Ves Dimov

Social media and the allergy practice

INSTRUCTIONS Credit can now be obtained, free for a limited time, by reading the review article and completing all activity components. Please note the instructions listed below: Review the target audience, learning objectives and all disclosures. Complete the pre-test. Read the article and reflect on all content as to how it may be applicable to your practice. Complete the post-test/evaluation and claim credit earned. At this time, physicians will have earned up to 1.0 AMA PRA Category 1 CreditTM. Minimum passing score on the post-test is 70%. Overall Purpose Participants will be able to demonstrate increased knowledge of the clinical treatment of allergy/asthma/immunology and how new information can be applied to their own practices. Learning Objectives Identify the most common social media tools utilized to promote the practice of allergy and immunology Enhance knowledge and prevent breach of patient confidentiality with social media tools At the conclusion of this activity, participants should be able to: Release Date: June 1, 2016 Expiration Date: May 31, 2018 Target Audience Physicians involved in providing patient care in the field of allergy/asthma/immunology Accreditation The American College of Allergy, Asthma & Immunology (ACAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Designation The American College of Allergy, Asthma & Immunology (ACAAI) designates this journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Planning Committee Members Ves Dimov, MD (Author) Alexei Gonzalez-Estrada, MD (Author) Frank Eidelman, MD (Author) Jonathan A. Bernstein, MD (CME Subcommittee) Guha Krishnaswamy, MD (CME Subcommittee) Mitchell H. Grayson, MD (CME Series Editor, Deputy Editor) Gailen D. Marshall, Jr, MD, PhD (Editor-in-Chief) Disclosure Policy As required by the Accreditation Council for Continuing Medical Education (ACCME) and in accordance with the American College of Allergy, Asthma and Immunology (ACAAI) policy, all educational planners, presenters, instructors, moderators, authors, reviewers, and other individuals in a position to control or influence the content of an activity must disclose all relevant financial relationships with any

Utilizing social networks, blogging and YouTube in allergy and immunology practices

Online social networks are used to connect with friends and family members, and increasingly, to stay up-to-date with the latest news and developments in allergy and immunology. As communication is a central part of healthcare delivery, the utilization of such networking channels in allergy and immunology will continue to grow. There are inherent risks to online social networks related to breaches of patient confidentiality, professionalism and privacy. Malpractice and liability risks should also be considered. There is a paucity of information in the literature on how social network interventions affect patient outcomes. The allergy and immunology community should direct future studies towards investigating how the use of social networks and other technology tools and services can improve patient care.

Youtube and Food Allergy: An Appraisal of the Educational Quality of Information

Food allergy affects an estimated 8% of children and 3% of adults in the United States. Food‐allergic individuals increasingly use the web for medical information. We sought to determine the educational quality of food allergy YouTube videos.

Olopatadine hydrochloride ophthalmic solution for the treatment of allergic conjunctivitis

ABSTRACT Introduction: Olopatadine hydrochloride is an antihistamine and mast cell stabilizer available as oral, intranasal and ocular preparations. Most of the practical applications of olopatadine therapy focus on the treatment of allergic rhinoconjunctivitis via intranasal and ocular routes. Areas covered: This article was created from a comprehensive literature search with information taken from meta-analyses, systematic reviews, and clinical trials of children and adults. The articles that have been selected, evaluate the use of intranasal and ocular antihistamines and their role in allergic rhinoconjunctivitis. Expert opinion: Olopatadine is significantly more effective than placebos in relieving the symptoms of allergic rhinoconjunctivitis. It can function both as a viable alternative or addition to first line therapies such as intranasal steroids and oral antihistamines.

Bepotastine besilate for the treatment of perennial allergic rhinitis

ABSTRACT Introduction: Bepotastine besilate (BB) is a second-generation H1-antihistamine that, as an ophthalmic solution, is approved in the United States by the Food and Drug Administration (FDA) for the treatment of allergic conjunctivitis. In other countries, the oral presentation of BB is widely used for the improvement of symptoms of allergic rhinitis (AR) as well as urticaria and chronic pruritus with results similar to those by other drugs of the same class. Areas covered: This article was created from a comprehensive literature search with information taken from clinical trials. The articles that have been selected evaluate the clinical and non-clinical pharmacology of BB as well as its use in AR and its efficiency in the improvement of symptoms, its safety, common adverse effects, and overall experiences of its use. Expert opinion: BB is effective and well-tolerated in the treatment of allergic rhinitis. Side effects are infrequent in patients with AR who do not have kidney or liver disease. Clinical trial experience with oral bepotastine outside the United States has confirmed its safety. BB can be useful as a therapeutic option in patients with AR who would like to explore an alternative to the currently available once-daily oral H1-antihistamines.

Pharmacokinetic drug evaluation of mepolizumab for the treatment of severe asthma associated with persistent eosinophilic inflammation in adults

ABSTRACT Introduction: Mepolizumab is a humanized monoclonal antibody that binds to and inactivates IL-5. It is available as a subcutaneous preparation. The practical application of mepolizumab is as an add-on therapy in the treatment of severe eosinophilic asthma. Areas covered: This article was created from a comprehensive literature search with information taken from meta-analyses, systematic reviews, and clinical trials of adults. The articles that have been selected evaluate the use of mepolizumab and its role in eosinophilic asthma. Expert opinion: Mepolizumab is significantly more effective than placebo in reducing exacerbations and need for systemic corticosteroids in severe eosinophilic asthma. There is a lack of head to head studies comparing mepolizumab to other monoclonal anti-IL-5 inhibitors in severe eosinophilic asthma. Post marketing surveillance revealed risk of anaphylaxis that is below 1%.

Proptosis and vision loss as grave complications of allergic fungal sinusitis and polyposis

Allergic fungal sinusitis and polyposis are noninvasive, but aggressive, inflammatory responses to mold that occur in immunocompetent patients with chronic sinusitis and nasal polyposis.1 An association of these conditions with vitamin D deficiency has been reported.2 In severe cases, patients with allergic fungal sinusitis present with ophthalmic signs and symptoms, such as proptosis, diplopia, and, in extreme cases, vision loss.3 Most cases require surgical intervention, corticosteroids, and ongoing surveillance.1 However, the role of vitamin D replacement and supplementation has also been studied. A 30-year-old African American man with a 5-year history of sinusitis and nasal polyps presented with bilateral proptosis, gradual right-sided vision loss that progressed during the previous 12 months, and nasal obstruction. He had tried over-the-counter treatments without relief and had no known occupational or environmental exposures. Detailed ophthalmologic examination revealed bilateral proptosis, decreased range of motion of the extraocular muscles (worse on the right), visual acuity of 20/80 on the left, and complete loss of vision on the right, except for the left lower visual field. Retinal examination revealed optic nerve atrophy attributable to ischemic neuropathy. Evaluation for a pituitary adenoma and thyroid dysfunction was normal; however, he had a severe vitamin D deficiency with a vitamin D level of 5.9 ng/mL, a peripheral eosinophil count of 11%, and an elevated IgE level of 662 IU/mL. Immunocompetence was assessed with normal IgG, IgM, and IgA levels. The results of a skin prick test ImmunoCAP specific IgE allergy panel were positive for various mold and fungal species, including Aspergillus fumigatus (1.81 kU/L, class III), Cladosporium herbarum (3.45 kU/L, class III), Penicillium chrysogen (0.70 kU/L, class II), Alternaria alternate IgE (2.29 kU/L, class III), and Stemphylium herbarum (2.52 kU/L, class III). Of note, dust mite sIgE levels were below the 0.35 threshold. The initial imaging study of choice was brain and sinus computed tomography given the extent of his proptosis, which revealed findings suggestive of sinus fungal disease. Computed tomography of the sinuses revealed complete opacification of the paranasal sinuses and nasal passageways related to mucosal thickening and fungal disease. There was marked expansion of the frontal and ethmoid sinuses, resulting in mass effect on the frontal lobes, orbits, and globes, with bilateral proptosis and mass effect on the optic nerves and extraocular muscles (Fig 1). Interestingly, on magnetic resonance imaging, the fungal disease within the sinonasal cavity had characteristic low signal on T1 and T2 images from fungal hyphae. The patient underwent exploratory sinus surgery with removal of polyps and fungal tissue. Pathologic

Proceedings of the 2015 WAO Symposium on Food Allergy and the Microbiome

Table of contentsA1 Characterization of the immunoallergic profile towards the proteins of the wheat flour in Cuban populationRaúl Lázaro Castro Almarales, Mary Carmen Reyes Zamora, Beatriz Tamargo, Damaris Torralba Averoff, Raysa Cruz, Yunia Oliva Diaz, Mirta Alvarez Castello, Alexander Ciria, Alexis Labrada, Maytee MateoA2 Are peanuts causing food allergy in Cuba?Maytee Mateo, Damaris Torralba Averoff, Raysa Cruz, Yunia Oliva Diaz, Mirta Alvarez Castello, Alexander Ciria, Mary Carmen Reyes Zamora, Beatriz Tamargo, Alexis LabradaA3 Prick test and immunoallergic profile to soy allergens in Cuban populationOmar Herrera, Maytee Mateo, Raysa Cruz, Mirta Alvarez Castello, Alexander Ciria, Raúl Lázaro Castro Almarales, Mary Carmen Reyes Zamora, Alexis LabradaA4 Skin sensitization and immunoallergic profile to hens egg in Cuban populationJosé Severino Rodríguez Canosa, Raysa Cruz, Maytee Mateo, Mirta Alvarez Castello, Alexander Ciria, Raúl Lázaro Castro Almarales, Mary Carmen Reyes Zamora, Alexis LabradaA5 Sensitization to three domestic mites in patients with adverse food events to shellfishMirta Alvarez Castello, Raúl Lázaro Castro Almarales, Alexis Labrada, BiocenA6 Diagnostic efficacy by skin prick test with allergenic extracts of legumes in Cuban patientsYamilet Ibizate Novales, Ilonka Estruch Fajardo, Alexis Labrada, Maytee Mateo, Armando GinardA7 Baked egg goods without wheat flour carry an increased risk of reactionBruce Lanser, Anna Faino, Erwin Gelfand, Pia HaukA8 Prevalence, incidence and associated risk factors of adverse reaction to food in Cuban infants - a population-based prospective studySilvia Venero Fernández, Julia Urbina, Mirta Alvarez Castello, Raúl Lázaro Castro Almarales, Ramón Suárez Medina, Hermes Fundora Hernández, John Britton, Andrew William FogartyA9 Microbiome in ice machines and assessing the plasma nanotechnology in breaking the biofilm and improving air qualityNabarun Ghosh, Clinton Ross Bell, Chandini Revanna, Constantine Saadeh, Jeff Bennert, Danius Bouyi, Mitsy Veloz, Nelofar SheraliA10 Characteristics of patients with food allergy in health public serviceMagna CoelhoA11 Allergic rhinitis and asthma index increased in Texas panhandle and AHPCO and plasma nanotechnology as solutionsNabarun Ghosh, Jeff Bennert, Danius Bouyi, Constantine Saadeh, Clinton Ross Bell, Mitsy Veloz, Chandini Revanna, Nelofar SheraliA12 Antigen-specific T follicular helper cells mediate peanut allergy in miceJoseph J. Dolence, Takao Kobayashi, Koji Iijima, Hirohito Kita, Hirohito Kita, Ashli Moore, James KrempskiA13 Production of recombinant Mal d 3, a major apple allergen, in Pichia Pastoris, to investigate the impact of the food matrix and post-translational modifications on Mal d 3 immuno-reactivityRoberta Aina, Riccardo Asero, Sabine Pfeifer, Pawel Dubiela, Merima Bublin, Christian Radauer, Piotr Humeniuk, Karin Hoffmann-SommergruberA14 Reaction to sports drink: no whey! Whey allergy in absence of clinical cow’s milk allergyFrank Eidelman, Ves Dimov, Charl KhalilA15 Food allergy on Tumblr: focus on teenage audience may increase educational impactVes Dimov, Frank Eidelman, Charl KhalilA16 Changes in IgE levels following one-year immunizations in two children with food allergyAlice E. W. Hoyt, Peter Heymann, Alexander Schuyler, Scott Commins, Thomas Platts-MillsA17 IgE and IgG4 antibodies to cows milk components in children with eosinophilic esophagitis: higher specific IgG4 antibodies and IgG4:IgE ratios compared with subjects with IgE-mediated food allergyAlexander Schuyler, Patrice Kruszewski, John Russo, Lisa Workman, Thomas Platts-Mills, Elizabeth Erwin, Anubha TripathiA18 Frequency of Sensitization to Food Allergens in Patients with Rhinitis and Asthma in the National Medical Center La Raza “Dr. Antonio Fraga Mouret”, Mexico CityGabriela Yvette Castellanos, Elizabeth Mendieta, Martín Becerril-Angeles