{"title":"Infantile Systemic Hyalinosis: A Case Report of Compromised Cellular and Humoral Branches of the Immune System Leading to Infections.","authors":"Yana Klebanova, Christina Schwindt","doi":"10.1089/pai.2009.0011","DOIUrl":"10.1089/pai.2009.0011","url":null,"abstract":"<p><p>Infantile systemic hyalinosis (ISH) is a rare disorder characterized by hyaline deposition in the skin as well as visceral organs. Though commonly associated with a protein losing enteropathy (PLE) and loss of immunoglobulins the profile of cellular and humoral branches of the immune system has not previously been described. We describe the immune system deficits in a case of ISH associated with PLE and infections. A history of multiple infections prompted an immunocompetency evaluation in a patient with ISH and PLE. Low immunoglobulin G (IgG), poorly protective pneumococcal titers, and nonresponse to Candida on lymphocyte transformation in the face of increasing infections lead to the diagnosis of a combined immunodeficiency. This is the first case report detailing quantitative and qualitative deficits of the humoral and cellular branches of the immune system in a patient with ISH. The understanding of the different aspects of this disease including the immune deficits impacts not only prognosis but also end-of-life decisions as well.</p>","PeriodicalId":88951,"journal":{"name":"Pediatric asthma, allergy & immunology","volume":"22 3","pages":"127-130"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885719/pdf/nihms162992.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29068116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
William J Sheehan, Andrea Gardynski, Wanda Phipatanakul
{"title":"Skin Testing With Water Buffalo's Milk in Children With Cow's Milk Allergy.","authors":"William J Sheehan, Andrea Gardynski, Wanda Phipatanakul","doi":"10.1089/pai.2009.0016","DOIUrl":"10.1089/pai.2009.0016","url":null,"abstract":"<p><p>BACKGROUND: Cow's milk allergy is the most common food allergy in young children. In areas outside the United States, milk from other mammals has been studied as a possible and desirable alternative for children with cow's milk allergy. OBJECTIVES: We chose to further investigate water buffalo's milk as an alternative for cow's milk allergic children in the United States. METHODS: Children with cow's milk allergy were skin prick tested with water buffalo's milk. Additionally, subjects were followed clinically for 1 year after the test to determine how many of the subjects had persistent cow's milk allergy. RESULTS: In total, 30 children, age 8 months to 8 years, were skin prick tested to water buffalo's milk with 73% (22/30) having a positive test. All children with a negative water buffalo's milk skin test also had a negative cow's milk skin test. In follow-up, most (7 of 8) of the children with a negative skin prick test (SPT) to water buffalo's milk were found to have outgrown their cow's milk allergy. In comparison, all of the subjects with a positive skin test to water buffalo's milk had persistent cow's milk allergy. After adjusting for this, we determined that 96% (22/23) of the children with persistent cow's milk allergy were positive on skin testing to water buffalo's milk. CONCLUSIONS: In this population, the vast majority of children with persistent cow's milk allergy were positive on skin prick testing to water buffalo's milk. These results indicate that water buffalo's milk is unlikely to be a successful alternative for children with cow's milk allergy.</p>","PeriodicalId":88951,"journal":{"name":"Pediatric asthma, allergy & immunology","volume":"22 3","pages":"121-125"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3218082/pdf/nihms333464.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30269398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wanda Phipatanakul, Jerry A Winkelstein, Alan M Lake
{"title":"Cyclosporine Treatment of Intractable Colitis in Chronic Granulomatous Disease.","authors":"Wanda Phipatanakul, Jerry A Winkelstein, Alan M Lake","doi":"10.1089/pai.2000.14.125","DOIUrl":"10.1089/pai.2000.14.125","url":null,"abstract":"","PeriodicalId":88951,"journal":{"name":"Pediatric asthma, allergy & immunology","volume":"14 2","pages":"125-127"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3276651/pdf/nihms351660.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30454609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lori D Wilson, Frank P Zaldivar, Christina D Schwindt, Dan M Cooper
{"title":"The Pro- and Anti-Inflammatory Cytokine Response to Exercise in Adolescent Swimmers.","authors":"Lori D Wilson, Frank P Zaldivar, Christina D Schwindt, Dan M Cooper","doi":"10.1089/pai.2009.0013","DOIUrl":"https://doi.org/10.1089/pai.2009.0013","url":null,"abstract":"<p><strong>Objective: </strong>Whether or not individuals with allergy and asthma experience different patterns of change in the balance of both pro- and anti-inflammatory mediators with acute exercise is not known. We hypothesized that adolescent swimmers with a clinical diagnosis of respiratory allergy would have an exaggerated proinflammatory response to laboratory exercise relative to a no-allergy comparison group.</p><p><strong>Methods: </strong>Adolescent swimmers (17 with clinical symptoms of respiratory allergy (CSRA) and 17 in comparison group) completed the American Thoracic Society (ATS) exercise challenge on cycle ergometer. Blood was collected at baseline and immediately post-exercise. All study tests were conducted at the Institute for Clinical Translational Science at the University of California, Irvine. Circulating cytokines, growth factors, and adhesion molecules were measured using ELISAs including transforming growth factor-β1 (TGF-β1), tumor necrosis factor-α (TNF-α), interleukin-4 (IL-4), IL-6, IL-10, P-selectin, and immunoglobulin E (IgE).</p><p><strong>Results: </strong>There was a trend toward higher resting levels of TNF-α in the CSRA group (P = 0.076). Exercise induced a significant increase in P-selectin and TGF-β1 in both groups. TNF-α increased significantly (17%) in the comparison group (pre = 0.6, post = 0.7 pg/mL), but not in the CSRA group. IL-6 increased significantly in the CSRA group (pre = 0.7, post = 0.8 pg/mL), but not in the comparison group. Circulating levels of IL-4 and IL-10 were not altered immediately post-exercise in either group.</p><p><strong>Conclusions: </strong>A short bout of intense exercise increased inflammatory growth factors and adhesion molecules, namely TGF-β1 and P-selectin, both of which are known to be involved in allergic airway diseases. Differences in resting IL-6 and TNF-α and exercise alterations in these cytokines may also contribute to allergic disease in adolescent elite swimmers.</p>","PeriodicalId":88951,"journal":{"name":"Pediatric asthma, allergy & immunology","volume":"22 3","pages":"95-100"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/pai.2009.0013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32830000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In My Opinion—Interview with the Expert","authors":"M. Kiernan","doi":"10.1089/pai.2006.19.195","DOIUrl":"https://doi.org/10.1089/pai.2006.19.195","url":null,"abstract":"","PeriodicalId":88951,"journal":{"name":"Pediatric asthma, allergy & immunology","volume":"59 1","pages":"195-199"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73974957","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":"In My Opinion—Interview with the Expert","authors":"W. Dolen","doi":"10.1089/pai.2005.18.51","DOIUrl":"https://doi.org/10.1089/pai.2005.18.51","url":null,"abstract":"","PeriodicalId":88951,"journal":{"name":"Pediatric asthma, allergy & immunology","volume":"39 1","pages":"51-54"},"PeriodicalIF":0.0,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85706778","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":"In My Opinion—Interview with the Expert","authors":"B. Smart","doi":"10.1089/pai.2005.18.1","DOIUrl":"https://doi.org/10.1089/pai.2005.18.1","url":null,"abstract":"","PeriodicalId":88951,"journal":{"name":"Pediatric asthma, allergy & immunology","volume":"114 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87595211","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}
J. Hsieh, K. Lue, D. Lai, Hai-Lun Sun, Yung-Hsiang Lin
{"title":"A Comparison of Cetirizine and Montelukast for Treating Childhood Perennial Allergic Rhinitis","authors":"J. Hsieh, K. Lue, D. Lai, Hai-Lun Sun, Yung-Hsiang Lin","doi":"10.1089/088318704322994958","DOIUrl":"https://doi.org/10.1089/088318704322994958","url":null,"abstract":"The purpose of the present study was to compare the efficacy and safety of cetirizine and montelukast use for the treatment of pediatric perennial allergic rhinitis. To this end, 60 perennial allergic rhinitis patients suffering a mite allergy, and aged from 6 to 12 years old, were randomly assigned to one of three treatment groups for a period of 12 weeks; 20 were assigned to the cetirizine group (10 mg daily), 20 to the montelukast group (5 mg daily), and 20 to the placebo group. The effects of the three agents were compared with the Pediatric Rhinoconjunctivitis Quality of Life Questionnaire and participants' nasal symptom score by daily diary card. Nasal peak expiratory flow rate and laboratory examinations were evaluated for members of the three groups. The results revealed that cetirizine and montelukast were efficacious for the total symptom score for weeks 4, 8, and 12 (p < 0.01). Cetirizine was more effective than montelukast for rhinorrhea, nasal congestion, sneezing, and red eyes. The Pediatric...","PeriodicalId":88951,"journal":{"name":"Pediatric asthma, allergy & immunology","volume":"4 1","pages":"59-69"},"PeriodicalIF":0.0,"publicationDate":"2004-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88589926","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}
V. F. Jones, P. Lawson, G. Robson, B. Buchanan, Tim E. Aldrich
{"title":"The Use of Spatial Statistics to Identify Asthma Risk Factors in an Urban Community","authors":"V. F. Jones, P. Lawson, G. Robson, B. Buchanan, Tim E. Aldrich","doi":"10.1089/088318704322994895","DOIUrl":"https://doi.org/10.1089/088318704322994895","url":null,"abstract":"Spatial epidemiological methods were used to identify relationships between pediatric asthma hospitalizations and specific demographic factors. A cross-sectional analysis of pediatric asthma hospital discharge data was linked to demographic, sociodemographic, and zip code-based information. Five hundred thirty-seven admissions were reported from 32 zip code areas. The mean crude rate of asthma discharges was 138.76/100,000, with 13 of these zip code areas exceeding this rate; 10 were adjacent (p < 0.002). Asthma rates organized by zip code found that the distribution of poverty (p < 0.0001), proportion of African-American residents (p < .0001), and educational attainment (p < 0.0001) in Jefferson County had similar aggregation patterns. Physician location was inversely correlated. Spatial epidemiology is a useful tool to demonstrate relationships between demographic information and disease rates, thus permitting intervention that is focused on high-risk communities.","PeriodicalId":88951,"journal":{"name":"Pediatric asthma, allergy & immunology","volume":"34 1","pages":"3-13"},"PeriodicalIF":0.0,"publicationDate":"2004-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89435118","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}