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Mashup Score: 2Working With Surgeons Who Provide Endoscopy in Underserved Areas for the Management of Eosinophilic Esophagitis - 9 month(s) ago
Our previous rostrum did not address patients with eosinophilic esophagitis (EoE) unable to access gastroenterologists.1 This scenario typically occurs in rural/remote regions, where telehealth and/or outreach services are provided by allergists.2 In Canada, general surgeons provide >50% of endoscopies in rural or remote communities, including individuals with suspected EoE. However, differences in endoscopy training during surgical residency can lead to variable endoscopic diagnosis and management of EoE.
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Mashup Score: 1A Phase 3 Trial of Dupilumab for People With Chronic Obstructive Pulmonary Disease and Elevated Peripheral Blood Eosinophil Counts - 9 month(s) ago
Bhatt SP, Rabe KF, Hanania NA, Vogelmeier CF, Cole J, Bafadhel M, et al. Dupilumab for COPD with type 2 inflammation indicated by eosinophil counts. N Engl J Med 2023;389:205-14.
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Mashup Score: 1Autoinflammation - 9 month(s) ago
A 44-year-old man presented for evaluation at the University of Wisconsin-Madison Immunology Clinic in December 2021 for hypogammaglobulinemia, recurrent fevers of unknown origin, new-onset abdominal pain, and a history of recurrent oral ulcers.
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Mashup Score: 0Alternative assays for identifying the inciting antigen in hypersensitivity pneumonitis - 9 month(s) ago
Hypersensitivity pneumonitis (HP) is an immunologically mediated form of lung disease resulting from inhalational exposure to a large variety of organic and, less often, nonorganic inciting antigens.1,2 The precipitin double-diffusion assay is a widely used inexpensive laboratory test for identifying candidate HP antigens. Concerns that the precipitin method is insufficiently sensitive to detect all IgG responses and that its results can sometimes be misread to give false-positives results led us to investigate whether alternative techniques, ELISA-based and ImmunoCAP-based tests,3,4 could prove to be more helpful.
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Mashup Score: 3
The optimal timing for diagnostic skin prick testing (SPT) after food-induced anaphylaxis is unknown. This is largely related to the concern for potential transient skin nonreactivity after a systemic reaction (SR) related to the theoretical risk of “empty mast cell syndrome” or postanaphylaxis mast cell anergy (PAMA),1 which may render degranulated mast cells unable to respond until its mediators can regenerate, leading to a false-negative (FN) result. This concern stems from historical observations of temporarily nonreactive SPT to whole bee extract.
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Mashup Score: 0
P.L. is a 7-year-old boy with IgE-mediated allergy to walnut with a reaction threshold of 5 mg. He began walnut oral immunotherapy (OIT) and reached a dose of 900 mg with no reactions. On October 13, 2023, 5 minutes after he took a home dose, a siren alerting for a Hamas missile attack was heard at his residency. P.L. ran to the bomb shelter and developed sneezing, vomiting, and shortness of breath and was treated with injectable epinephrine. Emergency medical services were called and took P.L. to the emergency department, where he subsequently recovered.
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Mashup Score: 0Clinical picture, outcomes, and predictors of relapse in eosinophilia-associated coronary vasospasm: Data from a European multicentric study - 9 month(s) ago
Eosinophilia-associated coronary vasospasm is an underrecognized condition that has been described in patients with aspirin-exacerbated respiratory disease (AERD), hypereosinophilic syndrome (HES), and eosinophilic granulomatosis with polyangiitis (EGPA).1 In the acute phase, the treatment relies on vasodilators and glucocorticoids. Nevertheless, the optimal long-term management is unknown. We previously reported that benralizumab could be beneficial in recurrent eosinophilia-associated coronary vasospasms unresponsive to conventional vasodilators.
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Mashup Score: 0Anifrolumab to treat a monogenic interferonopathy - 9 month(s) ago
DNase II plays an important role in clearance of nucleic acids by hydrolyzing DNA under acidic conditions. DNase II deficiency results in inefficient degradation of self-DNA, which leaks into the cytosol and activates the pattern recognition receptor cyclic GMP-AMP synthase (cGAS),1 driving Stimulator of Interferon Genes (STING)2 to produce excessive type-1 interferons3 in mice models. These mice have also shown predisposition to severe perinatal anemia and lethality that is driven by excessive type-1 interferons.
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Mashup Score: 2Absolute eosinophil counts in aspirin-exacerbated respiratory disease are distinctly elevated and correlate inversely with respiratory function - 9 month(s) ago
Aspirin-exacerbated respiratory disease (AERD) is the triad of asthma, chronic rhinosinusitis with nasal polyps, and hypersensitivity to cyclooxygenase-1 inhibitors. Eosinophilic infiltration of the respiratory tract is a pathologic hallmark of the disease. Bronchial and nasal tissue samples from patients with AERD display three times as many eosinophils as samples from aspirin-tolerant patients with asthma and chronic rhinosinusitis with nasal polyps.1,2 The success of IL-5–targeting agents such as mepolizumab in treating AERD has further insinuated a role for eosinophils in its pathogenesis.
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Mashup Score: 0Improving care using outpatient electronic consults in patients with chemotherapy hypersensitivity reactions - 9 month(s) ago
Despite the implementation of evidence-based chemotherapy hypersensitivity reaction (HSR) risk stratification algorithms with clear workflows and electronic health record (EHR) integration at our academic medical center,1,2 communication around patient care largely consisted of informal emails, texts, or phone calls. Allergy office visits with formal clinical recommendations were infrequent and delayed due to long outpatient wait times and failure to communicate clinical urgency. This variability led to poor EHR documentation, suboptimal care coordination, and delays in patient care.
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