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Hypereosinophilia syndrome with severe cutaneous manifestations, a diagnostic and therapeutic challenge: A Case Report 嗜酸性粒细胞增多综合征伴严重皮肤表现,诊断和治疗的挑战:1例报告
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2026-02-01 Epub Date: 2026-03-05 DOI: 10.1016/j.waojou.2026.101294
Mohammad Hasan Bemanian , Saman Tavakoli ∗ , Mojtaba Ranjbar , Somayeh Heidary Ghadikolaii , Seyedehshabnam Seyedsalehi
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引用次数: 0
Clinical and immunologic evaluation of Cluster subcutaneous immunotherapy in allergic rhinitis 集束皮下免疫治疗变应性鼻炎的临床及免疫学评价
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2026-02-01 Epub Date: 2026-03-05 DOI: 10.1016/j.waojou.2026.101330
Yaghoub Mahboubi o
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引用次数: 0
Chronic spontaneous urticaria and sinus tachycardia misdiagnosed as Anaphylaxis 慢性自发性荨麻疹及窦性心动过速误诊为过敏反应
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2026-02-01 Epub Date: 2026-03-05 DOI: 10.1016/j.waojou.2026.101268
Sami Aqel , Dalal Mudawi , Maryam Ali Al-Nesf , Tayseer Ibrahim , Hassan Mobayed
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引用次数: 0
Intranasal Monoclonal Antibody “Molecular Shield” as a Novel Preventive Strategy for Seasonal Allergic Rhinitis 鼻内单克隆抗体“分子屏蔽”作为季节性变应性鼻炎的新预防策略
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2026-02-01 Epub Date: 2026-03-05 DOI: 10.1016/j.waojou.2026.101297
Sinan Mufeed Kuniyil ShaffiMohammed
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引用次数: 0
Exenatide-Induced Urticaria: A Case Report and Review of the Literature 艾塞那肽致荨麻疹1例报告及文献复习
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2026-02-01 Epub Date: 2026-03-05 DOI: 10.1016/j.waojou.2026.101263
Reem Faiz Hussein Eisa, Marwa Elaziz, Vajeeha Haider, Abdullah Mohamed M. Elsafti Elsaeidy
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引用次数: 0
Preventing Viral Respiratory Infections with Lysate Probiotic Nasal Spray: A Controlled Trial 裂解菌鼻喷雾剂预防病毒性呼吸道感染:一项对照试验
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2026-02-01 Epub Date: 2026-03-05 DOI: 10.1016/j.waojou.2026.101316
Nasrin Moazzen, Hamid Ahanchian, Tahere Sadeghi, Maryam Bagherian, Bahman Khameneh
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引用次数: 0
Assessing Barriers and Improving Compliance with Penicillin De-labeling Following Negative Allergy Testing: A Quality Improvement Initiative 评估障碍和改善依从性在阴性过敏试验后青霉素去标签:质量改进倡议
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2026-02-01 Epub Date: 2026-03-05 DOI: 10.1016/j.waojou.2026.101256
Sherin Rahim Thalappil , Dalal Sideeg Abass Mudawi , Asaad Omer Ahmed Imameldin , Sara Saeed Ibrahim Mohamed , Hassan Mobayedh , Mariam Al-Nesf , Salma Taha
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引用次数: 0
A prospective cohort study of ultra-rush subcutaneous immunotherapy in dust mite-induced allergic rhinitis 超快速皮下免疫治疗尘螨致变应性鼻炎的前瞻性队列研究
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2026-02-01 Epub Date: 2026-02-06 DOI: 10.1016/j.waojou.2026.101334
Yishan Xiong MD , Wenqi Luo MS , Hao Peng MS , Li Shen MS , Zhiqun Huang MD , Jieqing Yu MD , Jing Ye MD, PhD

Background

Allergic rhinitis (AR) is a prevalent disease with a considerable global burden. Allergen immunotherapy (AIT) represents the cornerstone causal treatment for AR. While accelerated schedules such as Cluster Subsutaneous Immunotherapy (Cluster SCIT) shorten the initial buildup phase than Conventional treatment, the even more rapid Ultra-Rush Subcutaneous Immunotherapy (UR-SCIT) lacks a head-to-head, prospective comparison regarding its efficacy and safety.

Methods

A total of 57 patients with house dust mite induced AR were included in this study and followed up for 12 months. Allocation to the 2 treatment groups (UR-SCIT and Cluster SCIT) was based on patient preference. Treatment efficacy was assessed using Visual Analogue Scale (VAS), Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) and Combined Symptom and Medication Score (CSMS). Additionally, skin prick test (SPT), nasal allergen challenge (NAC), fractional exhaled nitric oxide (FeNO), and fractional nasal nitric oxide (FnNO) were measured at baseline (M0) and at the 12-month follow-up (M12). Eosinophils (EOS) and eosinophil percentage (EOS%) in blood、serum levels of IL-4, IL-5, IL-10, IL-13, IL-33, total IgE, dust mite-specific IgE (sIgE), dust mite-specific IgG4 (sIgG4),the ratio of sIgG4/sIgE and sIgE/tIgE were detected at months 0, 6, and 12. To evaluate safety, local and systemic adverse reactions were recorded during the treatment period.

Results

In this study, both UR-SCIT and Cluster SCIT groups showed significant reductions in VAS, CSMS, RQLQ and TNSS scores at M12, alongside decreases in SPT grade. Immunological analysis revealed that both groups exhibited reduced levels of EOS, EOS%, IL-4, IL-5, IL-13 and IL-33, while IL-10 levels increased. Changes in EOS count and EOS% levels were correlated with improvements in AR symptoms. SIgG4 levels rose in both groups, but tIgE、sIgE and sIgE/tIgE ratios showed no significant changes. Adverse reaction incidence was similar in both groups, with no serious events reported.

Conclusion

UR-SCIT achieves therapeutic efficacy comparable to Cluster SCIT, with both demonstrating robust symptom control and favorable immunological changes. The similar safety profiles, with no serious adverse events indicate that UR-SCIT is a viable new option for AIT in clinical practice.
变应性鼻炎(AR)是一种流行疾病,具有相当大的全球负担。过敏原免疫疗法(AIT)代表了AR的基础病因治疗。虽然加速方案,如集群皮下免疫疗法(SCIT)比传统治疗缩短了初始积聚阶段,但更快的Ultra-Rush皮下免疫疗法(UR-SCIT)缺乏对其疗效和安全性的正面前瞻性比较。方法对57例屋尘螨性AR患者进行随访,随访12个月。2个治疗组(UR-SCIT和Cluster -SCIT)的分配基于患者的偏好。采用视觉模拟量表(VAS)、鼻结膜炎生活质量问卷(RQLQ)和症状与药物联合评分(CSMS)评估治疗效果。此外,在基线(M0)和12个月随访(M12)时测量皮肤点刺试验(SPT)、鼻腔过敏原挑战(NAC)、呼气一氧化氮分数(FeNO)和鼻腔一氧化氮分数(FnNO)。分别于第0、6、12个月检测各组大鼠血中嗜酸性粒细胞(EOS)、嗜酸性粒细胞百分比(EOS%)、血清IL-4、IL-5、IL-10、IL-13、IL-33水平、总IgE、尘螨特异性IgE (sIgE)、尘螨特异性IgG4 (sIgG4)、sIgG4/sIgE、sIgE/tIgE比值。为了评估安全性,在治疗期间记录局部和全身不良反应。结果在本研究中,UR-SCIT组和Cluster SCIT组在M12时VAS、csm、RQLQ和TNSS评分均显著降低,SPT评分也显著降低。免疫学分析显示,两组小鼠的EOS、EOS%、IL-4、IL-5、IL-13和IL-33水平均降低,IL-10水平升高。EOS计数和EOS%水平的变化与AR症状的改善相关。两组血清SIgG4水平均升高,但tIgE、sIgE及sIgE/tIgE比值无显著变化。两组不良反应发生率相似,无严重事件报道。结论ur -SCIT治疗效果与Cluster -SCIT相当,均表现出良好的症状控制和良好的免疫改变。类似的安全性,没有严重的不良事件表明,在临床实践中,UR-SCIT是一种可行的AIT新选择。
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引用次数: 0
Delayed hypersensitivity reactions to taxanes: Clinical presentation and outcomes of post-medication and rapid drug desensitization 紫杉烷的迟发性超敏反应:临床表现和用药后及快速药物脱敏的结果
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2026-02-01 Epub Date: 2026-01-24 DOI: 10.1016/j.waojou.2025.101157
Rosalaura Villarreal-González MD, PhD , Leslie Astrid De la Fuente MD , Alexia Moreno-Silvestre MD , María Guadalupe Durán-Hernández MD , Diego Armando Sánchez-Alvarado MD , David Hernández-Barajas MD , Oscar Vidal-Gutiérrez MD, PhD

Background

Taxanes are widely used in solid tumors but may induce delayed hypersensitivity reactions (DHRs), potentially compromising treatment. The aim was to characterize taxane-related DHRs and evaluate the role of post-medication and rapid drug desensitization (RDD) in treatment continuation.

Methods

A retrospective, observational study at University Hospital Dr. José Eleuterio González, in Monterrey, Mexico, from January 2020 to May 2025. Patients who developed delayed HSRs following taxane administration were included. After an intravenous challenge test, a post-medication and/or a 3-bag, 12-step rapid drug desensitization (RDD) protocol was applied, adjusted per patient tolerance.

Results

Among 4217 patients, 325 (7.7%) developed HSRs; 28 (8.8%) were delayed. Nine cases (32.1%) were attributed to taxanes: 66.6% paclitaxel and 33.4% docetaxel. Most patients were female (88.9%), with a mean age of 52.3 years. The predominant clinical presentation was maculopapular exanthema (77.8%), mainly involving the scalp. Mean time to HSR was 3 days post-infusion, during the second chemotherapy cycle. All patients received 3–7 days of post-medication; 7 of them tolerated the new administration of the drug, while the other 2 underwent a 3-bag, 12-step desensitization.

Conclusions

Delayed drug hypersensitivity reactions (DHRs) are a T cell-mediated immune response that occur more than 6 h after exposure, leading to treatment discontinuation or alternative therapies. Management remains poorly defined; however, our findings suggest that pre-medication and RDD may safely support continued chemotherapy. To our knowledge, this is the most extensive reported series of taxane-related DHRs managed with post-medication and RDD in Hispanic population phenotype.
紫杉烷广泛应用于实体瘤,但可能诱发迟发性超敏反应(DHRs),可能影响治疗。目的是表征紫杉烷相关的dhr,并评估用药后和快速药物脱敏(RDD)在治疗持续中的作用。方法2020年1月至2025年5月在墨西哥蒙特雷大学医院jos Eleuterio博士González进行回顾性观察研究。紫杉烷给药后发生迟发性HSRs的患者也包括在内。在静脉激发试验后,应用用药后和/或3袋、12步快速药物脱敏(RDD)方案,根据患者耐受性进行调整。结果4217例患者中,325例(7.7%)发生hsr;延误28例(8.8%)。紫杉醇类药物9例(32.1%),其中紫杉醇66.6%,多西紫杉醇33.4%。患者以女性为主(88.9%),平均年龄52.3岁。主要临床表现为黄斑丘疹(77.8%),主要累及头皮。在第二个化疗周期中,平均到HSR时间为输注后3天。所有患者均在给药后3-7 d接受治疗;其中7人对新药物耐受,而另外2人接受了3袋12步脱敏治疗。结论迟发性药物超敏反应(DHRs)是一种T细胞介导的免疫反应,发生在暴露后6小时以上,导致治疗中断或替代治疗。管理仍然定义不清;然而,我们的研究结果表明,药物前治疗和RDD可以安全地支持继续化疗。据我们所知,这是西班牙裔人群表型中紫杉烷相关dhr与用药后和RDD管理的最广泛报道系列。
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引用次数: 0
A case series of three brothers with combined Immunodeficiency: shared genetics and immune dysregulation behind distinct phenotypes 三兄弟联合免疫缺陷的病例系列:不同表型背后的共同遗传和免疫失调
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2026-02-01 Epub Date: 2026-03-05 DOI: 10.1016/j.waojou.2026.101292
Mohammad Nabavi , Sima Shokri , Mohammad-Hasan Bemanian , Morteza Fallahpour , Saman Tavakoli , Seyedehshabnam Seyedsalehi
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引用次数: 0
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World Allergy Organization Journal
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