PHOTOCLINIC

Allergic Fungal Sinusitis
August 1, 2008

An 18-year-old woman with a history of allergic rhinitis and moderate persistent asthma presented with right-sided nasal congestion of 6 months’ duration. Her symptoms persisted despite her usual allergy medications, allergen immunotherapy, and 2 courses of antibiotics. A sinus CT scan showed complete opacification of the right maxillary sinus with increased attenuation of the mucin. Allergic fungal rhinosinusitis was suspected, and an otolaryngologist was contacted.

JOB LISTINGS

Post a job

PRACTICAL POINTERS

"Tune In" to Injection Trepidation
June 9, 2010

To allay children's fears about immunizations or allergy shots, keep a pocket-sized, battery-operated radio in the office.

"Left, Right, Right, Left" for Best Nasal Spray Delivery
May 5, 2010

For my patients who use nasal spray, I advise them to use the right hand to spray into the left nostril and the left hand to spray into the right nostril.

Hold the Spray Until Morning
October 6, 2009

Advise patients who are receiving continuous positive airway pressure (CPAP) therapy and who use a corticosteroid nasal spray for allergies to spray in the morning rather than at bedtime. If the spray is used in the evening, CPAP may dry it out, making it less effective.

Better Direction for Nasal Spray
December 31, 2006

Children sometimes have difficulty using nasal sprays for allergies.

Cross Your Heart to Prevent Nasal Injury
December 31, 2006

To prevent epistaxis or damage to the septum from the use of a corticosteroid nasal spray, advise patients to cross their arms and spray with the hand contralateral to the target nostril.

PATIENT RESOURCES

National Healthcare Disparities Report, 2011

www.ahrq.gov - 3/16/12

National Healthcare Quality Report, 2011

www.ahrq.gov - 3/16/12

Prevention and Control of Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2011

www.cdc.gov - 8/26/11

CONNECT WITH US

	Become a fan on Facebook
	Add us on Google Plus
	Follow us on Twitter
	Join our LinkedIn group
	Sign up for our Newsletters
	Subscribe to our RSS Feed

Seasonal Allergies

Piecing Together Your Staffing Puzzle
Staff Salary Survey 2012

You'll find detailed data on how much practices around the country are paying their various staffers by clicking here…Read More
Dental Abscess with Orofacial Sinus Tract

There is a subtle but palpable swelling at the angle of this woman's jaw. What treatment did she receive?Read More
An Elderly Woman with IgA Lambda Multiple Myeloma and Kidney Disease

A 92-year-old woman presented with a 6-month history of progressively worsening fatigue, weight loss, generalized bone pain, and dyspnea on exertion. Click here for the laboratory results. Read more
Chronic Shoulder Pain and Fingernail Clubbing

A middle-age man presents to the ED with intermittent right shoulder pain. A check of his finger strength reveals abnormal looking fingernails. Click here to see how chronic shoulder pain and recent onset of fingernail clubbing relate.Read More

FEATURED CONTENT

December 20, 2010

Teen With Progressive Depigmented Patches

This 16-year-old boy had slowly progressive hypopigmented lesions on the lower extremities for the past 4 years. He also had atopic dermatitis, asthma, and allergic rhinitis.
More »

July 6, 2010

Boy With Thick Plaques on His Palms and Soles

At his first well-child visit after a family move, an 8-year-old boy was noted to have bilateral erythematous plaques on the surfaces of his hands and feet. Mother reported that the condition had been present since he was 2 or 3 months old. Patient’s father and other male relatives on the paternal side (uncles, grandfather, great-grandfather)... More »

July 1, 2010

Can You Identify This Puzzling Rash?

Apreviously healthy 47-year-old woman presents with an ascending, nonpruritic rash of 3 days’ duration on her legs. She reports that the rash began on her ankles following a day of gardening. She does not recall any recent insect bites and denies chest pain, dyspnea, abdominal pain, fever, arthralgia, arthritis, cough, and hemoptysis. She has never had a similar rash before. The patient’s only medication is an oral antihistamine for seasonal allergies. She has no known drug allergies. More »

March 31, 2010

Allergic Rhinitis: Update on Your Therapeutic Choices

Many pharmacological options exist for allergic rhinitis. Intranasal corticosteroids are the most effective medication class for patients with moderate to severe symptoms; those with milder intermittent symptoms can be treated with a second-generation oral or intranasal antihistamine.
More »

November 9, 2009

Managing Allergic Rhinitis: The Role of Pharmacotherapy

While avoidance measures are a key component of the treatment of allergic rhinitis, pharmacological therapies are often needed to adequately control symptoms. Intranasal corticosteroids are highly effective and are particularly useful in patients with moderate to severe disease.
More »

Showing 1 - 5 of 50 results.

Page of 10

First Previous Next Last

DERMCLINIC

Case 2: How would you treat this pruritic eruption that resists topical corticosteroids?
July 6, 2009

For the past year, a 15-year-old boy has had a pruritic eruption on his shins. His mother suspects that his soccer shin guards are the cause; however, he wears them over his socks. Topical corticosteroids have not been effective.

JOURNAL SCAN

Risk of hypospadias in offspring of women using loratadine during pregnancy: a systematic review and meta-analysis.

pubmed.gov - 1/1/08

Loratadine, a second-generation antihistamine, is commonly used to treat seasonal allergies. Some studies have suggested that use of loratadine by pregnant women increases the risk of hypospadias in male offspring.|This meta-analysis was designed to assess the strength of the association between loratadine and hypospadias.|To locate pertinent articles published in any language from January 1989 until August 2007, we searched electronic databases (MEDLINE, OVID, EMBASE, SCOPUS, TOXLINE Special, ReproTox, TERIS, CINAHL and others), conference proceedings and bibliographies. Studies were eligible for this analysis if they were cohort, case-control or case series studies that reported the incidence of hypospadias in the offspring of women who were or were not exposed to loratadine during pregnancy. Two authors independently extracted information on study design, participant characteristics, measures of outcome, control for potential confounding factors and risk estimates using a

Good allergy practice--standards of care for providers and purchasers of allergy services within the National Health Service. Royal College of Physicians and Royal College of Pathologists.

pubmed.gov - 7/1/95

Allergic diseases affect at least 15% of the population and are the cause of much ill-health. 'Clinical immunology and allergy', the term used by the Department of Health in England and Wales for this area of specialization, is recognized as a separate specialty of medicine under the National Health Service. Many organ-based hospital consultants (e.g. chest physicians) have allergy as a special interest or subspecialty. Allergists deal largely with 'itch, sneeze, cough and wheeze' and so are experts in: summer hay fever (seasonal, allergic, conjunctivorhinitis); perennial rhinitis (symptoms of a 'permanent cold'); allergic asthma (including occupational asthma); allergy to stinging insects (especially wasps and bees); allergy to drugs; allergy-related skin disorders, i.e. urticaria, angioedema, atopic eczema and contact dermatitis; food allergy and food intolerance; anaphylaxis (acute generalized allergic reaction); evaluating the role of allergy in non-specific/polysymptomatic illness

Are the clinical effects of homeopathy placebo effects? A meta-analysis of placebo-controlled trials.

pubmed.gov - 9/20/97

Homeopathy seems scientifically implausible, but has widespread use. We aimed to assess whether the clinical effect reported in randomised controlled trials of homeopathic remedies is equivalent to that reported for placebo.|We sought studies from computerised bibliographies and contracts with researchers, institutions, manufacturers, individual collectors, homeopathic conference proceedings, and books. We included all languages. Double-blind and/or randomised placebo-controlled trials of clinical conditions were considered. Our review of 185 trials identified 119 that met the inclusion criteria. 89 had adequate data for meta-analysis, and two sets of trial were used to assess reproducibility. Two reviewers assessed study quality with two scales and extracted data for information on clinical condition, homeopathy type, dilution, "remedy", population, and outcomes.|The combined odds ratio for the 89 studies entered into the main meta-analysis was 2.45 (95% CI 2.05, 2.93) in favour of

MEDLINE

Differentiation stage determines pathologic and protective allergen-specific CD4+ T-cell outcomes during specific immunotherapy.

pubmed.gov - 2/2/12

The main obstacle to elucidating the role of CD4(+) T cells in allergen-specific immunotherapy (SIT) has been the absence of an adequately sensitive approach to directly characterize rare allergen-specific T cells without introducing substantial phenotypic modifications by means of in vitro amplification.|We sought to monitor, in physiological conditions, the allergen-specific CD4(+) T cells generated during natural pollen exposure and during allergy vaccination.|Alder pollen allergy was used as a model for studying seasonal allergies. Allergen-specific CD4(+) T cells were tracked and characterized in 12 subjects with alder pollen allergy, 6 nonallergic subjects, and 9 allergy vaccine-treated subjects by using peptide-MHC class II tetramers.|Allergen-specific CD4(+) T cells were detected in all of the subjects with alder pollen allergy and nonallergic subjects tested. Pathogenic responses--chemoattractant receptor homologous molecule expressed on T(H)2 lymphocytes (CRTH2) expression

pubmed.gov - 12/2/11

The International Study of Asthma and Allergies in Childhood (ISAAC) has reported the prevalence of asthma and allergic diseases in many countries.|We used the ISAAC core written questionnaire to examine the prevalence of asthma and allergic diseases in 6- to 14-year old schoolchildren in Tokyo. In 2005, we conducted a cross-sectional survey of all schoolchildren in all public schools located in the Setagaya area of Tokyo.|Data were collected from 27,196 children in 95 schools. Prevalence ranged from 10.5% to 18.2% for asthma symptoms and from 10.9% to 19.6% for atopic dermatitis, with both conditions tending to decrease with age. As has been previously reported for all age groups, significantly higher rates of current asthma are observed in boys than in girls. The prevalence of allergic rhinoconjunctivitis exhibited a different pattern from that of asthma and atopic dermatitis, peaking at the age of 10 (34.8%). Prevalence of allergic rhinoconjunctivitis was 1.5 to 2-fold higher than

Blunting the synergistic effect of viral infections and allergies--IgE testing for at-risk asthma patients.

pubmed.gov - 10/2/11

Results from s-IgE testing can help PCPs implement guideline-based asthma management and reduce the morbidity associated with the synergistic effects of allergen sensitization/exposure and seasonal viral exposure.

NEWS

ACAAI News, Meeting Coverage plus CME

www.medpagetoday.com -

11/15/2006. PHILADELPHIA -- Seasonal asthma exacerbations among children requiring hospitalizations don't seem to correlate with seasonal allergen prevalence, suggesting that other factors may be at work. ... 11/15/2006|. PHILADELPHIA -- Allergic

Pulmonology News plus CME

www.medpagetoday.com -

CHEST. ELCC. ELCC. ELCC. ELCC. IASLC. SCCM. Other Tools. 03/06/2012. ORLANDO -- Most mothers of children with food allergies who believe they have food sensitivities themselves do not meet clinical ... 03/06/2012. ORLANDO -- A new, environmentally

Allergy & Immunology News plus CME

www.medpagetoday.com -

03/07/2012. ORLANDO -- Two more groups reported here that the anti-IgE biologic drug omalizumab ( Xolair) was helpful in speeding immunotherapy for allergies, suggesting that the approach may be gaining ... momentum. 03/07/2012. ORLANDO -- Nursing