J Invest Allerg Clin
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J Invest Allerg Clin · Jan 2011
Case ReportsEosinophilic esophagitis, celiac disease, and immunoglobulin E-mediated allergy in a 2-year-old child.
Celiac disease, eosinophilic esophagitis, and urticaria are 3 manifestations of food allergy with different pathogenic mechanisms. We report the case of a 2-year-old child with digestive symptoms, slow growth, and severe asthma. The results of skin prick tests were positive to several foods. ⋯ A gluten-free diet is the basis of treatment of celiac disease, but the role of an elimination diet in eosinophilic esophagitis is not well established. Our patient also developed urticaria when exposed to milk and egg. We present, to our knowledge, the first report of a patient with celiac disease, eosinophilic esophagitis, and immediate-type immunoglobulin E-mediated food allergy.
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J Invest Allerg Clin · Jan 2011
Practice GuidelineReducing the risk of anaphylaxis during anesthesia: 2011 updated guidelines for clinical practice.
These guidelines represent the updated consensus of experts in the field of immediate hypersensitivity reactions occurring during anesthesia. They provide a series of valid, widely accepted, effective, and easily teachable guidelines that are the fruit of current knowledge, research, and experience. ⋯ The members of the European Network for Drug Allergy approved the guidelines. This paper presents the most relevant clinical implications of the guidelines.