhydrazides 4a-4g in 30-52% yields in two steps. Results: Compound 4d exhibited best inhibitory effect on the formation and growth of chlamydial inclusions. The IC50 value of compound 4d for infectious progenies was 3.55 µM, better than 7.30 µM of CF0001. Conclusion: To find novel anti-chlamydial agents, we have designed and synthesized benzylidene acylhydrazides 4a-4g. Compounds 4a, 4d, 4g showed inhibitory activity on C. muridarum with the IC50 values from 3.55-12 µM. The 3,5-dibromo-4-hydroxyl substitutes on ring B are critical to keep their anti-chlamydial activity. Compound 4d inhibited C. muridarum in a dose-dependent manner without apparent cytotoxicity.

scholarly journals Evaluation of the Feasibility of NaCaPO4-Blended Zirconia as a New CAD/CAM Material for Dental Restoration

Materials ◽  
2021 ◽  
Vol 14 (14) ◽  
pp. 3819
Author(s):  
Ting-Hsun Lan ◽  
Yu-Feng Chen ◽  
Yen-Yun Wang ◽  
Mitch M. C. Chou
Keyword(s):  
Computer Aided Design ◽  
Optical Microscope ◽  
Dental Restoration ◽  
Numerical Control ◽  
Test Results ◽  
Cnc Machine ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design ◽  
Better Than

The computer-aided design/computer-aided manufacturing (CAD/CAM) fabrication technique has become one of the hottest topics in the dental field. This technology can be applied to fixed partial dentures, removable dentures, and implant prostheses. This study aimed to evaluate the feasibility of NaCaPO4-blended zirconia as a new CAD/CAM material. Eleven different proportional samples of zirconia and NaCaPO4 (xZyN) were prepared and characterized by X-ray diffractometry (XRD) and Vickers microhardness, and the milling property of these new samples was tested via a digital optical microscope. After calcination at 950 °C for 4 h, XRD results showed that the intensity of tetragonal ZrO2 gradually decreased with an increase in the content of NaCaPO4. Furthermore, with the increase in NaCaPO4 content, the sintering became more obvious, which improved the densification of the sintered body and reduced its porosity. Specimens went through milling by a computer numerical control (CNC) machine, and the marginal integrity revealed that being sintered at 1350 °C was better than being sintered at 950 °C. Moreover, 7Z3N showed better marginal fit than that of 6Z4N among thirty-six samples when sintered at 1350 °C (p < 0.05). The milling test results revealed that 7Z3N could be a new CAD/CAM material for dental restoration use in the future.

scholarly journals Addressing Common Misconceptions in Food Allergy: A Review

Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 497
Author(s):  
Aikaterini Anagnostou
Keyword(s):  
Food Allergy ◽  
The United States ◽  
Specific Ige ◽  
Oral Immunotherapy ◽  
Food Allergies ◽  
Allergy Prevention ◽  
Diagnosis And Management ◽  
Skin Prick Tests ◽  
Food Specific Ige ◽  
Common Misconceptions

Background: Food allergies are common, affecting 1 in 13 school children in the United States and their prevalence is increasing. Many misconceptions exist with regards to food allergy prevention, diagnosis and management. Objective: The main objective of this review is to address misconceptions with regards to food allergies and discuss the optimal, evidence-based approach for patients who carry this diagnosis. Observations: Common misconceptions in terms of food allergy prevention include beliefs that breastfeeding and delayed introduction of allergenic foods prevent the development of food allergies. In terms of diagnosis, statements such as ‘larger skin prick tests or/and higher levels of food-specific IgE can predict the severity of food-induced allergic reactions’, or ‘Tryptase is always elevated in food-induced anaphylaxis’ are inaccurate. Additionally, egg allergy is not a contraindication for receiving the influenza vaccine, food-allergy related fatalities are rare and peanut oral immunotherapy, despite reported benefits, is not a cure for food allergies. Finally, not all infants with eczema will develop food allergies and epinephrine auto-injectors may unfortunately be both unavailable and underused in food-triggered anaphylaxis. Conclusions and relevance: Healthcare professionals must be familiar with recent evidence in the food allergy field and avoid common misunderstandings that may negatively affect prevention, diagnosis and management of this chronic disease.

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