| New visions for anaphylaxis: an iPAC summary and future trends. | |
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MedLine Citation:
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PMID: 18665962 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Anaphylaxis is an increasing emergency in Western countries, especially in children. In the last decade, efforts have been attempted to widely understand anaphylaxis from several angles but at present, there are still numerous issues to be clarified and tackled for its earlier identification. The discrepancies in the operational definitions and diagnostic criteria of anaphylaxis represent one of the most controversial issues in casting light upon its epidemiology. Furthermore, the lack of reliable markers of the disease hampers its diagnosis. Further basic and clinical research is urgently needed to confirm the recent promising results derived from studies on animal models, and to clarify the key role of selected mediators and markers in the different steps of the reaction, in its severity and in the recurrences. The underuse of adrenaline is another important issue, as available data demonstrate physicians' preference for steroids and anti-histamines despite the current lack of evidence of their effectiveness. In the near future, the management of anaphylaxis will be strongly influenced by the development of a stepwise approach, as well as by the creation of a system improving transmission of good quality data between the emergency room, the allergist and the family doctor. This process will certainly be enhanced by the establishment of a network of Centres of Excellence collaborating for high quality research and care and involved in the dissemination of new knowledge at a primary care level. This review will seek to briefly overview our current knowledge and highlight the key questions that need to be addressed in the next decade to improve clinical care to children and will focus on the epidemiology of anaphylaxis, the identification of individuals at risk of anaphylaxis, the special issues related to infants, community management of children at risk of anaphylaxis and school related issues. |
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Authors:
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A Muraro; G Roberts; F Estelle R Simons |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology Volume: 19 Suppl 19 ISSN: 1399-3038 ISO Abbreviation: Pediatr Allergy Immunol Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2008-07-30 Completed Date: 2008-09-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9106718 Medline TA: Pediatr Allergy Immunol Country: England |
Other Details:
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Languages: eng Pagination: 40-50 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Centre for Food Allergy Diagnosis and Treatment, Veneto Region, University of Padua, Padua, Italy. muraro@pediatria.unipd.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anaphylaxis*
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diagnosis,
epidemiology,
physiopathology,
therapy Animals Diagnosis, Differential Disease Models, Animal Emergency Medical Services / organization & administration Humans Organization and Administration Physicians, Family / organization & administration |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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