Indian Journal of Allergy Asthma and Immunology最新文献

{"title":"Clinical significance of fungal sensitization in bronchial asthma: A prospective cross-sectional study at a tertiary care center","authors":"J. Sharma, Shubhra Jain, V. Joshi, N. Khippal","doi":"10.4103/ijaai.ijaai_6_20","DOIUrl":"https://doi.org/10.4103/ijaai.ijaai_6_20","url":null,"abstract":"INTRODUCTION: The link between fungi and asthma has been extensively investigated. However, the role of fungal allergens as the primary extrinsic factor leading to asthma severity has been incompletely explored. An all-new variant of asthma has been described recently which has been named severe asthma with fungal sensitisation (SAFS). It is characterised by the presence of severe asthma and are sensitized to one or more fungi but have normal or slightly elevated IgE concentration. In this study ALQ test and spirometry was done to assess the severity of asthma. ALQ test is a simple self administered questionnaire, designed to help individuals with breathing problems to determine if they have asthma or for those already diagnosed with asthma if their asthma is under control. METHODS: A prospective observational study was done over a period of 6 months. Name, age, and demographic details collected from all bronchial asthma patients. Using SPT, the sensitization status to fungus was identified in clinically diagnosed bronchial asthma cases and asthma Severity with fungal sensitisation was analysed on the basis of asthma life quality test questionnaire and spirometry. RESULTS: Out of hundred patients studied 60 of the patients were male. Mean duration of asthma was 5years. 40 patients were positive for fungal sensitization by SPT. The most common fungus was Curvularia Lulata followed by aspergillus. 30 patients were positive for aspergillus fungus (ALQ score > 16.5 and mean FEV1 was 28±2) as compared to the 10 patients who were positive for other than aspergillus fungus( ALQ score <16.5 and mean was FEV1 65 ±2 ) severe asthma. Fungal sensitization was found to be significantly associated with uncontrolled asthma. 75% of fungal sensitized patients had uncontrolled asthma as compared to 5% of the non fungal sensitized patients. CONCLUSION: There was high prevalence of sensitization to all fungal allergens. Among all the fungal allergens, aspergillus sensitization is most commonly associated with severe asthma.","PeriodicalId":53075,"journal":{"name":"Indian Journal of Allergy Asthma and Immunology","volume":"31 1","pages":"98 - 102"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82778291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between total serum immunoglobulin E level and total eosinophils count with skin reactivity in children with allergic rhinitis and asthma in North Indian population","authors":"R. Sharma, Ravi Sharma, R. Bansal","doi":"10.4103/ijaai.ijaai_13_20","DOIUrl":"https://doi.org/10.4103/ijaai.ijaai_13_20","url":null,"abstract":"CONTEXT: Various epidemiological studies have shown association among total serum immunoglobulin E (IgE) levels, blood eosinophilia, skin test reactivity, and allergy prevalence, the details of these associations has still not well determined specially in the Indian population. AIMS: The aim of this study is to determine the correlation between total serum IgE level, total eosinophils counts (TECs), and skin prick test (SPT) for common aeroallergens in children with allergic rhinitis (AR) and asthma. SETTINGS AND DESIGN: A prospective, cross sectional, and observational study conducted at Santokba Durlabhji Memorial Hospital, Jaipur, Rajasthan, India, between October 2018 and June 2019. MATERIALS AND METHODS: A total of 140 children of age 6–18 years diagnosed with AR and Asthma were enrolled. SPT using 18 aeroallergens were performed with the measurement of total serum IgE level and TEC. RESULTS: Among the total cases, around 77% (n = 108) were having positive skin test for one or more allergens, most common allergen was house dust mite. Total serum IgE level was strongly related with skin reactivity in both AR and asthma groups (correlation coefficient = 0.68), and a fair correlation was also observed between TEC and SPT grade in our all study participants (r = 0.48). CONCLUSION: Our study suggested a close relationship between total serum IgE and TEC and skin test reactivity in children with AR and asthma.","PeriodicalId":53075,"journal":{"name":"Indian Journal of Allergy Asthma and Immunology","volume":"13 1","pages":"81 - 86"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72458828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case series of ABPA with rare radiological presentation","authors":"Sudhir Kumar, D. Rai, Subhash Kumar","doi":"10.4103/ijaai.ijaai_19_20","DOIUrl":"https://doi.org/10.4103/ijaai.ijaai_19_20","url":null,"abstract":"Allergic bronchopulmonary aspergillosis (ABPA) is an immunologically mediated lung disease that occurs in response to Aspergillus fumigatus which affects primarily asthmatic and cystic fibrosis patients. Central bronchiectasis is a classical radiological presentation of ABPA, but the presentation as total collapse of the lung, pneumothorax, lung mass, or fibrocavitary disease has been rarely described. First case was a 50-year-old nonsmoker male who presented radiologically as complete collapse of left lung. The second case was 54-year-old nonsmoker male presented with breathlessness and chest radiograph showed right-sided pneumothorax which expand after chest tube insertion. The third case a 35-year-old female who treated as bronchial asthma and refer to us for provisional diagnosis of malignancy after saw chest radiograph. The last case was a 22-year-old male who had typical symptoms and radiologically features of pulmonary tuberculosis. All these patients were treated by antitubercular drug, but later, all four case turn out as ABPA. This case series highlights the rare radiological presentation of ABPA (pneumothorax, lung collapse, lung mass, and fibrocavitary), and identifying these diseases in the early stage can prevent the development of end-stage pulmonary fibrosis.","PeriodicalId":53075,"journal":{"name":"Indian Journal of Allergy Asthma and Immunology","volume":"7 1","pages":"117 - 122"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85260945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical profile and environmental risk factors of asthma in children at a tertiary care teaching hospital in the sub-Himalayan belt of Northern India","authors":"Neha Rehalia, J. Sharma, S. Chaudhary","doi":"10.4103/ijaai.ijaai_4_20","DOIUrl":"https://doi.org/10.4103/ijaai.ijaai_4_20","url":null,"abstract":"OBJECTIVES: To describe the clinical profile of patient with bronchial asthma, to determine the presence of environmental risk factors among them and to determine the relationship between environmental risk factors to the severity of asthma. METHODS: It was a descriptive observational study done at a tertiary care teaching hospital in sub-Himalyan belt of Northern India. Children aged 1-18 years,who presented to hospital with diagnosis of asthma were included in the study after obtaining informed consent. RESULTS: Prevalence of asthma in children age 0-18 years was 1.6 % in this study.Mean age was 8.60±4.40 years with male preponderance. Majority of patients (68.3%) had onset of symptoms before 5 years of age. Fifty nine percent were malnourished and 53% had history of atopy. Majority of children were born vaginally (81.5%) with 91.5% of them were born at term with normal birthweight (90%) Asthma was more common in 2nd order birth (50.7%) and majority (60.7%) were bottle fed in first 6 months of life. Family history of atopy or asthma was present in 86% of the ptients. Eighty percent of patients had history of exacerbations episode after exposure to dust, 81.8% had seasonal variation of asthma with 52.3% exacerbations in winter. Seventy five percent had history of exacerbations during crop harvesting time.Seventy two percent had history of smoke producing fuel at home.Sixty percent had history of exposure to cigarette or other tobacco product smoke and 21.5% of pts had pets at home.Strong relationship was found between use of power and perfumes and exacerbations and exacerbation after exposure to cold air with uncontrolled asthma. CONCLUSIONS: Male gender, malnourished and bottle fed children are prone for developing asthma. Presence of atopy, most commonly allergic rhinitis in early life predisposes children to asthma later in life. Exposure to cold air, dust during harvesting season and use of powder and perfumes are important risk factors for development of asthma.","PeriodicalId":53075,"journal":{"name":"Indian Journal of Allergy Asthma and Immunology","volume":"2 2 1","pages":"74 - 80"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83914543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinicopathological, epidemiological, and immunological relationship between allergic rhinitis and bronchial asthma","authors":"M. Anas, M. Shameem, Z. Ahmad","doi":"10.4103/ijaai.ijaai_3_20","DOIUrl":"https://doi.org/10.4103/ijaai.ijaai_3_20","url":null,"abstract":"INTRODUCTION: Allergic rhinitis and bronchial asthma are thought to be sequela of the same allergic airway disease. The relationship between both diseases has been confirmed by various clinicopathological epidemiological and immunological studies. In this study, we tried to establish a different relationship between both diseases and strengthen the concept of “One-airway one disease.” MATERIALS AND METHODS: A total of 100 patients visiting ear, nose, and throat and respiratory medicine outpatient department were taken. They were divided into two groups of fifty each and were studied for various mediators of inflammation. Group 1 consisted of patients of allergic rhinitis and Group 2 consisted of patients of bronchial asthma. RESULTS: Most of the patients in Group 1 were in the age group of 21–30 years (40%) and in Group 2, in the age group of 11–20 years (38%) with a mean age 28.4 ± 1.3 years. The most common symptoms in Group 1 patients were sneezing (90%) and rhinorrhea (68%) and in Group 2 wheezing (86%), followed by shortness of breath (66%). The most common sign in Group 1 was B/L inferior turbinate hypertrophy (70%), while in Group 2, it was rhonchi (76%). Mean absolute eosinophil count was 575.35 in Group 1 and was 446.61 in Group 2. Nasal smear for eosinophil was positive for 86% of patients in Group 1 and bronchial lavage showed eosinophilia in 64% of Group 2 patients. Mean total serum immunoglobulin E was 777.23 IU/ml in Group 1 and 662.08 IU/ml in Group 2. The incidence of bronchial asthma in patients of allergic rhinitis was 36%, while the incidence of allergic rhinitis in patients in bronchial asthma was 74%. CONCLUSION: Thus, in our study, we found that both the diseases were closely linked clinicopathologically epidemiologically as well as immunologically pointing toward the concept one-airway one disease.","PeriodicalId":53075,"journal":{"name":"Indian Journal of Allergy Asthma and Immunology","volume":"8 1","pages":"92 - 97"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75204419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Allergic sensitization in nasobronchial allergy patients and its correlation with total immunoglobulin E level","authors":"V. Kumar, D. Rai, H. Shekhar","doi":"10.4103/ijaai.ijaai_7_20","DOIUrl":"https://doi.org/10.4103/ijaai.ijaai_7_20","url":null,"abstract":"INTRODUCTION: Bronchial asthma (BA) and allergic rhinitis (AR) are immunoglobulin (Ig) E-mediated hypersensitivity phenomena. The objective of the study is to assess the association between total serum IgE level and skin prick test (SPT) in Indian patients who presented with different nasobronchial allergy symptoms. MATERIALS AND METHODS: This was an observational prospective study conducted in the Allergy and Asthma Clinic, Motihari, Bihar. A total of 183 patients diagnosed as BA and AR undergo SPT against different allergens between January 2017 and July 2018. Serum total IgE was measured in all patients. All statistical analyses were performed using statistical software SPSS version 20 (SPSS Inc., Chicago, IL, USA). P < 0.05 was considered statistically significant. RESULTS: The study patients included 95 males and 88 females (total 183) with a mean age of 27.15 ± 12.64 years. SPT was positive in 99 out of 183 (54.09%) study patients. BA and AR were associated with skin sensitization in 30.60% and 15.30% of patients, respectively, while 54.09% of patients were associated with both AR and asthma. Forty-four out of 99 (44.44%) patients were sensitized to single allergen, while 40.40% and 15.15% of patients were sensitized to 2–5 allergens and >5 allergens, respectively. Except 11 patients, all the study patients had high total IgE level (>150 IU/ml). More than half of the study patients (51.36%) were associated with more than 1000 serum total IgE level. Total IgE level was not affected with the number of allergen sensitization. SPT-positive patients had higher IgE value than SPT-negative patients but statistically not significant (P > 0.05), and there was also poor correlation between SPT result and serum total IgE level (r = 0.102). CONCLUSION: SPT should be performed in all clinical allergic patients irrespective of serum total IgE level.","PeriodicalId":53075,"journal":{"name":"Indian Journal of Allergy Asthma and Immunology","volume":"19 1","pages":"63 - 67"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79832955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study on respiratory morbidities among school children post Diwali in Bangalore city","authors":"G. Gowda, Sunil M. Gurupadaswamy, Sweta Athani","doi":"10.4103/ijaai.ijaai_21_20","DOIUrl":"https://doi.org/10.4103/ijaai.ijaai_21_20","url":null,"abstract":"BACKGROUND: Diwali is a Hindu festival celebrated every year in the month of October/November throughout India. The burning of firecrackers during the festival releases a large number of air pollutants leading rise in ambient air pollution. Children are at risk of exposing to these chemicals and have shown an increased incidence of respiratory morbidities. OBJECTIVE: The objective of this study is to identify the magnitude of respiratory morbidities among school children post Diwali in Bengaluru city. SETTING AND DESIGN: A cross-sectional study was conducted from November 2018 to January 2019 among school children aged between 10 and 16 years. METHODOLOGY: Schools coming under the urban field Practice area of Medical College and consenting for the study were selected by the simple random sampling. Students willing to participate from each school were selected by the simple random sampling. Each student was interviewed using the pretested semistructured questionnaire. STASTICAL ANALYSIS USED: Data were entered and analyzed using Epi-info 7.2.2.1. Descriptive statistics such as mean, standard deviation (SD), and proportions and inferential statistics such as the Chi-square test were used. RESULTS: A total of 637 participants were interviewed, of which 308 (48.35%) were boys and 329 (51.65%) were girls. The mean age of the study participants was 12.53 ± 1.65 years (mean ± SD). It was observed that 263 (41.28%) children were suffering from one or other respiratory morbidities. One hundred and thirty-five (21.19%) children were suffering from upper respiratory tract infection and 138 (21.66%) had lower respiratory tract infections. One hundred twenty-three (19.31%) suffered from allergic rhinitis, of which 59 (47.93%) had an exacerbation following Diwali. Twenty-seven (4.24%) were asthmatic, of which 17 (62.96%) experienced an exacerbation after Diwali. CONCLUSION: There is a high burden of respiratory morbidities among children following Diwali festival in Bangalore city.","PeriodicalId":53075,"journal":{"name":"Indian Journal of Allergy Asthma and Immunology","volume":"2016 1","pages":"107 - 111"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83496276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge assessment among caregivers about various allergic disorders in a hospital-based pediatric outpatient department in North India","authors":"Paramita Paul, Yatish Singh, Neeraj Gupta, P. Agarwal, A. Sachdev, D. Gupta","doi":"10.4103/ijaai.ijaai_30_20","DOIUrl":"https://doi.org/10.4103/ijaai.ijaai_30_20","url":null,"abstract":"CONTEXT: Various types of allergic disorders are increasing worldwide. The diagnostic and treatment facilities are limited compared to their vast magnitude. Lack of awareness among caregivers and beneficiaries could be one of the critical factors for inadequate management especially in developing countries. AIM: This study aims to evaluate the knowledge among caregivers about various allergic disorders in a pediatric setup. SUBJECTS AND METHODS: Caregivers of children, presenting for their illness at pediatric outpatient department of a tertiary care hospital of North India, were recruited over 6 months' period using a 22-item prevalidated questionnaire. STATISTICAL ANALYSIS USED: Sigma Plot Software version 12. RESULTS: Among the 1000 participants, majority (94%) had some knowledge about allergy. Doctors were major source (55%) of information. More than half (53%) believed it to be contagious. House dust (70%) and food additives (24%) were considered major allergens. Seasonal variations (54%) and environmental pollution (48%) were considered the most common aggravating factors while steam inhalation (14%), yoga (11%), and air purifiers (10%) helped in symptom reduction. Skin and respiratory symptoms were a common knowledge amongst many study participants. Only 8% were aware about skin tests for allergy diagnosis. Alternative medicine was the treatment of choice among two-third of people. Oral route was preferred over inhaled medicines. CONCLUSION: The current study highlights limited knowledge and existence of misconceptions regarding allergic disorders in general population necessitating the need to improvise awareness campaigns.","PeriodicalId":53075,"journal":{"name":"Indian Journal of Allergy Asthma and Immunology","volume":"2 1","pages":"112 - 116"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78952149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Speculation of life after COVID-19","authors":"Ankur Garg, S. Bagri, Mohan Gupta, S. Gaur","doi":"10.4103/ijaai.ijaai_49_20","DOIUrl":"https://doi.org/10.4103/ijaai.ijaai_49_20","url":null,"abstract":"","PeriodicalId":53075,"journal":{"name":"Indian Journal of Allergy Asthma and Immunology","volume":"10 1","pages":"53 - 54"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89125334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Bacille Calmette-Guérin in offering protection against COVID-19","authors":"S. Bagri, Ankur Garg, Mohan Gupta, S. Gaur","doi":"10.4103/ijaai.ijaai_50_20","DOIUrl":"https://doi.org/10.4103/ijaai.ijaai_50_20","url":null,"abstract":"","PeriodicalId":53075,"journal":{"name":"Indian Journal of Allergy Asthma and Immunology","volume":"39 1","pages":"55 - 56"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83011698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}