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Advances in allergic skin disease, anaphylaxis, and hypersensitivity reactions to foods, drugs, and insects in 2013.

Abstract
This review highlights some of the research advances in anaphylaxis; hypersensitivity reactions to foods, drugs, and insects; and allergic skin diseases that were reported in the Journal in 2013. Studies on food allergy suggest that (1) 7.6% of the US population is affected, (2) a "healthy" early diet might prevent food allergy, (3) the skin might be an important route of sensitization, (4) allergen component testing might aid diagnosis, (5) the prognosis of milk allergy might be predictable through early testing, (6) oral or sublingual immunotherapy show promise but also have caveats, and (7) preclinical studies show promising alternative modes of immunotherapy and desensitization. Studies on eosinophilic esophagitis show a relationship to connective tissue disorders and that dietary management is an effective treatment for adults. Markers of anaphylaxis severity have been determined and might inform potential diagnostics and therapeutic targets. Insights on serum tests for drug and insect sting allergy might result in improved diagnostics. Genetic and immune-mediated defects in skin epithelial differentiation contribute to the severity of atopic dermatitis. Novel management approaches to treatment of chronic urticaria, including use of omalizumab, are being identified.
AuthorsScott H Sicherer, Donald Y M Leung
JournalThe Journal of allergy and clinical immunology (J Allergy Clin Immunol) Vol. 133 Issue 2 Pg. 324-34 (Feb 2014) ISSN: 1097-6825 [Electronic] United States
PMID24373349 (Publication Type: Journal Article, Review)
CopyrightCopyright © 2013 American Academy of Allergy, Asthma & Immunology. Published by Mosby, Inc. All rights reserved.
Topics
  • Anaphylaxis (diagnosis, epidemiology, etiology, therapy)
  • Animals
  • Drug-Related Side Effects and Adverse Reactions
  • Food (adverse effects)
  • Humans
  • Hypersensitivity (diagnosis, epidemiology, etiology, therapy)
  • Insect Bites and Stings (immunology)
  • Insecta
  • Skin Diseases (diagnosis, epidemiology, etiology, therapy)

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