Retours d’expérience d’une consultation pluridisciplinaire « Atopie sévère de l’enfant » aux Hospices Civils de Lyon

IF 0.3 4区医学

Revue Francaise d Allergologie Pub Date : 2024-10-15 DOI:10.1016/j.reval.2024.104145

L. Colin , M. Tauber , A.L. Souillet , L. Coutier , P. Reix , P. Biermé , A. Nosbaum , C. Braun

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Abstract

Context

Complexity of atopic trajectories, increased severity of atopic diseases and emergence of new therapies require expertise in atopy. Here, we would like to give feedbacks from a multidisciplinary consultation called “Severe atopy in children”, set up in the Hospices Civils de Lyon.

Methods

Retrospective reviews of patients’ charts were conducted.

Results

The consultation “Severe atopy in children” was conducted by pulmonologists, dermatologists, and immunologists with a training background of pediatricians and allergists. During this one-hour consultation, atopic conditions of various organs were evaluated and taken into consideration for specific, and if possible, global management, including the prescription of systemic treatments. In total, 48 children have accessed this consultation, all of whom are suffering from atopic dermatitis, with 68% having a severe form. Atopy comorbidity was found in 83% of patients, including 56% having IgE-mediated food allergy, 58% having asthma, and 60% having allergic rhinoconjunctivitis. A systemic treatment was prescribed to 62% of patients during the first consultation. Inhaled treatments were also optimized for asthmatics and the majority of food-allergic patients receiving oral immunotherapy in the follow-up.

Conclusion

The multidisciplinary consultation “Severe Atopy in Children” offers comprehensive care to children with atopic disorders and has the potential to become a cornerstone in the management of childhood atopy.

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法国里昂平民临终关怀医院 "儿童严重过敏症 "多学科会诊的反馈意见

背景特应性疾病发展轨迹的复杂性、特应性疾病严重程度的增加以及新疗法的出现都需要特应性方面的专业知识。在此，我们想介绍一下里昂平民医院开展的名为 "儿童严重特应性 "的多学科会诊的反馈信息。结果 "儿童严重特应性 "会诊由具有儿科医生和过敏症医生培训背景的肺科医生、皮肤科医生和免疫科医生主持。在这一小时的会诊中，他们对不同器官的特应性病症进行了评估，并在可能的情况下，考虑到具体的全面治疗，包括开具系统治疗处方。共有 48 名儿童参加了这次会诊，他们都患有特应性皮炎，其中 68% 患有严重的特应性皮炎。83% 的患者合并有特应性皮炎，其中 56% 患有 IgE 介导的食物过敏，58% 患有哮喘，60% 患有过敏性鼻结膜炎。62% 的患者在首次就诊时接受了系统治疗。结论 "儿童严重特应性 "多学科会诊为患有特应性疾病的儿童提供了全面的治疗，有望成为儿童特应性治疗的基石。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revue Francaise d Allergologie Medicine-Immunology and Allergy

自引率

33.30%

发文量

349

期刊介绍： La Revue Française d''Allergologie : un véritable forum pour faire connaître des travaux originaux et permettre la diffusion de l''information auprès de toutes les spécialités concernées par les pathologies allergiques. La Revue Française d''Allergologie (8 numéros par an) est au carrefour de nombreuses spécialités - dermatologie, pédiatrie, ORL, pneumologie, ophtalmologie, médecine interne - qui, toutes, ont à traiter des maladies allergiques. Les symptômes des allergies fondés sur des mécanismes communs sont le plus souvent associés et se succèdent chez un même patient. En forte progression depuis 20 ans, les maladies allergiques sont dans l''attente de perfectionnements et d''avancées thérapeutiques qui permettront aux nombreux patients qui en sont atteints de mieux vivre avec leurs allergies. La Revue Française d''Allergologie se veut donc un véritable forum de discussions et d''échanges entre tous les spécialistes confrontés aux pathologies