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The time course of anaphylaxis manifestations in children is diverse and unpredictable 儿童过敏反应表现的时间过程是多样和不可预测的
Pub Date : 2020-01-01 DOI: 10.1111/cea.13510
G. Pouessel, Matthieu Antoine, S. Lejeune, F. Dubos, A. Pierache, A. Deschildre, S. Akitani, M. Amani, H. Audry‐Degardin, C. Bonnel, M. Boulyana, M. Chenaud, E. Cixous, F. Chagnon, S. Combes, F. Delepoule, C. Delvart, T. Dhaoui, M. Glowacki, M. Gnansounou, O. Guilluy, T. Heuclin, N. Kalach, A. Le Mée, S. Louf, A. Martinot, A. Martinet, S. Mitha, D. Penel, M. Scalbert, C. Thumerelle, C. Trochu
The most current clinical definition of anaphylaxis is that proposed by Sampson et al. and different scoring systems have been proposed to assess its severity [1,2]. Anaphylaxis symptoms range from mild, self-limiting local reactions to life-threatening anaphylaxis. All anaphylaxis guidelines emphasize early recognition and the need for prompt intramuscular adrenaline injection as the first-line treatment [3]. However, adrenaline for anaphylaxis is underused by patients, families and even by health professionals. In the European anaphylaxis registry, 27% of patients treated by a health professional received adrenaline [4].
目前过敏反应的临床定义是Sampson等人提出的,并提出了不同的评分系统来评估其严重程度[1,2]。过敏反应的症状范围从轻微的、自限性的局部反应到危及生命的过敏反应。所有过敏反应指南都强调早期识别和需要及时肌内注射肾上腺素作为一线治疗[3]。然而,患者、家属甚至卫生专业人员对过敏反应的肾上腺素使用不足。在欧洲过敏反应登记中,27%接受卫生专业人员治疗的患者接受肾上腺素治疗[4]。
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引用次数: 24
TSLP contributes to allergic airway inflammation induced by diesel exhaust particle exposure in an experimental model of severe asthma 在重度哮喘实验模型中,TSLP参与柴油机尾气颗粒暴露引起的变应性气道炎症
Pub Date : 2020-01-01 DOI: 10.1111/cea.13512
E. Brandt, Paige E. Bolcas, Brandy P. Ruff, G. K. Khurana Hershey
Numerous epidemiologic studies have reported associations between exposure to air pollutant and increased risk of allergic diseases, with a recent study estimating that 8-20% of asthma emergency room visits worldwide could be attributed to ozone exposure and 4-9% to exposure to particulate matter smaller than 2.5µm (PM2.5 ). Traffic pollution derived diesel particles represent a major source of PM2.5 in large urban centers and have been linked to increased susceptibility to asthma development and asthma exacerbations.
许多流行病学研究报告了暴露于空气污染物与过敏性疾病风险增加之间的关联,最近的一项研究估计,全世界8-20%的哮喘急诊室就诊可归因于臭氧暴露,4-9%归因于暴露于小于2.5µm (PM2.5)的颗粒物。交通污染产生的柴油颗粒是大城市中心PM2.5的主要来源,与哮喘发病和哮喘恶化的易感性增加有关。
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引用次数: 4
microRNA‐218‐5p plays a protective role in eosinophilic airway inflammation via targeting δ‐catenin, a novel catenin in asthma microRNA‐218‐5p通过靶向δ‐catenin(哮喘中的一种新型连环蛋白)在嗜酸性气道炎症中发挥保护作用
Pub Date : 2020-01-01 DOI: 10.1111/cea.13498
Yuxia Liang, Yuchen Feng, Wenliang Wu, Chenli Chang, Dian Chen, Shengchong Chen, G. Zhen
microRNA (miR)‐218‐5p is involved in cigarette smoke‐induced airway inflammation. In our earlier asthma epithelial miRNA profiling data, miR‐218‐5p was the top 2 down‐regulated miRNA. We hypothesize that miR‐218‐5p plays a role in asthma airway inflammation.
microRNA (miR)‐218‐5p参与香烟烟雾诱导的气道炎症。在我们早期的哮喘上皮miRNA分析数据中,miR‐218‐5p是前2位下调的miRNA。我们假设miR‐218‐5p在哮喘气道炎症中起作用。
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引用次数: 19
Oesophageal eosinophilia accompanies food allergy to hen egg white protein in young pigs. 仔猪对蛋清蛋白食物过敏伴食管嗜酸性粒细胞增多。
Pub Date : 2020-01-01 Epub Date: 2019-11-26 DOI: 10.1111/cea.13527
Nathalie J Plundrich, Andrew R Smith, Luke B Borst, Douglas B Snider, Tobias Käser, Evan S Dellon, Anthony T Blikslager, Jack Odle, Mary Ann Lila, Scott M Laster

Background: Esophagitis with eosinophilia, inflammation, and fibrosis represent a chronic condition in humans with food allergies.

Objective: In this investigation, we asked whether esophagitis with an eosinophilic component is observed in young pigs rendered allergic to hen egg white protein (HEWP).

Methods: Food allergy was induced in young pigs using two protocols. In one protocol, sensitized pigs were challenged by gavage with a single dose of HEWP. Clinical signs were monitored for 24 hours, and then, gastrointestinal (GI) tissues were collected for histological examination. The phenotype of circulating, ovalbumin (OVA)-specific T cells also was examined in HEWP challenged animals. In the second protocol, sensitized animals were fed HEWP for 28 days. Animals were then examined by endoscopy and gastrointestinal tissues collected for histological examination.

Results: In pigs challenged by gavage with HEWP, clinical signs were noted in 5/6 pigs including diarrhoea, emesis, and skin rash. Clinical signs were not seen in any control group. Histological analysis revealed significant levels of oesophageal eosinophilic infiltration (P < .05) in 4/6 of these animals, with two also displaying eosinophilic infiltration in the stomach. Eosinophils were not increased in ileum or colon samples. Increased numbers of circulating, OVA-specific CD4+ T cells also were observed in pigs that received HEWP by gavage. In the group of animals fed HEWP, endoscopy revealed clinical signs of esophagitis including oedema, granularity, white spots, and furrowing, while histology revealed oedema, immune cell infiltration, and basal zone hyperplasia.

Conclusions and clinical relevance: Food allergy in the pig can be associated with esophagitis based on histological and endoscopic findings, including eosinophilic infiltration. The young pig may, therefore, be a useful large animal model for the study of eosinophilic esophagitis in humans.

背景:食管炎伴嗜酸性粒细胞增多、炎症和纤维化是食物过敏患者的一种慢性疾病。目的:在本研究中,我们研究了在对蛋清蛋白(HEWP)过敏的仔猪中是否观察到具有嗜酸性成分的食管炎。方法:采用两种方法诱导仔猪食物过敏。在一种方案中,致敏猪被灌食单剂量的HEWP。监测临床症状24小时后,采集胃肠道组织进行组织学检查。循环卵白蛋白(OVA)特异性T细胞的表型也在HEWP攻击动物中进行了检测。在第二个方案中,致敏动物喂食hp 28天。然后通过内窥镜检查动物,并收集胃肠道组织进行组织学检查。结果:hp灌胃攻毒猪中,5/6的猪出现腹泻、呕吐和皮疹等临床症状。对照组未见临床症状。组织学分析显示,灌胃hep的猪食管嗜酸性粒细胞浸润(P + T细胞)水平显著。在饲喂HEWP的动物组中,内镜检查显示食管炎的临床表现为水肿、颗粒状、白斑、沟纹,组织学显示水肿、免疫细胞浸润、基底带增生。结论和临床意义:根据组织学和内镜检查结果,包括嗜酸性粒细胞浸润,猪的食物过敏可能与食管炎有关。因此,仔猪可能是研究人类嗜酸性食管炎的一个有用的大型动物模型。
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引用次数: 0
The relationship of airway structural changes to blood and bronchoalveolar lavage biomarkers, and lung function abnormalities in asthma 哮喘患者气道结构变化与血液和支气管肺泡灌洗生物标志物及肺功能异常的关系
Pub Date : 2020-01-01 DOI: 10.1111/cea.13501
P. Koźlik, J. Żuk, S. Bartyzel, J. Zarychta, K. Okoń, L. Zarȩba, Jan G. Bazan, J. Kosałka, J. Soja, J. Musial, S. Bazan-Socha
Airway structural changes are important in asthma pathology and require further investigations.
气道结构改变在哮喘病理中很重要,需要进一步研究。
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引用次数: 24
Aetiopathogenesis of severe cutaneous adverse reactions (SCARs) in children: A 9‐year experience in a tertiary care paediatric hospital setting 儿童严重皮肤不良反应(scar)的发病机制:三级儿科医院9年的经验
Pub Date : 2020-01-01 DOI: 10.1111/cea.13513
G. Liccioli, F. Mori, P. Parronchi, M. Capone, L. Filì, S. Barni, L. Sarti, M. Giovannini, M. Resti, E. Novembre
Severe cutaneous adverse reactions (SCARs) are delayed‐type hypersensitivity reactions to drugs including as follows: Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS), Stevens‐Johnson syndrome (SJS), Toxic Epidermal Necrolysis (TEN) and Acute Generalized Exanthematous Pustulosis (AGEP). Incidence, triggers and management of SCARs have not been investigated in large‐scale epidemiological studies on children.
严重皮肤不良反应(scar)是对药物的延迟型超敏反应,包括:嗜酸性粒细胞和全身症状的药物反应(DRESS)、史蒂文斯-约翰逊综合征(SJS)、中毒性表皮坏死松解(TEN)和急性全身性红斑性脓疱病(AGEP)。在大规模儿童流行病学研究中,scar的发生率、触发因素和管理尚未得到调查。
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引用次数: 22
Cinnamon extract inhibits allergen‐specific immune responses in human and murine allergy models 肉桂提取物在人和小鼠过敏模型中抑制过敏原特异性免疫反应
Pub Date : 2020-01-01 DOI: 10.1111/cea.13507
R. Ose, J. Tu, Anne-Kathrin Schink, J. Maxeiner, Petra Schuster, K. Lucas, J. Saloga, I. Bellinghausen
Ceylon cinnamon has been shown to possess anti‐inflammatory properties in many diseases including allergic inflammation.
锡兰肉桂已被证明在许多疾病中具有抗炎特性,包括过敏性炎症。
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引用次数: 24
Lipopolysaccharide induces steroid‐resistant exacerbations in a mouse model of allergic airway disease collectively through IL‐13 and pulmonary macrophage activation 脂多糖通过IL - 13和肺巨噬细胞激活共同诱导变应性气道疾病小鼠模型中的类固醇抵抗性恶化
Pub Date : 2020-01-01 DOI: 10.1111/cea.13505
S. Hadjigol, Keilah G. Netto, S. Maltby, H. Tay, T. H. Nguyen, Nicole G. Hansbro, F. Eyers, P. Hansbro, Ming Yang, P. Foster
Acute exacerbations of asthma represent a major burden of disease and are often caused by respiratory infections. Viral infections are recognized as significant triggers of exacerbations; however, less is understood about the how microbial bioproducts such as the endotoxin (lipopolysaccharide (LPS)) trigger episodes. Indeed, increased levels of LPS have been linked to asthma onset, severity and steroid resistance.
哮喘急性加重是疾病的主要负担,通常由呼吸道感染引起。病毒感染被认为是疾病恶化的重要诱因;然而,对微生物生物产物如内毒素(脂多糖)如何引发发作知之甚少。事实上,脂多糖水平的升高与哮喘的发病、严重程度和类固醇耐药性有关。
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引用次数: 25
Forthcoming meetings 即将到来的会议
Pub Date : 2020-01-01 DOI: 10.1111/cea.13546
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引用次数: 0
Food‐induced anaphylaxis in infancy compared to preschool age: A retrospective analysis 与学龄前儿童相比,婴儿期食物诱发的过敏反应:回顾性分析
Pub Date : 2020-01-01 DOI: 10.1111/cea.13519
G. Pouessel, Charlotte Jean-Bart, A. Deschildre, X. Van der Brempt, L. Tanno, P. Beaumont, P. Dumond, D. Sabouraud-Leclerc, E. Beaudouin, N. Ramdane, V. Liabeuf, J. Renaudin
Little is known regarding food anaphylaxis in infancy. We aimed to describe specificities of food anaphylaxis in infants (≤12 months) as compared to preschool children (1‐6 years).
关于婴儿的食物过敏反应知之甚少。我们的目的是描述婴儿(≤12个月)与学龄前儿童(1 - 6岁)相比食物过敏反应的特异性。
{"title":"Food‐induced anaphylaxis in infancy compared to preschool age: A retrospective analysis","authors":"G. Pouessel, Charlotte Jean-Bart, A. Deschildre, X. Van der Brempt, L. Tanno, P. Beaumont, P. Dumond, D. Sabouraud-Leclerc, E. Beaudouin, N. Ramdane, V. Liabeuf, J. Renaudin","doi":"10.1111/cea.13519","DOIUrl":"https://doi.org/10.1111/cea.13519","url":null,"abstract":"Little is known regarding food anaphylaxis in infancy. We aimed to describe specificities of food anaphylaxis in infants (≤12 months) as compared to preschool children (1‐6 years).","PeriodicalId":10148,"journal":{"name":"Clinical & Experimental Allergy","volume":"3 1","pages":"74 - 81"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78289312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 50
期刊
Clinical & Experimental Allergy
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