Meyer B. Marks

Allergy in relation to orofacial dental deformities in children: A review

Abstract Mouth breathing in the infant and child is frequently secondary to chronic nasal allergy. Malocclusion and V-shaped dental arch are commonly found in children who are decided mouth breathers. The anatomic, pathogenctic, prophylactic, and prognostic considerations are discussed. It is hoped that further investigations will be conducted through the cooperative efforts of the orthodontist, the pediatrician, and the allergist.

Allergic shiners. Dark circles under the eyes in children.

accompanying mouth-breathing from birth. Children with uncomplicated seasonal allergic rhinitis do not have allergic shiners. The interior of the nose of allergic children presenting these discolorations is characteristic. The inferior turbinates are pale pink to gray, boggy, and covered with thin glistening mucus-an appearance typical of nasal allergy. A nasal smear stained with Hansel’s stain will reveal, as a rule, a preponderance of eosinophils. Many children displaying allergic shiners or dark circles under the eyes are also persistent n~e~a~th-l~reathersP¢ making them potential candidates for the development ’of orofacial dental deformities.5 . Pathogenesis

Therapeutic Effectiveness of Cromolyn Sodium with 38 Severely Asthmatic Children Under Five Years of Age

Presented before the Postgraduate Course in Pediatric Allergy of the Association of Convalescent Homes and Hospitals for Asthmatic Children March 13, 1975 at the Americana Hotel, Bal Harbour, Florida. Clinical Professor of Pediatrics, University of Miami School of Medicine; Director, Pediatric Allergy Clinic, Jackson Memorial Hospital, Miami, Fla.; and Chief Medical Officer, Asthmatic Children’s Foundation Residential Treatment Center, North Miami Beach, Fla. Correspondence to Meyer B. Marks, M.D., 333 Arthur Godfrey Road, Miami Beach, Fla. 33140. CRO~10L YN SODIUM is known to be a valuable prophylactic medication for bronchial asthma in children and adults. It was

Recognizing the allergic individual.

Patients with respiratory tract allergy present certain auditory and visual signs which, when correlated with the history, aid substantially in arriving at a conclusive diagnosis. The physician should be alert to the signs that indicate allergic disease. Early recognition followed by modern allergy management will help to prevent progression of the allergic process.

Significance of Recurrent Hemoptysis in Allergic Asthma Always Think of a Foreign Body in the Lung

2. Greenberg, R. E. and Gardner, L. I.: New diagnostic test for neural tumors of infancy: increased urinary excretion of 3-Methoxy-4hydroxymandelic acid and norepinephrine in ganglioneuroma with chronic diarrhea. Ibid. 24: 683, 1959. 3. Kaser, H. and Studnitz, W. von: Urine of children with sympathetic tumors. The excretion of 3-Methoxy-4-hydroxymandelic acid. Amer. J. Dis.Child. 102: 199, 1961.

Differential diagnosis of wheezing in children. Remarks based on a postgraduate lecture.

* Clinical Professor of Pediatrics, University of Miami School of Medicine; and Director, Pediatric Allergy Clinic, Jackson Memorial Hospital, Miami, Fla. I N ORDER TO DIFFERENTIATE asthma from other disorders resembling it, one should attempt to define clearly what we mean by asthma and wheezing. A most simplistic statement would define asthma as a recurring form of dyspnea marked by wheezing breath sounds. The incompleteness of this definition is apparent; asthma is really a symptom complex of labored wheezing breathing, characterized by hyperreactivity of the bronchi to various stimuli, resulting in generalized narrowing of the airways, variable in scope, and often reversible by sympathomimetics, theophylline derivatives, and corticosteroids. According to Peshkin, the asthma syndrome has three stages. The first stage, he suggested, consists of retrosternal constriction of the

A salute to dedicated women.

Madam President, members and guests of the Crystal Chapter of the Asthmatic Children’s Foundation of Florida : Thank you for the privilege of speaking to you on the subject that we are mutually interested in-that of rehabilitation of the severely afflicted, intractable asthmatic child. When one realizes that in the United States one-third of all chronic conditions occurring in children under 17 years of age are caused by asthma, hay fever, and other allergies, it reflects on the seriousness and enormity of the problem. Nearly five million children suffer from chronic allergic disorders; and over 2% million of these have asthma of varying degrees of severity. About 300,000 children have intractable asthma. Ninety percent are manageable by properly instituted allergic measures. The remaining 10 percent, or approximately 30,000 asthmatic children, do not respond to modern therapeutic methods because of deep-seated emotional factors, uncorrected environmental conditions, and/or undetected special situations. Do children “outgrow” their asthma? It is a known fact that about 25 percent of asthmatic children do improve without any allergy treatment and no longer have asthmatic attacks. However, one does not know which child will fall into that 25 percent group. The tendency for allergic symptoms to become progressively worse if untreated has been documented frequently in the medical literature. If the parent, influenced by the unaware physician, permits the child to continue without allergy treatment, believing that he or she will “outgrow” the illness, harm may ensue. The end result may be an adolescent or adult who has complications of chronic pulmonary disease. In a study by the Children’s Bureau on “Illness in Children”, it was shown that over 25 percent of children with major allergies like asthma, hay fever, and allergic eczema continue to have symptoms, even a t 16 and 17. This is particularly true of those who have not been on allergy management. I would like to discuss several propositions which should be thought-provoking : Do we need an Asthmatic Residential Treatment Center for children? Yes, we do; for the compelling reason that a center such as ours reduces the incidence of life-threatening episodes of a type of grnve or malignant asthma known as status asthmaticus, prevents deaths, and importantly, teaches the