Pub Date : 2025-02-03DOI: 10.1016/j.reval.2025.104241
E. Bradatan , F. Tritar , B. Delimi , S. Ettair , Y. El Gueddari , L. Daouti , S. Baba Ahmed , F. Amon-Tanoh-Dick , A. Attia , G.-P. Tapsoba , F. Haccard , A.-K. Correard , D. Sabouraud
{"title":"Prise en charge de l’enfant allergique en communauté dans différents pays francophone","authors":"E. Bradatan , F. Tritar , B. Delimi , S. Ettair , Y. El Gueddari , L. Daouti , S. Baba Ahmed , F. Amon-Tanoh-Dick , A. Attia , G.-P. Tapsoba , F. Haccard , A.-K. Correard , D. Sabouraud","doi":"10.1016/j.reval.2025.104241","DOIUrl":"10.1016/j.reval.2025.104241","url":null,"abstract":"","PeriodicalId":49130,"journal":{"name":"Revue Francaise d Allergologie","volume":"65 ","pages":"Article 104241"},"PeriodicalIF":0.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-31DOI: 10.1016/j.reval.2024.104204
M. Özer
Bleeding tongue-biting attacks that occur during sleep are a very rare clinical picture that negatively affects the sleep and quality of life of the child and parents and may cause serious injuries. It is associated with epilepsy, hypnic myoclonus, faciomandibular myoclonus, geniospasm, and bruxism. Clinical history, electroencephalogram (EEG), and video-polysomnography were used for diagnostic evaluation, and treatment was directed to the etiologic cause. An 8-year-old child was admitted to our allergy clinic with a complaint of bleeding tongue biting during night sleep for 2 years. No cause was detected in the evaluations, including the EEG. The patient complained of allergic rhinitis (AR). Inhaler allergies were detected in the examinations, and tongue biting attacks were thought to be related to bruxism, which is a rare comorbidity of AR. The patient's complaints were completely resolved after intranasal steroid and antihistamine treatment. Tongue-biting attacks during sleep were found to be AR-induced sleep bruxism. This case draws attention to the fact that “sleep tongue biting,” which has many neurologic diseases and sleep disorders in its background, may be associated with AR-induced bruxism.
{"title":"A rare comorbidity of childhood allergic rhinitis: Case of tongue biting during sleep in an 8-year-old child","authors":"M. Özer","doi":"10.1016/j.reval.2024.104204","DOIUrl":"10.1016/j.reval.2024.104204","url":null,"abstract":"<div><div>Bleeding tongue-biting attacks that occur during sleep are a very rare clinical picture that negatively affects the sleep and quality of life of the child and parents and may cause serious injuries. It is associated with epilepsy, hypnic myoclonus, faciomandibular myoclonus, geniospasm, and bruxism. Clinical history, electroencephalogram (EEG), and video-polysomnography were used for diagnostic evaluation, and treatment was directed to the etiologic cause. An 8-year-old child was admitted to our allergy clinic with a complaint of bleeding tongue biting during night sleep for 2 years. No cause was detected in the evaluations, including the EEG. The patient complained of allergic rhinitis (AR). Inhaler allergies were detected in the examinations, and tongue biting attacks were thought to be related to bruxism, which is a rare comorbidity of AR. The patient's complaints were completely resolved after intranasal steroid and antihistamine treatment. Tongue-biting attacks during sleep were found to be AR-induced sleep bruxism. This case draws attention to the fact that “sleep tongue biting,” which has many neurologic diseases and sleep disorders in its background, may be associated with AR-induced bruxism.</div></div>","PeriodicalId":49130,"journal":{"name":"Revue Francaise d Allergologie","volume":"65 2","pages":"Article 104204"},"PeriodicalIF":0.3,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-30DOI: 10.1016/j.reval.2024.104199
D. Drummond
{"title":"Objets connectés dans l’asthme de l’enfant : gadgets ou outils incontournables ?","authors":"D. Drummond","doi":"10.1016/j.reval.2024.104199","DOIUrl":"10.1016/j.reval.2024.104199","url":null,"abstract":"","PeriodicalId":49130,"journal":{"name":"Revue Francaise d Allergologie","volume":"65 ","pages":"Article 104199"},"PeriodicalIF":0.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-21DOI: 10.1016/j.reval.2024.104196
G. Dutau
{"title":"L’allergie au céleri, un grand classique encore parfois méconnu","authors":"G. Dutau","doi":"10.1016/j.reval.2024.104196","DOIUrl":"10.1016/j.reval.2024.104196","url":null,"abstract":"","PeriodicalId":49130,"journal":{"name":"Revue Francaise d Allergologie","volume":"65 2","pages":"Article 104196"},"PeriodicalIF":0.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.reval.2024.104197
F. Amat , A. Divaret-Chauveau
Breastfeeding remains the reference diet to offer to all newborns. The benefits it provides are invaluable for both the newborn and his mother. The prevention of allergic diseases, which progression is indisputable, remains difficult and relies on varied strategies taking into account or not family history. The preventive nature of the early introduction of milk proteins on cow's milk allergy is based on only a low level of evidence. So, there is not enough argument to date to suggest the early introduction of milk proteins if breastfeeding is desired. However, there is no evidence for delaying the consumption of milk proteins compared to the usual schedule of dietary diversification recommended for all foods. In the case of desired exclusive breastfeeding, the first recommendation is to avoid giving supplements and to reserve them for medical indications only. If a supplement is necessary, a supplement without CMP should be preferred. However, if a CMP-based supplement has been administered, continued consumption of CMP should be recommended so as not to cause a breach of tolerance.
{"title":"Alimentation lactée des premiers mois de vie et risque d’allergie aux protéines de lait de vache : quelles preuves en 2024 ?","authors":"F. Amat , A. Divaret-Chauveau","doi":"10.1016/j.reval.2024.104197","DOIUrl":"10.1016/j.reval.2024.104197","url":null,"abstract":"<div><div>Breastfeeding remains the reference diet to offer to all newborns. The benefits it provides are invaluable for both the newborn and his mother. The prevention of allergic diseases, which progression is indisputable, remains difficult and relies on varied strategies taking into account or not family history. The preventive nature of the early introduction of milk proteins on cow's milk allergy is based on only a low level of evidence. So, there is not enough argument to date to suggest the early introduction of milk proteins if breastfeeding is desired. However, there is no evidence for delaying the consumption of milk proteins compared to the usual schedule of dietary diversification recommended for all foods. In the case of desired exclusive breastfeeding, the first recommendation is to avoid giving supplements and to reserve them for medical indications only. If a supplement is necessary, a supplement without CMP should be preferred. However, if a CMP-based supplement has been administered, continued consumption of CMP should be recommended so as not to cause a breach of tolerance.</div></div>","PeriodicalId":49130,"journal":{"name":"Revue Francaise d Allergologie","volume":"65 1","pages":"Article 104197"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143161933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.reval.2024.104200
F. Amat , J. Flabbée , M. Morisset , D. Sabouraud
{"title":"Focus sur trois acteurs dans le domaine de l’allergie alimentaire","authors":"F. Amat , J. Flabbée , M. Morisset , D. Sabouraud","doi":"10.1016/j.reval.2024.104200","DOIUrl":"10.1016/j.reval.2024.104200","url":null,"abstract":"","PeriodicalId":49130,"journal":{"name":"Revue Francaise d Allergologie","volume":"65 1","pages":"Article 104200"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143161932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-27DOI: 10.1016/j.reval.2024.104179
A. Nemni , V. Doyen
IgE-mediated food allergy prevalence is estimated at 10%. It varies depending on the regions of the globe, age, sex, the culprit food, ethnicity and allergic comorbidities or family history of atopy. The most frequent food allergenic trio are cow's milk, egg and peanut. Allergy to cow's milk proteins, the first allergy to appear during life and most often progressing towards recovery, has a prevalence, which varies from 0.54% to 1.38%. Egg allergy, estimated at 0.8%, comes in second place after cow's milk protein allergy, and are associated in 35% of the cases. Cooked forms are often well tolerated and lead to frequent healing. Peanut allergy prevalence varies from 0.93% to 1.9%, it appears early in life and is responsible for severe allergic reactions. It does not progress towards spontaneous tolerance and sensitization to nuts or the existence of early onset severe eczema are associated with a higher risk of persistent peanut allergy at the age of 6. The other foods most frequently involved are nuts, legumes, wheat, fish and seafood. Better epidemiological knowledge of food allergy and the contributing factors, severity factors and natural history leads to better care of patients with food allergy.
{"title":"Actualisation des données épidémiologiques sur l’allergie alimentaire vis-à-vis des « Big eight »","authors":"A. Nemni , V. Doyen","doi":"10.1016/j.reval.2024.104179","DOIUrl":"10.1016/j.reval.2024.104179","url":null,"abstract":"<div><div>IgE-mediated food allergy prevalence is estimated at 10%. It varies depending on the regions of the globe, age, sex, the culprit food, ethnicity and allergic comorbidities or family history of atopy. The most frequent food allergenic trio are cow's milk, egg and peanut. Allergy to cow's milk proteins, the first allergy to appear during life and most often progressing towards recovery, has a prevalence, which varies from 0.54% to 1.38%. Egg allergy, estimated at 0.8%, comes in second place after cow's milk protein allergy, and are associated in 35% of the cases. Cooked forms are often well tolerated and lead to frequent healing. Peanut allergy prevalence varies from 0.93% to 1.9%, it appears early in life and is responsible for severe allergic reactions. It does not progress towards spontaneous tolerance and sensitization to nuts or the existence of early onset severe eczema are associated with a higher risk of persistent peanut allergy at the age of 6. The other foods most frequently involved are nuts, legumes, wheat, fish and seafood. Better epidemiological knowledge of food allergy and the contributing factors, severity factors and natural history leads to better care of patients with food allergy.</div></div>","PeriodicalId":49130,"journal":{"name":"Revue Francaise d Allergologie","volume":"65 1","pages":"Article 104179"},"PeriodicalIF":0.3,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-27DOI: 10.1016/j.reval.2024.104178
M. Guechchati, Z. Douhi, M. Soughi, S. Elloudi, H. Baybay, F.Z. Mernissi
{"title":"Cutaneous adverse reactions associated with SARS-CoV-2 vaccines (about 338 cases): Case series from the Dermatology Department of CHU Hassan II Fez","authors":"M. Guechchati, Z. Douhi, M. Soughi, S. Elloudi, H. Baybay, F.Z. Mernissi","doi":"10.1016/j.reval.2024.104178","DOIUrl":"10.1016/j.reval.2024.104178","url":null,"abstract":"","PeriodicalId":49130,"journal":{"name":"Revue Francaise d Allergologie","volume":"65 2","pages":"Article 104178"},"PeriodicalIF":0.3,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-27DOI: 10.1016/j.reval.2024.104181
A.F. Santos , C. Riggioni , I. Agache , C.A. Akdis , M. Akdis , A. Alvarez-Perea , M. Alvaro-Lozano , B. Ballmer-Weber , S. Barni , K. Beyer , C. Bindslev-Jensen , H.A. Brough , B. Buyuktiryaki , D. Chu , S. Del Giacco , A. Dunn-Galvin , B. Eberlein , M. Ebisawa , P. Eigenmann , T. Eiwegger , I. Skypala
This European Academy of Allergy and Clinical Immunology guideline provides recommendations for diagnosing IgE-mediated food allergy and was developed using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach. Food allergy diagnosis starts with an allergy-focused clinical history followed by tests to determine IgE sensitization, such as serum allergen-specific IgE (sIgE) and skin prick test (SPT), and the basophil activation test (BAT), if available. Evidence for IgE sensitization should be sought for any suspected foods. The diagnosis of allergy to some foods, such as peanut and cashew nut, is well supported by SPT and serum sIgE, whereas there are less data and the performance of these tests is poorer for other foods, such as wheat and soya. The measurement of sIgE to allergen components such as Ara h 2 from peanut, Cor a 14 from hazelnut and Ana o 3 from cashew can be useful to further support the diagnosis, especially in pollen-sensitized individuals. BAT to peanut and sesame can be used additionally. The reference standard for food allergy diagnosis is the oral food challenge (OFC). OFC should be performed in equivocal cases. For practical reasons, open challenges are suitable in most cases. Reassessment of food allergic children with allergy tests and/or OFCs periodically over time will enable reintroduction of food into the diet in the case of spontaneous acquisition of oral tolerance.
这份欧洲过敏与临床免疫学学会指南为诊断 IgE 介导的食物过敏提供了建议，并采用了建议、评估、发展和评价分级 (GRADE) 方法。食物过敏诊断首先要了解以过敏为重点的临床病史，然后通过检测确定 IgE 是否致敏，如血清过敏原特异性 IgE (sIgE)、皮肤点刺试验 (SPT) 和嗜碱性粒细胞活化试验 (BAT)（如有）。对任何可疑食物都应寻求 IgE 致敏的证据。SPT 和血清 sIgE 能很好地支持对某些食物（如花生和腰果）过敏的诊断，而对其他食物（如小麦和大豆）过敏的数据较少，检测效果也较差。对花生中的 Ara h 2、榛子中的 Cor a 14 和腰果中的 Ana o 3 等过敏原成分的 sIgE 检测有助于进一步支持诊断，尤其是对花粉过敏的个体。此外，还可使用花生和芝麻的 BAT。食物过敏诊断的参考标准是口服食物挑战（OFC）。对于不确定的病例应进行口腔食物挑战。出于实际考虑，大多数情况下都适合采用开放性食物挑战法。定期对食物过敏儿童进行过敏测试和/或 OFC 重新评估，可在其自发获得口服耐受性的情况下将食物重新纳入饮食。
{"title":"Traduction et republication de « Recommandations de l’EAACI sur le diagnostic de l’allergie alimentaire médiée par les IgE »","authors":"A.F. Santos , C. Riggioni , I. Agache , C.A. Akdis , M. Akdis , A. Alvarez-Perea , M. Alvaro-Lozano , B. Ballmer-Weber , S. Barni , K. Beyer , C. Bindslev-Jensen , H.A. Brough , B. Buyuktiryaki , D. Chu , S. Del Giacco , A. Dunn-Galvin , B. Eberlein , M. Ebisawa , P. Eigenmann , T. Eiwegger , I. Skypala","doi":"10.1016/j.reval.2024.104181","DOIUrl":"10.1016/j.reval.2024.104181","url":null,"abstract":"<div><div>This European Academy of Allergy and Clinical Immunology guideline provides recommendations for diagnosing IgE-mediated food allergy and was developed using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach. Food allergy diagnosis starts with an allergy-focused clinical history followed by tests to determine IgE sensitization, such as serum allergen-specific IgE (sIgE) and skin prick test (SPT), and the basophil activation test (BAT), if available. Evidence for IgE sensitization should be sought for any suspected foods. The diagnosis of allergy to some foods, such as peanut and cashew nut, is well supported by SPT and serum sIgE, whereas there are less data and the performance of these tests is poorer for other foods, such as wheat and soya. The measurement of sIgE to allergen components such as Ara h 2 from peanut, Cor a 14 from hazelnut and Ana o 3 from cashew can be useful to further support the diagnosis, especially in pollen-sensitized individuals. BAT to peanut and sesame can be used additionally. The reference standard for food allergy diagnosis is the oral food challenge (OFC). OFC should be performed in equivocal cases. For practical reasons, open challenges are suitable in most cases. Reassessment of food allergic children with allergy tests and/or OFCs periodically over time will enable reintroduction of food into the diet in the case of spontaneous acquisition of oral tolerance.</div></div>","PeriodicalId":49130,"journal":{"name":"Revue Francaise d Allergologie","volume":"65 1","pages":"Article 104181"},"PeriodicalIF":0.3,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-27DOI: 10.1016/j.reval.2024.104193
C. Braun
{"title":"Allergies alimentaires : défis et perspectives en 2025","authors":"C. Braun","doi":"10.1016/j.reval.2024.104193","DOIUrl":"10.1016/j.reval.2024.104193","url":null,"abstract":"","PeriodicalId":49130,"journal":{"name":"Revue Francaise d Allergologie","volume":"65 1","pages":"Article 104193"},"PeriodicalIF":0.3,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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