July 6, 2017

Breakthrough attacks in patients with hereditary angioedema receiving long-term prophylaxis are responsive to icatibant: findings from the Icatibant Outcome Survey

 
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  • Werner AbererEmail author,
  • Marcus Maurer,
  • Laurence Bouillet,
  • Andrea Zanichelli,
  • Teresa Caballero,
  • Hilary J. Longhurst,
  • Amandine Perrin,
  • Irmgard Andresen and
  • for the IOS Study Group
Allergy, Asthma & Clinical Immunology201713:31
DOI: 10.1186/s13223-017-0203-z
Abstract
Background
Patients with hereditary angioedema (HAE) due to C1-inhibitor deficiency (C1-INH-HAE) experience recurrent attacks of cutaneous or submucosal edema that may be frequent and severe; prophylactic treatments can be prescribed to prevent attacks. However, despite the use of long-term prophylaxis (LTP), breakthrough attacks are known to occur. We used data from the Icatibant Outcome Survey (IOS) to evaluate the characteristics of breakthrough attacks and the effectiveness of icatibant as a treatment option.

July 1, 2017

Azithromycin for idiopathic acute exacerbation of idiopathic pulmonary fibrosis: a retrospective single-center study

 
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  • Kodai KawamuraEmail author,
  • Kazuya Ichikado,
  • Yuko Yasuda,
  • Keisuke Anan and
  • Moritaka Suga
Abstract
Background
Acute exacerbation (AE) of idiopathic pulmonary fibrosis (IPF) is a fatal condition without an established pharmaceutical treatment. Most patients are treated with high-dose corticosteroids and broad-spectrum antibiotics. Azithromycin is a macrolide with immunomodulatory activity and may be beneficial for treatment of acute lung injury. The objective of this study was to determine the effect of azithromycin on survival of patients with idiopathic AE of IPF.

June 30, 2017

Novel aspects in diagnostic approach to respiratory patients: is it the time for a new semiotics?

 
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  • Gino Soldati,
  • Andrea SmargiassiEmail author,
  • Alberto A. Mariani and
  • Riccardo Inchingolo
Abstract
Medical approach to patients is a fundamental step to get the correct diagnosis. The aim of this paper is to analyze some aspects of the reasoning process inherent in medical diagnosis in our era. Pathologic signs (anamnestic data, symptoms, semiotics, laboratory and strumental findings) represent informative phenomena to be integrated for inferring a diagnosis. Thus, diagnosis begins with “signs” and finishes in a probability of disease.

Asthma pressurised metered dose inhaler performance: propellant effect studies in delivery systems

 
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Abstract
Background
Current pressurised metered dose asthma inhaler (pMDI) propellants are not inert pharmacologically as were previous chlorofluorocarbons, have smooth muscle relaxant‚ partial pressure effects in the lungs and inhaled hydrofluoroalkane 134a (norflurane) has anaesthetic effects. Volumes of propellant gas per actuation have never been measured.

June 19, 2017

Trust and Credibility in Web-Based Health Information: A Review and Agenda for Future Research

Journal of Medical Internet Research
Original Paper

  • Laura Sbaffi1*, MA, PhD 
  • Jennifer Rowley2*, MSc, PhD 
  • ABSTRACT
    Background: Internet sources are becoming increasingly important in seeking health information, such that they may have a significant effect on health care decisions and outcomes. Hence, given the wide range of different sources of Web-based health information (WHI) from different organizations and individuals, it is important to understand how information seekers evaluate and select the sources that they use, and more specifically, how they assess their credibility and trustworthiness.

    June 14, 2017

    Angioedema suppressed by a combination of anti-histamine and leukotriene modifier

     
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    Rationale
    Angioedema without co-existent urticaria is due to a limited number of causes, including hereditary and acquired C1 esterase inhibitor deficiency, drug-induced angioedema or idiopathic histaminergic or non-histaminergic angioedema. We describe a cohort of patients with recurrent angioedema whose clinical features and response to medications are distinct from the causes above.

    June 12, 2017

    Computational analysis of multimorbidity between asthma, eczema and rhinitis

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    RESEARCH ARTICLE

    Daniel Aguilar ,Mariona Pinart,Gerard H. Koppelman,Yvan Saeys,Martijn C. Nawijn,Dirkje S. Postma,Mübeccel Akdis,Charles Auffray,Stéphane Ballereau,Marta Benet,Judith García-Aymerich,Juan Ramón González,Stefano Guerra, Josep M. Antó

    Abstract

    Background
    The mechanisms explaining the co-existence of asthma, eczema and rhinitis (allergic multimorbidity) are largely unknown. We investigated the mechanisms underlying multimorbidity between three main allergic diseases at a molecular level by identifying the proteins and cellular processes that are common to them.

    Comparison of the Performance of Skin Prick, ImmunoCAP, and ISAC Tests in the Diagnosis of Patients with Allergy

    Molecules and Cells in Allergy - Original Paper

    Editor's Choice -- Free Access

    Griffiths R.L.M. · El-Shanawany T. · Jolles S.R.A. · Selwood C. · Heaps A.G. · Carne E.M. · Williams P.E. 

    Int Arch Allergy Immunol 2017;172:215-223

    Background: Allergy is diagnosed from typical symptoms, and tests are performed to incriminate the suspected precipitant. Skin prick tests (SPTs) are commonly performed, inexpensive, and give immediate results. Laboratory tests (ImmunoCAP) for serum allergen-specific IgE antibodies are usually performed more selectively.