Abstract:
OBJECTIVES:To guide the diagnostic and therapeutic management of severe forms of food allergy. DATA SOURCES:Search in the Medline database using the terms "severe food allergy," "anaphylaxis and food allergy," "generalized urticaria and food allergy," and "food protein-induced enterocolitis syndrome" in the last ten years, searching in the title, abstract, or keyword fields. SUMMARY OF DATA:Food allergy can be serious and life-threatening. Milk, eggs, peanuts, nuts, walnuts, wheat, sesame seeds, shrimp, fish, and fruit can precipitate allergic emergencies. The severity of reactions will depend on associated cofactors such as age, drug use at the onset of the reaction, history and persistence of asthma and/or severe allergic rhinitis, history of previous anaphylaxis, exercise, and associated diseases. For generalized urticaria and anaphylaxis, intramuscular epinephrine is the first and fundamental treatment line. For the treatment in acute phase of food-induced enterocolitis syndrome in the emergency setting, prompt hydroelectrolytic replacement, administration of methylprednisolone and ondansetron IV are necessary. It is important to recommend to the patient with food allergy to maintain the exclusion diet, seek specialized follow-up and, in those who have anaphylaxis, to emphasize the need to carry epinephrine. CONCLUSION:Severe food allergy may occur in the form of anaphylaxis and food-protein-induced enterocolitis syndrome, which are increasingly observed in the pediatric emergency room; hence, pediatricians must be alert so they can provide the immediate diagnosis and treatment.
journal_name
J Pediatr (Rio J)journal_title
Jornal de pediatriaauthors
Sarinho E,Lins MDGMdoi
10.1016/j.jped.2017.06.021subject
Has Abstractpub_date
2017-01-01 00:00:00pages
53-59eissn
0021-7557issn
1678-4782pii
S0021-7557(17)30423-0journal_volume
93 Suppl 1pub_type
杂志文章,评审abstract:OBJECTIVE:End-stage renal disease is a health problem that consumes public and private resources. This study aimed to identify the cost of hemodialysis (either daily or conventional hemodialysis) and transplantation in children and adolescents. METHODS:This was a retrospective cohort of pediatric patients with End-sta...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2017.05.004
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To characterize the deaths of 193 children with sickle cell disease screened by a neonatal program from 1998 to 2012 and contrast the initial years with the final years. METHODS:Deaths were identified by active surveillance of children absent to scheduled appointments in Blood Bank Clinical Centers (Hemomina...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2014.08.006
更新日期:2015-05-01 00:00:00
abstract::OBJECTIVE: Aiming a better understanding of the distribution of enteropathogens in Brazil, we have investigated the prevalence of enteropathogens in acute infantile diarrhea in children of low economic level from São José do Rio Preto, SP.METHODS: A prospective study with 196 children under age five, all with diarrhea...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.444
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVE:Report the incidence, epidemiology, clinical features, death, and vaccination status of patients with whooping cough and perform genotypic characterization of isolates of B. pertussis identified in the state of Paraná, during January 2007 to December 2013. METHODS:Cross-sectional study including 1,209 patien...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2014.09.004
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:Assess the maternal socio-demographic factors associated with the frequency of use of child care services by low income families. METHODS:Cross-sectional analysis of 393 children between 12 and 16 months old who participated in a randomized field trial during their first year of life in a program of nutritio...
journal_title:Jornal de pediatria
pub_type: 杂志文章,随机对照试验
doi:10.2223/JPED.1966
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVES:To describe the prevalence of and factors associated with overweight in children under 4 years of age in Feira de Santana, state of Bahia, Brazil. METHODS:Cross-sectional study nested within a birth cohort of 793 children born in Feira de Santana, Brazil. Independent variables were related to infant charact...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.2009
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVES:To identify the prevalence of iron deficiency in the population studied, as well as verifying if such deprivation is associated with vitamin A deficiency. METHODS:One hundred seventy-nine children, > or = 24 months and < 72 months of age, with no diarrhea and/or fever at collection were studied. Vitamin A d...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2005-03-01 00:00:00
abstract::OBJECTIVES: To establish the profile of neonates in Caxias do Sul city, and to study early neonatal mortality, its causes and related variables.METHODS: This cohort study enrolled 5,545 newborns, which were followed up to 7 days after birth. The probability of early neonatal mortality was calculated and multiple logis...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.53
更新日期:2000-05-01 00:00:00
abstract:OBJECTIVE:To evaluate the association of intimate partner violence during the gestational period and the development of externalizing and internalizing behavioral problems in children and adolescents. SOURCE OF DATA:A meta-analysis of cohort and case-control studies was performed, using studies selected from electroni...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.1016/j.jped.2018.01.007
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:To rescue medical genetics concepts that are necessary to understand the advances in the genetic-molecular characterization of primary immunodeficiencies, to help in the understanding and adequate interpretation of their results. SOURCE OF DATA:Non-systematic literature review, searching for articles since ...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.1016/j.jped.2020.09.007
更新日期:2020-10-26 00:00:00
abstract:OBJECTIVE:To evaluate the safety, tolerability and potential therapeutic effects of gastrin-releasing peptide in three children with autistic spectrum disorder. METHODS:Case series study with the intravenous administration of gastrin-releasing peptide in the dose of 160pmol/kg for four consecutive days. To evaluate th...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2015.08.012
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To evaluate the trend of pneumonia mortality in Brazilian children aged 4 years and younger from 1991 to 2007. METHODS:We conducted a retrospective study based on the database of the IT Department of the Brazilian Unified Health System (DATASUS), from which we obtained the number of deaths from pneumonia and...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.2070
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the peak inspiratory pressure, tidal volume and respiratory rate achieved during manual ventilation of premature lambs, using a self-inflating bag. METHODS:In this descriptive, experimental study, five pairs of physicians, selected at random among 35 neonatologists working at a neonatal intensive...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1517
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVE:To assess the evolution of nutritional status in children admitted to the Teaching Hospital of Universidade Federal de Alagoas. METHODS:A retrospective study was performed on 52 children (0-10 yrs) whose length of hospital stay exceeded 10 days (from February to July/2001). We compared their nutritional stat...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.905
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVE:To assess the incidence of brain death (BD) and its medical management and adopted protocols after its diagnosis in seven pediatric intensive care units (PICUs) located in three Brazilian regions. METHODS:A cross-sectional and multicenter study was conducted, based on the retrospective review of medical reco...
journal_title:Jornal de pediatria
pub_type: 杂志文章,多中心研究
doi:10.2223/JPED.1594
更新日期:2007-03-01 00:00:00
abstract::OBJECTIVE: To determine ASO titer profile by establishing ARF differential diagnoses of other diseases with high levels of ASO antibodies. METHODS: We investigated 78 patients with ARF at onset and follow-up, 22 with isolated chorea at onset, 45 with recurrent oropharyngeal tonsillitis, and 23 with recent flare of juv...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.185
更新日期:2001-03-01 00:00:00
abstract:OBJECTIVE:To characterize varicella zoster virus-related deaths and hospitalizations in Brazil before universal vaccination with the tetravalent (measles, mumps, rubella, and varicella) vaccine, attempting to collect baseline data on varicella morbidity and mortality in order to evaluate the impact of the varicella vac...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2015.10.003
更新日期:2016-07-01 00:00:00
abstract::OBJECTIVES: To characterize primitive neuroectodermal tumor of the kidney as a differential diagnosis for Wilms tumor, and to emphasize the severity of the disease. METHODS: We report the case of a patient with a diagnosis of primitive neuroectodermal tumor of the kidney who underwent nephrectomy and complete tumor re...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.111
更新日期:2001-01-01 00:00:00
abstract::OBJECTIVE: This study is the result of an inquiry into the grandmother's role in the decision as well as the duration of her daughter's choice to breast-feed. METHOD: This project uses a phenomenological theoretical background which leads one to understand breast-feeding based on the view of the grandmother. Thus, thi...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.340
更新日期:1999-11-01 00:00:00
abstract::OBJECTIVE: To review current information about congenital and perinatal infections, mainly related to their epidemiology in Brazil, mother-to-infant transmission, diagnosis, treatment and prevention. Particular aspects related to the agents T. pallidum, hepatitis B virus, human immunodeficiency virus, cytomegalovirus ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.368
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVES:To identify and characterize respiratory viruses that infect children from daycare centers with symptoms of respiratory infection and to evaluate the association of clinical and epidemiological disease data with the identified virus. METHODS:We conducted a study between 2003 and 2005 in 176 children with re...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.2126
更新日期:2011-09-01 00:00:00
abstract::OBJECTIVES: To present the clinical outcome of a newborn with severe respiratory distress secondary to meconium aspiration syndrome and treated by extracorporeal membrane oxygenation (ECMO); and to present the effect of the use of exogenous surfactant in this case and the cost of the procedure. METHODS: Case report of...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.212
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVE:Sedation is an important step in the management of patients with hypercyanotic spells associated with tetralogy of Fallot (TOF) to ameliorate and prevent recurrence of cyanosis. This case report illustrates the effectiveness of dexmedetomidine-induced sedation in the management of hypercyanotic spells in a ne...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1794
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVES:To evaluate the impact of heptavalent pneumococcal conjugate vaccine in invasive pneumococcal diseases in the United States, and to analyze the potential impact of this vaccine in Brazil. SOURCES OF DATA:MEDLINE, LILACS, Cochrane Database Reviews, as well as the websites of the Centers for Disease Control a...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.2223/JPED.1475
更新日期:2006-07-01 00:00:00
abstract::OBJECTIVES: To identify rubella prevalence in different ages and population groups and rubella susceptibility of pregnant and postpartum women according to age, number of children and spontaneous abortion. METHODS: Cross-sectional study of sero-survey type. Children and students were selected in day-care centers and s...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.470
更新日期:1998-11-01 00:00:00
abstract:OBJECTIVE:To analyze acute splenic sequestration (ASS) in children with sickle cell anemia diagnosed through a newborn screening program in the state of Minas Gerais, Brazil, and followed up at the hematology center in the city of Belo Horizonte, Minas Gerais, Brazil. METHODS:Retrospective cohort of 255 children with ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1885
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVES:To draw skinfold (SF) reference curves (subscapular, suprailiac, biceps, triceps) and to determine SF cutoff points for predicting the risk of metabolic syndrome (MetS) in children aged 6-10 years old. METHODS:This was a cross-sectional study with a random sample of 1480 children aged 6-10 years old, 52.2% ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2016.11.013
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To compare the use of intravenous vs. oral antibiotic therapy. METHODS:All febrile neutropenic patients younger than 18 years old with low risk of complications and receiving chemotherapy were selected. The study was conducted from 2002 to 2005 at the Pediatric Oncology Unit of Hospital de Clínicas de Porto ...
journal_title:Jornal de pediatria
pub_type: 杂志文章,随机对照试验
doi:10.2223/JPED.1956
更新日期:2009-11-01 00:00:00
abstract::BCG-test reaction was carried out in 91 non-tuberculous children between 2 and 11 years old, who had received BCG vaccination during the first six months of life to critically evaluate the usefulness of this test in Pediatric practice. The BCG-test profile of the vaccinated group was shown to have a unimodal distribut...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.678
更新日期:1994-11-01 00:00:00
abstract::OBJECTIVE: To report four cases of myositis ossificans progressiva, its form of presentation, in addition to new control and treatment options. DESCRIPTION: The authors describe four cases of myositis ossificans progressiva, presenting its clinical manifestations, evolution, and available forms of control and treatmen...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.287
更新日期:2001-09-01 00:00:00