Clinical-epiDemiological profile of patients with suspicion of alimentary allergy in Mexico. Mexipreval Study [Perfil clínico-epiDemiológico De pacientes con sospecha De alergia alimentaria en México. Estudio Mexipreval]
Medina-HernanDez A.,Autonomous University of Queretaro |
Huerta-HernanDez R.E.,Alergologo e Inmunologo Pediatra |
Gongora-MelenDez M.A.,Alergologo e Inmunologo Pediatra |
Dominguez-Silva M.G.,Hospital Of Gineco Pediatria 3A |
And 79 more authors.
Revista Alergia Mexico | Year: 2015
Background: Adverse reaction to food has increased around the world in last years. Prevalence of food allergy raises between 2-4% in adults, and 6-8% in children. The clinical presentation is heterogeneous and varies from mild symptoms to anaphylactic reactions. Even the clinical history focused in the food is important; Demonstration of allergen sensitization is mandatory. Objective: To Describe the profile of the patients with suspicion of food allergy and the regular clinical practice followed in Mexico. Material and method: An observational, Descriptive, cross-sectional study was carried out from March 2013 to March 2014 using a convenience sample of allergic patients who were treated in the office, both private and public, of those physicians who seen food allergy patients. Results: Clinical, epiDemiological, diagnostic and therapeutic data were collected from 1,971 suspicious food allergic patients presenting for the ?rst time in the Departments of the researchers involved in the study. No difference was found in relation to genDer. In relation to age, a bimodal distribution, with peaks at 2 and 35 years old, was found. A history of respiratory allergy was present in 75% of cases; 80% of patients had had any previous symptoms before seeking consultation and the most frequent clinical manifestations were cutaneous, 5% reported anaphylaxis. Conclusion: The foods involved in reactions change with age. The clinical presentation changes with the food, although the skin is the most frequently affected organ. Even if the suspicious were high, the confirmation with specific diagnostic tools is strongly recommenDed. © Indice Mexicano De Revistas Biomédicas Latinoamericanas 1998 2015.
PubMed | Alergologo e Inmunologo Pediatra
Type: | Journal: Revista alergia Mexico (Tecamachalco, Puebla, Mexico : 1993) | Year: 2010
The diagnosis of asthma is based primarily on patient history, conducting the interrogation to the search for risk factors for developing it and the triggers of their symptoms. This chapter will detail some laboratory tests and cabinet that can support this clinical diagnosis. Respiratory function tests help to show the degree of airway obstruction and its reversibility with treatment. Allergy tests help prove the existence of cells sensitized to a specific allergen and once identified, implement environmental control measures or if necessary to control this immunomodulation exaggerated immune response. The exhaled nitric oxide test has been most useful in assessing the course of asthma during treatment, rather than for diagnosis. Sometimes the confirmatory diagnosis of asthma is achieved after excluding other diseases that may present a similar clinical picture, and especially after knowing the response to standard treatment with bronchodilators and anti-inflammatory drugs.