Anaphylaxis: evidence-based long-term risk reduction in the community.

Abstract:

:Anaphylaxis occurs frequently in the community, and it can be fatal in community settings. Risk assessment and risk reduction should ideally be coordinated by an allergy/immunology specialist and focus on: (1) prevention of subsequent anaphylaxis episodes, (2) emergency preparedness, and (3) anaphylaxis education. Preventive strategies should include trigger avoidance, specific preventive measures, and optimal management of comorbidities. Despite best efforts to avoid anaphylaxis triggers they can be encountered inadvertently, and anaphylaxis episodes can and do recur. Risk reduction therefore also focuses on emergency preparedness: carrying self-injectable epinephrine, having a personalized Anaphylaxis Emergency Action Plan, and wearing accurate medical identification. Anaphylaxis education should involve not only at-risk individuals and their families, but also health care professionals and the general public.

authors

Simons FE

doi

10.1016/j.iac.2007.03.007

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

231-48, vi-vii

issue

2

eissn

0889-8561

issn

1557-8607

pii

S0889-8561(07)00029-X

journal_volume

27

pub_type

杂志文章,评审
  • Perioperative anaphylaxis.

    abstract::The incidence of immune-mediated anaphylaxis during anesthesia ranges from 1 in 10,000 to 1 in 20,000. Neuromuscular blocking agents represent the most frequently involved substances, followed by latex and antibiotics, but every drug or substance used may be involved. Diagnosis relies on tryptase measurements at the t...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.iac.2009.04.004

    authors: Mertes PM,Lambert M,Guéant-Rodriguez RM,Aimone-Gastin I,Mouton-Faivre C,Moneret-Vautrin DA,Guéant JL,Malinovsky JM,Demoly P

    更新日期:2009-08-01 00:00:00

  • Pulmonary eosinophilic syndromes.

    abstract::Acute eosinophilic pneumonia, chronic eosinophilia, Churg-Strauss syndrome, and the hypereosinophilic syndrome are pulmonary eosinophilic syndromes characterized by an increased number of eosinophils in peripheral blood, in lung tissue, in sputum, in bronchoalveolar lavage fluid, or in all of these. These pulmonary eo...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2007.07.005

    authors: Wechsler ME

    更新日期:2007-08-01 00:00:00

  • Dermatologic and allergic conditions of the eyelid.

    abstract::This article reviews the dermatologic and allergic conditions of the eyelid. Topics include various eyelid dermatitis, inflammatory lesions, infections, benign and malignant tumor, urticaria, vascular lesions, and others. Treatment considerations for these conditions of the eyelid are also discussed. ...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2007.12.004

    authors: Peralejo B,Beltrani V,Bielory L

    更新日期:2008-02-01 00:00:00

  • Occupational asthma caused by exposure to low-molecular-weight chemicals.

    abstract::Chemical agents cause approximately 40% of cases of occupational asthma (OA). Diagnosis of OA caused by chemicals relies on the demonstration of decrements in lung function at the workplace or during a controlled specific inhalation challenge to the suspect chemical agent. Evaluation of workers is accomplished best wi...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8561(02)00084-x

    authors: Bernstein DI

    更新日期:2003-05-01 00:00:00

  • Measuring Success in the Treatment of Patients with Chronic Rhinosinusitis.

    abstract::Chronic rhinosinusitis (CRS) has a substantial impact on patients' quality of life (QOL). Among the many metrics available for measuring treatment success in CRS, patient-reported outcome measures that quantify changes in QOL are the most widely used methods. In addition, objective data from imaging, endoscopy, and ol...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2019.12.004

    authors: Chowdhury N,Smith TL,Beswick DM

    更新日期:2020-05-01 00:00:00

  • Exertional Dyspnea and Excessive Dynamic Airway Collapse.

    abstract::Excessive dynamic airway collapse is a relatively new diagnosis separate from tracheobronchomalacia that is manifested by functional collapse of the large airways. Most commonly described in patients with underlying obstructive lung disease such as chronic obstructive pulmonary disease and asthma, it may contribute to...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2018.01.006

    authors: Morris MJ,Woods JT,McLaughlin CW

    更新日期:2018-05-01 00:00:00

  • Management of primary antibody deficiency with replacement therapy: summary of guidelines.

    abstract::This article summarizes the guidelines for using replacement therapy in the management of patients who have primary antibody deficiency. ...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.iac.2008.07.003

    authors: Roifman CM,Berger M,Notarangelo LD

    更新日期:2008-11-01 00:00:00

  • Putting the puzzle together: epidemiological and clinical clues in the etiology of eosinophilic esophagitis.

    abstract::The cause of eosinophilic esophagitis remains unknown, but its epidemiology and clinical features provide pieces to the puzzle. Eosinophilic esophagitis probably emerged in the 1950s or early 1960s, has an increasing incidence, occurs in most developed countries, is related to food allergies, affects adults and childr...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2008.09.005

    authors: Bonis PA

    更新日期:2009-02-01 00:00:00

  • Vaccines in Patients with Primary Immune Deficiency.

    abstract::Evaluation of antibodies produced after immunization is central to immune deficiency diagnosis. This includes assessment of responses to routine immunizations as well as to vaccines administered specifically for diagnosis. Here, we present the basic concepts of the humoral immune response and their relevance for vacci...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2020.03.004

    authors: Bonilla FA

    更新日期:2020-08-01 00:00:00

  • Cytokine, sickness behavior, and depression.

    abstract::The psychologic and behavioral components of sickness represent, together with fever response and associated neuroendocrine changes, a highly organized strategy of the organism to fight infection. This strategy, referred to as sickness behavior, is triggered by the proinflammatory cytokines produced by activated cells...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.iac.2009.02.002

    authors: Dantzer R

    更新日期:2009-05-01 00:00:00

  • Radiosensitive severe combined immunodeficiency disease.

    abstract::Inherited defects in components of the nonhomologous end-joining DNA repair mechanism produce a T-B-NK+ severe combined immunodeficiency disease (SCID) characterized by heightened sensitivity to ionizing radiation. Patients with the radiosensitive form of SCID may also have increased short- and long-term sensitivity t...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.iac.2009.10.004

    authors: Dvorak CC,Cowan MJ

    更新日期:2010-02-01 00:00:00

  • Bacillus Calmette-Guerin, Mycobacterium bovis, as an immunomodulator in atopic diseases.

    abstract::Based on the hygiene hypothesis association between atopy and bacillus Calmette-Guerin (BCG), purified protein derivative skin test reaction, mycobacterial disease, and environmental mycobacteria are summarized. The role of mycobacterial species in the activation of the innate immune response through Toll-like recepto...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2006.02.002

    authors: Barlan I,Bahceciler NN,Akdis M,Akdis CA

    更新日期:2006-05-01 00:00:00

  • Urinary leukotriene E4 as a biomarker of exposure, susceptibility and risk in asthma.

    abstract::Measurement of urinary leukotriene E(4) (uLTE(4)) is a sensitive and noninvasive method of assaying total body cysteinyl leukotriene production and changes in cysteinyl leukotriene production. Recent studies have reported on novel uLTE(4) receptor interactions, and new applications for uLTE(4), as a biomarker of envir...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2012.06.012

    authors: Rabinovitch N

    更新日期:2012-08-01 00:00:00

  • Food Protein-Induced Enterocolitis Syndrome.

    abstract::Food protein-induced enterocolitis syndrome (FPIES) is a non-IgE-mediated food allergy that usually presents in infancy. Cow's milk, soy, and grains are the most common food triggers. FPIES can present as a medical emergency with symptoms including delayed persistent emesis or diarrhea that can lead to severe dehydrat...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2017.09.009

    authors: Bingemann TA,Sood P,Järvinen KM

    更新日期:2018-02-01 00:00:00

  • Hereditary Autoinflammatory Disorders: Recognition and Treatment.

    abstract::The autoinflammatory diseases encompass approximately 30 monogenic disorders in which inborn errors in the innate immune system lead to episodic systemic inflammation. Largely mediated by dysregulation of myeloid cells, interleukin (IL)-1β, type I interferon, and NF-κB, these disorders have rapidly expanded over the p...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2018.08.004

    authors: Broderick L

    更新日期:2019-02-01 00:00:00

  • Family studies and positional cloning of genes for asthma and related phenotypes.

    abstract::Although it is not yet known how many genes may contribute to the susceptibility or the severity of asthma and related phenotypes, genome-wide screens and positional cloning techniques have been successful in identifying contributing genes in multiple populations. The results of these studies provide additional insigh...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.iac.2005.09.003

    authors: Smith AK,Meyers DA

    更新日期:2005-11-01 00:00:00

  • Urticaria and angioedema.

    abstract::Urticaria and angioedema are commonly encountered complaints in children. Although the diagnosis is clear, establishing an etiology, especially with respect to chronic urticaria, can be challenging. A significant proportion of chronic urticarial cases are now considered to have an autoimmune etiology. This article rev...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2005.03.003

    authors: Baxi S,Dinakar C

    更新日期:2005-05-01 00:00:00

  • Progestogen Hypersensitivity: An Evidence-Based Approach to Diagnosis and Management in Clinical Practice.

    abstract::Heterogeneous presentations of disease pose particular diagnostic and management challenges to the clinician. Progestogen hypersensitivity (PH) classically consists of hypersensitivity symptoms to endogenous progesterone during the luteal phase of the menstrual cycle. However, with the rise of assisted fertility and t...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2017.07.006

    authors: Foer D,Buchheit KM

    更新日期:2017-11-01 00:00:00

  • Dilemmas and controversies in penicillin allergy.

    abstract::Since the initial reports of penicillin and beta-lactam drugs causing allergic reactions, much has been elucidated regarding their pathophysiology and mechanism of action. Despite advances in testing for penicillin allergy, with IgE antibodies and skin tests available for the major and minor determinants of penicillin...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2004.03.004

    authors: Thethi AK,Van Dellen RG

    更新日期:2004-08-01 00:00:00

  • Metabolic asthma: is there a link between obesity, diabetes, and asthma?

    abstract::Childhood asthma and obesity have reached epidemic proportions worldwide, and the latter is also contributing to increasing rates of related metabolic disorders, such as diabetes. However, the relationship between asthma, obesity, and abnormal metabolism is not well understood nor has it been adequately explored in ch...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2014.07.002

    authors: Perez MK,Piedimonte G

    更新日期:2014-11-01 00:00:00

  • Principles of and advances in immunoglobulin replacement therapy for primary immunodeficiency.

    abstract::During the last 2 decades, the continued development and the large-scale production of polyclonal immune serum globulin (ISG) preparations with improved safety and tolerability profiles have allowed treatment to focus on quality of life and long-term freedom from the complications of primary immune deficiency disease,...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2008.01.008

    authors: Berger M

    更新日期:2008-05-01 00:00:00

  • The role of lymphocytes in eosinophilic gastrointestinal disorders.

    abstract::Eosinophilic gastrointestinal diseases (EGIDs) encompass a variety of disorders including eosinophilic esophagitis (EE), eosinophilic gastroenteritis (EG), and eosinophilic colitis. Although the pathogenesis of EGIDs is still poorly understood, dietary food antigens have been shown to cause EGIDs through several short...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2008.10.006

    authors: Chehade M,Sampson HA

    更新日期:2009-02-01 00:00:00

  • Role of tumor necrosis factor alpha in asthma.

    abstract::Asthma is a heterogeneous disease in which various cytokines orchestrate airway inflammation. Tumor necrosis alpha (TNF-alpha) is a proinflammatory cytokine that has been implicated in the modulation of inflammation in various diseases, including asthma. Although TNF-alpha blocking strategies have been an effective th...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2004.06.010

    authors: Babu KS,Davies DE,Holgate ST

    更新日期:2004-11-01 00:00:00

  • Delayed pressure urticaria.

    abstract::Delayed pressure urticaria is a mechanical urticaria in which pressure causes whealing. Delayed cutaneous erythema and edema occur in association with marked subcutaneous swelling after the application of a sustained pressure stimulus to the skin. The earliest reports and theories of the pathogenesis of delayed pressu...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2004.01.006

    authors: Lawlor F,Black AK

    更新日期:2004-05-01 00:00:00

  • Exercise-Induced Bronchoconstriction: Background, Prevalence, and Sport Considerations.

    abstract::The transient airway narrowing that occurs as a result of exercise is defined as exercise-induced bronchoconstriction (EIB). The prevalence of EIB has been reported to be up to 90% in asthmatic patients, reflecting the level of disease control. However, EIB may develop even in subjects without clinical asthma, particu...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2018.01.007

    authors: Bonini M,Silvers W

    更新日期:2018-05-01 00:00:00

  • Stress and autoimmunity.

    abstract::Stress reduction interventions can have a positive therapeutic effect in autoimmune disease patients. Physicians and patients must recognize the potential for stress to impact autoimmune diseases and how stress management should be considered in a multidimensional treatment approach. This article evaluates the effects...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2010.09.004

    authors: McCray CJ,Agarwal SK

    更新日期:2011-02-01 00:00:00

  • Mechanisms of aspirin desensitization.

    abstract::Aspirin-exacerbated respiratory disease is a clinical syndrome characterized by severe, persistent asthma, hyperplastic eosinophilic sinusitis with nasal polyps, and reactions to aspirin and other nonsteroidal antiinflammatory drugs that preferentially inhibit cyclooxygenase 1. The mechanisms behind the therapeutic ef...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2012.11.003

    authors: Burnett T,Katial R,Alam R

    更新日期:2013-05-01 00:00:00

  • Hereditary Angioedema with Normal C1 Inhibitor: Update on Evaluation and Treatment.

    abstract::A new form of hereditary angioedema (HAE) was identified in the year 2000. Its clinical appearance resembles HAE types I and II, which are caused by mutations that result in a deficiency of C1 inhibitor (C1-INH). In patients with the new form of HAE, C1-INH plasma levels and function values are normal, so it's termed ...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2017.04.004

    authors: Magerl M,Germenis AE,Maas C,Maurer M

    更新日期:2017-08-01 00:00:00

  • The epidemiology of work-related asthma.

    abstract::Much has been learned from epidemiologic studies conducted in the past 4 decades that can be directly applied to the management of workers affected with occupational asthma. Studies have provided information about host factors, environmental exposure, and occupational agents posing the highest risks for development of...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2011.07.009

    authors: Smith AM

    更新日期:2011-11-01 00:00:00

  • Immunosuppressive therapy for autoimmune lung diseases.

    abstract::This article focuses on issues of safety and monitoring when immunosuppressive pharmacologic therapies are prescribed for the treatment of connective tissue disease (CTD)-associated interstitial pneumonias, vasculitides, and bronchiolitis. Prospective, randomized placebo-controlled clinical trials have yet to be perfo...

    journal_title:Immunology and allergy clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.iac.2012.07.001

    authors: Meyer KC,Bierach J

    更新日期:2012-11-01 00:00:00