ALERGOLOGÍA PARA MÉDICOS Y PACIENTES 2021

Debates in Allergy Medicine: Allergy skin testing cannot be replaced by molecular diagnosis in the near future Autor:  Désirée Larenas-Linnemann , Investigational Unit, Hospital Médica Sur, Torre 2, consultorio 602, Puente de Piedra 150, Col. Toriello Guerra, Del. Tlalpan, 14050 Mexico City, Mexico. Jorge A. Luna-Pech , Departamento de Disciplinas Filosófico, Metodológico e Instrumentales, CUCS, Universidad de Guadalajara, Guadalajara, Mexico. Ralph Mösges , Institute of Medical Statistics and Epidemiology, Faculty of Medicine, University of Cologne, Cologne, Germany. Abstract: Percutaneous skin prick tests (SPT) have been considered the preferred method for confirming IgE-mediated sensitization. This reliable and minimally invasive technique correlates with in vivo challenges, has good reproducibility, is easily quantified, and allows analyzing multiple allergens simultaneously. Potent extracts and a proficient tester improve its accuracy. Molecular-bas...

Reacción adversa a medicamentos biológicos (año 2017) Link presentación:  https://www.youtube.com/watch?v=k9iMPuW-Awg&t=36s

Drug Hypersensitivity and Anaphylaxis in Cancer and Chronic Inflammatory Diseases: The Role of Desensitizations Autor:  Mariana Castells, Allergy and Immunology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States. Abstract:  Drug allergy is a rising problem in the twenty-first century which affects all populations and races, children, and adults, and for which the recognition, diagnosis, management, and treatment is still not well standardized. Classical and new chemotherapy drugs, monoclonal antibodies (MoAbs), and small molecules to treat cancer and chronic inflammatory diseases are aimed at improving quality of life and life expectancy of patients, but an increasing number of reactions including anaphylaxis precludes their use in targeted populations. Women are more affected by drug allergy and up to 27% of women with ovarian and breast cancer develop carboplatin allergy after multiple cycles of treatment. Carriers of BRCA genes ...

JORNADA ACADÉMICA Dra Paola Marín Residente de otorrinolaringología de primer año quien rota actualmente en el servicio de alergología clínica.  Tema: Enfermedad respiratoria exacerbada por AINEs

PRURITO CRÓNICO  DRA. ANA MARÍA CALLE 2018

Acquired C1 Inhibitor Deficiency. Autores:   Iris M. Otani, MD ; Department of Medicine, Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, UCSF Medical Center, 400 Parnassus Avenue, Box 0359, San Francisco, CA 94143, USA. Aleena Banerji, MD ; Department of Medicine, Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Cox 201 Allergy Associates, Boston, MA 02114, USA. Abstract: Acquired angioedema due to C1-INH deficiency (C1-INH-AAE) can occur when there are acquired (not inherited) deficiencies of C1-INH. A quantitative or functional C1-INH deficiency with negative family history and low C1q is diagnostic of C1-INH-AAE. The most common conditions associated with C1-INH-AAE are autoimmunity and B-cell lymphoproliferative disorders. A diagnosis of C1-INH-AAE can precede a diagnosis of lymphoproliferative disease and confers an increased risk for developing non-Hodgkin lymphoma. Treatment focuses on symptom control wit...

Asma e intolerancia a los AINEs.  Septiembre 2017. 

Presentación: Aspergilosis Broncopulmonar Alérgica. Año 2017 July Andrea Ospina Cantillo

Common questions about allergy. Practical approach to diagnosis and management in primary care Jorge Sánchez, 1 Andrés Sánchez, 1 Ricardo Cardona 1 1 Universidad de Antioquia, Grupo de Alergología Clínica y Experimental, Medellín, Colombia Abstract Allergic diseases are disorders with different clinical manifestations that are present in 20 to 40% of the general population. Since they share a common mechanism, several processes of this type often occur in the same individual, thus generating numerous symptoms and important economic costs for patients and their families. Currently, medical management of these diseases is focused on three main aspects: to identify and avoid the causative agent, acute symptoms’ control through pharmacological treatment and generation of tolerance with immunomodulation or desensitization. However, owing to the different underlying mechanisms, different diagnostic approaches are necessary, which can become a real cha...

Presentación: Impacto terapéutico y socio-económico de la IT (año 2017) Dr. Ricardo Cardona Villa

The Role of Allergy in Chronic Rhinosinusitis Autores:   Ashleigh A. Halderman and Laura J. Tully , Department of Otolaryngology–Head and Neck Surgery, University of Texas Southwestern Medical Center, 5303 Harry Hines Boulevard, Dallas, TX 75390, USA Abstract:  The role of allergy in chronic rhinosinusitis (CRS) has long been debated and remains controversial. The 2 diseases frequently co-occur; however, direct causality has never been proved. The literature is largely mixed as to the manner and degree by which allergy contributes to CRS and this is in large part due to heterogeneity in the definitions of allergy and of CRS. In this review, the potential role of allergy in the disease processes of CRS without polyps, CRS with polyps, and allergic fungal rhinosinusitis is discussed. DOI:  http://dx.doi.org/10.1016/j.otc.2017.08.003

Presentación: Urticaria inducible en región tropical (año 2017) Dr. Ricardo Cardona Villa

Angioedema hereditario en población pediátrica (Presentación realizada en junio de 2017)

ÁCAROS, ¿QUÉ DEBEMOS SABER?

Updated international consensus diagnostic criteria for eosinophilic esophagitis: Proceedings of the AGREE conference Autores:  Evan S. Dellon, Chris A. Liacouras, Javier Molina-Infante, Glenn T. Furuta, Jonathan M. Spergel, Noam Zevit, Stuart J. Spechler, Stephen E. Attwood, Alex Straumann, Seema S. Aceves, Jeffrey A. Alexander, Dan Atkins, Nicoleta C. Arva, Carine Blanchard, Peter A. Bonis, Wendy M. Book, Kelley E. Capocelli, Mirna Chehade, Edaire Cheng, Margaret H. Collins, Carla M. Davis, Jorge A. Dias, Carlo Di Lorenzo, Ranjan Dohil, Christophe Dupont, Gary W. Falk, Cristina T. Ferreira, Adam Fox, Nirmala P. Gonsalves, Sandeep K. Gupta, David A. Katzka, Yoshikazu Kinoshita, Calies Menard-Katcher, Ellyn Kodroff, David C. Metz, Stephan Miehlke, Amanda B. Muir, Vincent A. Mukkada, Simon Murch, Samuel Nurko, Yoshikazu Ohtsuka, Rok Orel, Alexandra Papadopoulou, Kathryn A. Peterson, Hamish Philpott, Philip E. Putnam, Joel E. Richter, Rachel Rosen, Marc E. Rothenberg, Alain Sc...

Caso clinico Frey’s syndrome in the allergology consultation Síndrome Frey en la consulta de alergología July Andrea Ospina-Cantillo 1   Ruth Helena Ramírez-Giraldo 1   Iris Yansa Castelblanco-Arango  1   Ricardo Cardona 1 1 Universidad de Antioquia, Grupo de Alergología Clínica y Experimental  Correspondencia: Ricardo Cardona. rcv2016udea@gmail.com Medellín, Colombia Abstract Background: Frey’s syndrome is a group of symptoms that include unilateral sweating with malar region and external ear reddening after eating or drinking some food. It is a lesion of the auriculotemporal nerve that is secondary to surgery, parotid gland infection or facial trauma.  Clinical cases : Three children between 4 and two and a half years of age: two girls and one boy. They had self-limiting unilateral erythematous facial macules that reached the external ear, without rash, itching, a...

En el contexto de la revisión de reacciones de hipersensibilidad a quinolonas, presentamos charla sobre reacciones adversas (incluyendo hipersensibilidad) a antibióticos no betalactámicos

Exposición y sensibilización a insectos en pacientes alérgicos en el trópico  Jorge Sánchez 1,2 , Andrés Sánchez 1,3 , Ricardo Cardona 1 1   Grupo de Alergología Clínica y Experimental, IPS Universitaria, Universidad de Antioquia, Medellín, Colombia 2   Fundación para el Desarrollo de las Ciencias Médicas y Biológicas, Cartagena, Colombia 3   Corporación Universitaria Rafael Núñez, Cartagena, Colombia Introducción. Los ácaros son una importante fuente de alérgenos en el trópico, pero poco se han estudiado otras fuentes potenciales de alérgenos prevalentes en la zona, como los insectos. Objetivo. Determinar la relación entre la exposición y la sensibilización alérgica a cucarachas, mosquitos y hormigas, y su interacción con la sensibilización a los ácaros. Materiales y métodos. Se incluyeron pacientes con pruebas de alergia para Blatella germanica , Aedes aegypti , Solenopsis invicta ,...

Update on Quinolone Allergy Autores:  Inmaculada Doña , Allergy Unit, Pabellón 6, primera planta, IBIMA Regional University Hospital of Malaga-UMA (Pavillion C, Hospital Civil), Plaza del Hospital Civil, 29009, Malaga, Spain. Esther Moreno , Allergy Service, University Hospital of Salamanca, Salamanca, Spain; Institute for Biomedical Research of Salamanca (IBSAL), Salamanca, Spain. Natalia Pérez-Sánchez , Allergy Unit, Pabellón 6, primera planta, IBIMA Regional University Hospital of Malaga-UMA (Pavillion C, Hospital Civil), Plaza del Hospital Civil, 29009, Malaga, Spain. Inmaculada Andreu , Unidad Mixta de Investigación IIS La Fe-UniversitatPolitècnica de València, Hospital Universitari i Politècnic La Fe, Avenida de Fernando Abril Martorell 106, 46026, Valencia, Spain. Dolores Hernández Fernandez de Rojas , Department of Allergy, Hospital Universitari i Politècnic La Fe, Valencia, Spain. María José Torres , Allergy Unit, Pabellón 6, primera planta,...

JORNADA ACADÉMICA 23/08/2018 El día de mañana la discusión será centrada en el tema de lubricantes oculares, el artículo recomendado es el siguiente: Ocular surface lubricants Autores:  Leonard Bielory,  Thomas Jefferson University, Philadelphia, PA; Rutgers University Center for Environmental Prediction, New Brunswick; University Asthma and Allergy Associates, Springfield, NJ, USA. Preeti Wagle,  University Asthma and Allergy Associates, Springfield, NJ, USA. Abstract: Purpose of review: The purpose of this article is to provide an overview of the ocular lubricants currently available, consider the components of the various formulations and highlight the status of preservative use in the treatment of anterior ocular surface diseases. Recent findings The primary components of ocular surface lubrication have been, in the past, based on various cellulose formulations that increase hydration. Advances in lubrication have come from are...

JORNADA ACADEMICA 23 de agosto de 2018 El día 23 de agosto 2018 se realizara jornada académica, en donde se revisara el tema hipersensibilidad a AINEs. El seminario estará disponible a partir de mañana en la plataforma de teleducación de la pagina de la Universidad de Antioquia, el link estará disponible a partir de mañana.  Articulo recomendado:   NSAIDs hypersensitivity: questions not resolved PUNTOS CLAVE POR AUTORES -La hipersensibilidad a los AINEs incluye una amplia variedad de entidades clínicas inducidas por mecanismos inmunológicos específicos (IgE o células T), así como mecanismos basados ​​en anomalías en las vías bioquímicas relacionadas con el metabolismo de leucotrienos-prostaglandinas. -La piel es el órgano más frecuente involucrado, independientemente de los mecanismos subyacentes. -Las pruebas cutáneas para reacciones IgE y respuesta dependiente de células T tienen un valor limitado. -Para las reacciones intolerant...

Cardiovascular and Diabetic Medications That Cause Bradykinin-Mediated Angioedema Stephanie N. Hudey, MD, Emma Westermann-Clark, MD, MA, and Richard F. Lockey, MD Division of Allergy and Immunology, Department of Internal Medicine, University of South Florida, Morsani College of Medicine, Tampa, Fla  Corresponding author: Emma Westermann-Clark, MD, MA, Division of Allergy and Immunology, Department of Internal Medicine, University of South Florida, Morsani College of Medicine, 13000 Bruce B. Downs Boulevard, Suite 111D, Tampa, FL 33612. E-mail: ewester1@health.usf.edu. Abstract: Medication-induced angioedema is a bradykinin-mediated process that results from increased production or decreased degradation of bradykinin. These reactions are documented for several cardiac medications including blockers of the reninangiotensin-aldosterone system (RAAS). Other cardiovascular and diabetes medications further increase the risk of medicationinduced angioedema, particularly with conc...

Asthma and COPD overlap pathophysiology of ACO Mari Hikichi, Shu Hashimoto* , Yasuhiro Gon * Corresponding author. Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine, Ohyaguchikamimachi, Itabashi-ku Tokyo 173-8610, Japan. E-mail address: hashimoto.shu@nihon-u.ac.jp (S. Hashimoto) Abstract Asthma and COPD appear as a result of different mechanisms triggered by different pathogeneses and although they present different features and symptoms of airway inflammation and airway obstruction, there are also cases that present the features of both asthma and COPD. This type of pathology is known as asthma-COPD overlap syndrome (ACOS). Asthma-COPD overlap is identified in clinical practice by the features that it shares with both asthma and COPD. This is not a definition, but a description for clinical use, as asthma-COPD overlap includes several different clinical phenotypes and there are likely to be several different underlyin...

Articulo para el día lunes 20 de agosto de 2018 (festivo en Colombia) Updated international consensus diagnostic criteria for eosinophilic esophagitis: Proceedings of the AGREE conference  Evan S. Dellon, Chris A. Liacouras, Javier Molina-Infante, Glenn T. Furuta, Jonathan M. Spergel, Noam Zevit, Stuart J. Spechler, Stephen E. Attwood, Alex Straumann, Seema S. Aceves, Jeffrey A. Alexander, Dan Atkins, Nicoleta C. Arva, Carine Blanchard, Peter A. Bonis, Wendy M. Book, Kelley E. Capocelli, Mirna Chehade, Edaire Cheng, Margaret H. Collins, Carla M. Davis, Jorge A. Dias, Carlo Di Lorenzo, Ranjan Dohil, Christophe Dupont, Gary W. Falk, Cristina T. Ferreira, Adam Fox, Nirmala P. Gonsalves, Sandeep K. Gupta, David A. Katzka, Yoshikazu Kinoshita, Calies Menard-Katcher, Ellyn Kodroff, David C. Metz, Stephan Miehlke, Amanda B. Muir, Vincent A. Mukkada, Simon Murch, Samuel Nurko, Yoshikazu Ohtsuka, Rok Orel, Alexandra Papadopoulou, Kathryn A. Peterson, Hamish Philpott, Philip E. Putn...