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Mold exposure and rhinitis symptoms among children attending Head Start centers in New York City. 霉菌暴露和鼻炎症状在纽约学前教育中心的儿童
IF 4.7 2区 医学 Q1 ALLERGY Pub Date : 2026-01-14 DOI: 10.1016/j.anai.2026.01.003
Jin Feng, Luis Acosta, Maxine Ashby Thompson, Judith S Jacobson, Matthew S Perzanowski
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引用次数: 0
Information for Readers 读者资讯
IF 4.7 2区 医学 Q1 ALLERGY Pub Date : 2026-01-01 Epub Date: 2025-12-17 DOI: 10.1016/S1081-1206(25)01337-7
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引用次数: 0
“I wish someone said along the way”: Patient perspectives on penicillin allergy evaluation during pregnancy “我希望有人在路上说”:患者对妊娠期间青霉素过敏评估的看法。
IF 4.7 2区 医学 Q1 ALLERGY Pub Date : 2026-01-01 Epub Date: 2025-10-04 DOI: 10.1016/j.anai.2025.09.023
Lulu R. Tsao MD , Angela L. Chang MD , Jennifer Z. Qin MD , Sara L. Ackerman PhD, MPH , Roxanna A. Irani MD, PhD , Iris M. Otani MD
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引用次数: 0
Predictive value of eosinophil-to-lymphocyte ratio combined with computed tomography scores for olfactory recovery in chronic rhinosinusitis with nasal polyps ELR结合CT评分对CRSwNP嗅觉恢复的预测价值。
IF 4.7 2区 医学 Q1 ALLERGY Pub Date : 2026-01-01 Epub Date: 2025-10-16 DOI: 10.1016/j.anai.2025.10.009
Liufeiyan Fan PhD , Zhong Zheng PhD , Haofei Bai MD , Silyu Jing MD , Chunyang Zhang PhD , Weijia Du MD , Yubin Lai MD , Min Xu MD , Jian Wang PhD , Tao Xue PhD , Fuquan Chen PhD

Background

Chronic rhinosinusitis with nasal polyps (CRSwNP) is a debilitating inflammatory disease often complicated by olfactory dysfunction. Despite surgery being a primary treatment, predicting postoperative olfactory recovery remains challenging. Eosinophilic inflammation and sinus computed tomography (CT) characteristics may serve as prognostic markers, yet their combined utility in predicting olfactory dysfunction outcomes is underexplored.

Objective

To investigate the predictive effect of eosinophil-to-lymphocyte ratio (ELR) from peripheral blood tests, combined with ethmoid sinus-to-maxillary sinus (E/M) ratio, and ethmoid sinus score minus maxillary sinus score (E-M) on olfactory recovery in patients with CRSwNP.

Methods

This single-center, retrospective cohort study was conducted from January 2022 to June 2024. A total of 137 patients with CRSwNP and 52 healthy controls were included. Preoperative and postoperative olfactory functions were assessed using the Sniffin' Sticks test. ELR, E/M ratio, and E-M score were calculated based on blood tests and CT scans. Logistic regression analysis and receiver operating characteristic curve analysis were used to identify and validate predictive factors for olfactory recovery.

Results

The median preoperative threshold-discrimination-identification score was 10 (IQR 7-24), improving to 26 (IQR 15-33) at 6 months postoperatively, with a median improvement (change in threshold-discrimination-identification) of 7 (IQR 2-14). ELR, E/M ratio, and E-M score were significantly higher in patients with poor olfactory recovery (all P < .05). Logistic regression analysis revealed that ELR (model 1: odds ratio [OR] = 1.199; model 2: OR = 1.209), E/M ratio (OR = 3.236), and E-M score (OR = 2.179) were independent risk factors for poor olfactory prognosis. Receiver operating characteristic curve analysis revealed that the combined index demonstrated superior predictive performance.

Conclusion

A composite model integrating ELR with CT-based E/M ratio or E-M score effectively predicts olfactory recovery in patients with CRSwNP. These accessible biomarkers aid in stratifying patients for personalized treatment and postoperative monitoring.

Trial Registration

ChiCTR2100047644.
背景:慢性鼻窦炎伴鼻息肉(CRSwNP)是一种衰弱性炎症性疾病,常并发嗅觉功能障碍(OD)。尽管手术是主要的治疗方法,但预测术后嗅觉恢复仍然具有挑战性。嗜酸性粒细胞炎症和鼻窦计算机断层扫描(CT)特征可以作为预后标志物,但它们在预测OD结果方面的综合效用尚未得到充分探讨。目的:探讨外周血嗜酸性粒细胞与淋巴细胞比值(ELR)、筛窦与上颌窦比值(E/M)、筛窦评分减去上颌窦评分对CRSwNP患者嗅觉恢复的预测作用。方法:这项单中心、回顾性队列研究于2022年1月至2024年6月进行。共纳入137例CRSwNP患者和52例健康对照。术前和术后使用嗅探棒试验评估嗅觉功能。根据血液检查和CT扫描计算ELR、E/M比和E-M评分。采用Logistic回归分析和受试者工作特征(ROC)曲线分析确定并验证嗅觉恢复的预测因素。结果:术前TDI评分中位数为10分(IQR 7-24),术后6个月改善至26分(IQR 15-33),中位数改善(ΔTDI)为7分(IQR 2-14)。嗅觉恢复较差患者的ELR、E/M比、E-M评分均显著高于对照组(p < 0.05)。Logistic回归分析显示,ELR(模型1:OR = 1.199;模型2:OR = 1.209)、E/M比(OR = 3.236)、E-M评分(OR = 2.179)是嗅觉预后不良的独立危险因素。ROC曲线分析表明,综合指数具有较好的预测效果。结论:将ELR与基于ct的E/M比值或E-M评分相结合的复合模型可有效预测CRSwNP患者的嗅觉恢复情况。这些可获得的生物标志物有助于对患者进行分层,以便进行个性化治疗和术后监测。
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引用次数: 0
Urgent need for collaboration in the allergy workforce for infants and toddlers 婴幼儿过敏工作队伍迫切需要合作。
IF 4.7 2区 医学 Q1 ALLERGY Pub Date : 2026-01-01 Epub Date: 2025-10-08 DOI: 10.1016/j.anai.2025.09.025
Karen Rance DNP, CPNP , Amanda Michaud DMSc, PA-C, AE-C , Michael Pistiner MD, MMSc
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引用次数: 0
Food protein-induced enterocolitis syndrome (FPIES) 食物蛋白性小肠结肠炎综合征(fies)
IF 4.7 2区 医学 Q1 ALLERGY Pub Date : 2026-01-01 Epub Date: 2025-12-17 DOI: 10.1016/j.anai.2025.10.032
Fallon Schultz MSW, LCSW, CAM , Landon J. Schultz , Anna Nowak-Wegrzyn MD, PhD
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引用次数: 0
Navigating the network: Understanding allergy and immunology patient perception and behavior on social media 浏览网络:了解过敏和免疫学患者在社交媒体上的感知和行为。
IF 4.7 2区 医学 Q1 ALLERGY Pub Date : 2026-01-01 Epub Date: 2025-10-04 DOI: 10.1016/j.anai.2025.09.031
Courtney Cotter DO , Christopher Brooks MD , David Stukus MD , Farah Khan MD
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引用次数: 0
Psychosocial impact and multidisciplinary care of food protein-induced enterocolitis syndrome 食物蛋白诱导的小肠结肠炎综合征的社会心理影响和多学科护理。
IF 4.7 2区 医学 Q1 ALLERGY Pub Date : 2026-01-01 Epub Date: 2025-10-04 DOI: 10.1016/j.anai.2025.09.029
Ianthe R.M. Schepel BMBCh, MPhil, MS , Mia Vaida BS , Jennifer S. LeBovidge PhD , Wendy Elverson RD, LDN , Fallon Schultz MSW, LCSW, CAM , Erin P. Syverson MD , Elena Crestani MD, MS , Lisa M. Bartnikas MD
Food protein-induced enterocolitis syndrome (FPIES) has a significant impact on patients and caregivers across multiple psychosocial domains. This paper outlines what is known about key contributors to the psychosocial burden of FPIES, questions that clinicians can ask to better understand this burden, and indications for referral to multidisciplinary members of FPIES care teams to manage specific psychosocial concerns. The authors propose concrete interventions to address major unmet needs in FPIES through education, advocacy, clinical care, and research. There is great scope for further research to characterize the unique psychosocial challenges that FPIES poses, which should include development and validation of FPIES-specific measures for psychosocial functioning to help guide management of individual patients, develop better resources for support, and study the psychosocial impact of interventions. Alleviating the psychosocial burden of FPIES for patients and families ultimately depends on promoting evidence-based and integrated multidisciplinary care of FPIES. Efforts should focus on deepening scientific understanding, enhancing diagnostic and management tools, and ensuring that evolving clinical guidelines meet the needs of both pediatric and adult patients worldwide.
食物蛋白诱导的小肠结肠炎综合征(FPIES)在多个社会心理领域对患者和护理人员产生重大影响。本文概述了造成FPIES心理社会负担的主要因素,临床医生可以提出的问题,以更好地理解这种负担,以及转介给FPIES护理团队的多学科成员以管理特定心理社会问题的适应症。我们提出具体的干预措施,通过教育、宣传、临床护理和研究来解决FPIES未满足的主要需求。我们强调,有很大的空间需要进一步研究,以表征FPIES所带来的独特的社会心理挑战,其中应该包括开发和验证fies特定的社会心理功能措施,以帮助指导个体患者的管理,开发更好的支持资源,并研究干预措施的社会心理影响。减轻FPIES患者和家庭的心理社会负担最终取决于促进FPIES的循证综合多学科护理。努力的重点应该是深化科学认识,加强诊断和管理工具,并确保不断发展的临床指南满足全球儿科和成人患者的需求。
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引用次数: 0
Impact of clinical rotation on resident competency in allergy and clinical immunology 临床轮转对住院医生过敏和临床免疫学能力的影响。
IF 4.7 2区 医学 Q1 ALLERGY Pub Date : 2026-01-01 Epub Date: 2025-10-16 DOI: 10.1016/j.anai.2025.10.011
Michael Aw MD , Fatemah AlYaqout MD, FRCPC , Natacha Tardio MD, FRCPC , Abeer Feteih MD, FRCPC , Michael Nathan Fein MD, MSc, FRCPC
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引用次数: 0
Airway overlap syndromes with asthma 气道重叠综合征伴哮喘。
IF 4.7 2区 医学 Q1 ALLERGY Pub Date : 2026-01-01 Epub Date: 2025-09-18 DOI: 10.1016/j.anai.2025.09.012
Carlos Amado MD , Daniel Lopez-Padilla MD , Raúl Méndez MD , Miguel Ángel Martínez-García MD, PhD
The airways, defined as the segment of the respiratory system extending from the pharynx to the alveoli, represent a crucial site for various inflammatory airway diseases. Among the most common are asthma, chronic obstructive pulmonary disease (COPD), bronchiectasis, and obstructive sleep apnea (OSA). Owing to their high individual prevalence, it is not unusual for a single patient to have 2 or more of these conditions simultaneously. Beyond this epidemiologic coincidence, several pathophysiologic links, despite notable differences among the diseases, have been identified. These connections influence not only the mutual prevalence of the disorders but also their clinical management and prognosis, frequently in a bidirectional manner. This constellation of interactions has been termed “overlap syndromes.” Overlap syndromes involving asthma are especially frequent, including asthma-COPD overlap syndrome, asthma-OSA overlap syndrome, and asthma-bronchiectasis overlap syndrome. These syndromes often exhibit bidirectional relationships. Asthma, for instance, may aggravate COPD symptoms, prompting modifications in its treatment; it may also worsen preexisting OSA through increased pharynx collapsability, the use of inhaled corticosteroids, or contribute to more frequent bronchiectasis exacerbations. Conversely, the presence of COPD can hinder adequate asthma control, bronchiectasis may enhance the inflammatory burden and exacerbate asthma, and OSA can induce harmful nocturnal oxygen desaturations that impair asthma outcomes. These complex and dynamic interactions underscore the importance of recognizing overlap syndromes in clinical practice. An integrated, individualized approach that considers the coexistence of multiple airway diseases is essential for optimizing diagnosis, therapeutic interventions, and long-term prognosis in affected patients.
气道,定义为呼吸系统的一部分,从咽部延伸到肺泡,是各种炎症性气道疾病的关键部位。其中最常见的是哮喘、慢性阻塞性肺疾病(COPD)、支气管扩张和阻塞性睡眠呼吸暂停(OSA)。由于个体患病率高,单个患者同时患有两种或两种以上的情况并不罕见。除了这种流行病学上的巧合之外,尽管这些疾病之间存在显著差异,但已经确定了一些病理生理联系。这些联系不仅影响疾病的相互流行,而且影响其临床管理和预后,往往以双向的方式。这种相互作用的组合被称为“重叠综合征”。涉及哮喘的重叠综合征尤其常见,包括哮喘- copd重叠综合征(ACOS)、哮喘- osa重叠综合征和哮喘-支气管扩张重叠综合征(ABOS)。这些症状通常表现出双向关系。例如,哮喘可能加重慢性阻塞性肺病的症状,促使其改变治疗方法;它也可能通过增加咽溃陷性、使用吸入皮质类固醇或导致更频繁的支气管扩张加重原有的OSA。相反,慢性阻塞性肺病的存在可能阻碍哮喘的充分控制,支气管扩张可能增加炎症负担并加剧哮喘,OSA可诱导有害的夜间氧去饱和,损害哮喘结局。这些复杂和动态的相互作用强调了在临床实践中认识重叠综合征的重要性。综合考虑多种气道疾病共存的个体化方法对于优化患者的诊断、治疗干预和长期预后至关重要。
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Annals of Allergy Asthma & Immunology
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