15 results on '"Atanaskovic-Markovic M"'
Search Results
2. Pediatric Allergy and Immunology (PAI) is for polishing with artificial intelligence, but careful use.
- Author
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Eigenmann P, Akenroye A, Atanaskovic Markovic M, Candotti F, Ebisawa M, Genuneit J, Kalayci Ö, Kollmann D, Leung ASY, Peters RL, and Riggioni C
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- Humans, Child, Artificial Intelligence, Hypersensitivity therapy
- Published
- 2023
- Full Text
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3. Editorial comment on "Pediatric chronic urticaria: Clinical and laboratory characteristics and factors linked to remission".
- Author
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Podder I, Atanaskovic-Markovic M, and Kolkhir P
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- Humans, Child, Chronic Disease, Chronic Urticaria, Urticaria diagnosis
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- 2023
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4. New perspectives on drug allergy in children.
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Labella Alvarez M, Eigenmann P, Caubet JC, and Atanaskovic Markovic M
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- Humans, Child, Anti-Bacterial Agents, Drug Hypersensitivity diagnosis
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- 2023
- Full Text
- View/download PDF
5. An EAACI Task Force report on allergy to beta-lactams in children: Clinical entities and diagnostic procedures.
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Blanca-Lopez N, Atanaskovic-Markovic M, Gomes ER, Kidon M, Kuyucu S, Mori F, Soyer O, and Caubet JC
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- Anti-Bacterial Agents adverse effects, Child, Humans, Skin Tests, Drug Hypersensitivity diagnosis, beta-Lactams adverse effects
- Abstract
Beta-lactam (BL) allergy suspicion is common in children and constitutes a major public health problem, with an impact on patient's health and on medical costs. However, it has been found that most of these reactions are not confirmed by a complete allergic workup. The diagnostic value of the currently available allergy tests has been investigated intensively recently by different groups throughout the world. This has led to major changes in the management of children with a suspected BL allergy. Particularly, it is now well accepted that skin tests can be skipped before the drug provocation test in children with a benign non-immediate reaction to BL. However, there is still a debate on the optimal allergic workup to perform in children with a benign immediate reaction. In addition, management of children with severe cutaneous adverse drug reactions remains difficult. In this review, based on a selection of the most relevant studies found in the literature, we will review and discuss the diagnosis of different forms of BL allergy in children., (© 2021 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.)
- Published
- 2021
- Full Text
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6. Skin eruptions in children: Drug hypersensitivity vs viral exanthema.
- Author
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Tsabouri S and Atanaskovic-Markovic M
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- Child, Herpesvirus 4, Human, Humans, Skin Tests, Drug Hypersensitivity diagnosis, Epstein-Barr Virus Infections, Exanthema diagnosis, Virus Diseases diagnosis
- Abstract
Childhood rashes or exanthemas are common and are usually relatively benign. There are many causes of rash in children, including mainly viruses, and less often bacterial toxins, drugs, allergens and other diseases. Viral exanthema often appears while children are taking a medication in the course of a viral infection; it can mimic drug exanthema and is perceived as a drug allergy in 10% of cases. In the vast majority of cases, the distinction between virus-induced and drug-induced skin eruption during the acute phase is not possible. The drugs most commonly implicated are beta-lactams (BL) and non-steroidal anti-inflammatory drugs (NSAIDs). Viruses, commonly Epstein-Barr virus (EBV), human herpesvirus 6 (HHV6) and cytomegalovirus (CMV), and the bacterium, Mycoplasma pneumoniae, may cause exanthema either from the infection itself (active or latent) or because of interaction with drugs that are taken simultaneously. Determination of the exact diagnosis requires a careful clinical history and thorough physical examination. Haematological and biochemical investigations and histology are not always helpful in differentiating between the two types of exanthema. Serological and polymerase chain reaction (PCR) assays can be helpful, although a concomitant acute infection does not exclude drug hypersensitivity. A drug provocation test (DPT) is although considered the gold standard for the diagnosis and is not preferred by the patients. Skin tests are not well tolerated, and in vitro tests, such as the basophil activation test and lymphocyte transformation, are of low sensitivity and specificity and their relevance is debatable. Based on current evidence, we propose a systematic clinical approach for timely differential diagnosis and management of rashes in children who present a cutaneous eruption while receiving a drug., (© 2021 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.)
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- 2021
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- View/download PDF
7. Delayed hypersensitivity to antiepileptic drugs in children.
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Mori F, Blanca-Lopez N, Caubet JC, Demoly P, Du Toit G, Gomes ER, Kuyucu S, Romano A, Soyer O, Tsabouri S, and Atanaskovic-Markovic M
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- Anticonvulsants adverse effects, Child, Humans, Intradermal Tests, Risk Factors, Skin, Drug Hypersensitivity drug therapy, Drug Hypersensitivity therapy, Hypersensitivity, Delayed diagnosis, Hypersensitivity, Delayed drug therapy
- Abstract
Background: Antiepileptic drugs (AEDs) are widely used for the treatment of epilepsy, but they can be associated with the development of mainly delayed/non-immediate hypersensitivity reactions (HRs). Although these reactions are usually cutaneous, self-limited, and spontaneously resolve within days after drug discontinuation, sometime HR reactions to AEDs can be severe and life-threatening., Aim: This paper seeks to show examples on practical management of AED HRs in children starting from a review of what it is already known in literature., Results: Risk factors include age, history of previous AEDs reactions, viral infections, concomitant medications, and genetic factors. The diagnostic workup consists of in vivo (intradermal testing and patch testing) and in vitro tests [serological investigation to exclude the role of viral infection, lymphocyte transformation test (LTT), cytokine detection in ELISpot assays, and granulysin (Grl) in flow cytometry. Treatment is based on a prompt drug discontinuation and mainly on the use of glucocorticoids., Conclusion: Dealing with AED HRs is challenging. The primary goal in the diagnosis and management of HRs to AEDs should be trying to accurately identify the causal trigger and simultaneously identify a safe and effective alternative anticonvulsant. There is therefore an ongoing need to improve our knowledge of HS reactions due to AED medications and in particular to improve our diagnostic capabilities., (© 2020 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.)
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- 2021
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- View/download PDF
8. What is new in beta-lactam allergy in children?
- Author
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Atanaskovic-Markovic M
- Subjects
- Allergists, Anti-Bacterial Agents adverse effects, Child, Humans, Skin Tests, Drug Hypersensitivity drug therapy, Drug Hypersensitivity therapy, beta-Lactams adverse effects
- Abstract
This review highlights the novelties in understanding the underlying immunologic mechanisms of drug hypersensitivity reactions (DHRs) with special reference to beta-lactams (BLs) in the pediatric population, as well as tiny changes in clinical classification and diagnosis of DHRs, in the last couple of years. BLs are still the most commonly prescribed and used antibiotics in children. Viral infections are very often in children, and they can provoke skin rashes which are difficult to differentiate from DHRs. The majority of children are incorrectly labeled as "allergic." Therefore, allergy to BLs in children is overdiagnosed. These children often receive suboptimal treatment with second-line broad-spectrum antibiotics, which are less effective, more costly, and associated with an increased risk of antibiotic-resistant infections. This prolongs hospitalization and thus more uses health care. The correct diagnosis of BL allergy in children is still an important and hot topic. This review has outlined the need for correct diagnosis of BL allergy in children and all the controversies encountered by pediatricians and pediatric allergists. It is also necessary to change the paradigm., (© 2020 European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd.)
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- 2021
- Full Text
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9. Diagnosis and management of drug-induced anaphylaxis in children: An EAACI position paper.
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Atanaskovic-Markovic M, Gomes E, Cernadas JR, du Toit G, Kidon M, Kuyucu S, Mori F, Ponvert C, Terreehorst I, and Caubet JC
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- Anaphylaxis chemically induced, Anaphylaxis therapy, Child, Child, Preschool, Desensitization, Immunologic methods, Diagnosis, Differential, Drug Hypersensitivity therapy, Humans, Risk Factors, Skin Tests methods, Anaphylaxis diagnosis, Drug Hypersensitivity diagnosis
- Abstract
Drug hypersensitivity reactions (DHR) constitute a major and common public health problem, particularly in children. One of the most severe manifestations of DHR is anaphylaxis, which might be associated with a life-threatening risk. During those past decades, anaphylaxis has received particularly a lot of attention and international consensus guidelines have been recently published. Whilst drug-induced anaphylaxis is more commonly reported in adulthood, less is known about the role of drugs in pediatric anaphylaxis. Betalactam antibiotics and non-steroidal anti-inflammatory drugs are the most commonly involved drugs, probably related to high prescription rates. Diagnosis relies on the recognition of symptoms pattern and is based on complete allergic workup, particularly including skin tests and/or specific IgE. However, the real diagnostic value of those tests to diagnose immediate reactions in children remains not well defined for a significant number of the drugs. Generally, a drug provocation test is discussed to confirm or exclude an immediate-onset drug-induced hypersensitivity. Although avoidance of the incriminated drug (and related drug) is the rule, rapid desensitization is useful in selected subgroups of patients. There is a need for large, multicentric studies, to evaluate the real diagnostic value of the currently available skin tests. Moreover there is also a need to develop new diagnostic tests in the future to improve the management of these children., (© 2019 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.)
- Published
- 2019
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10. EAACI/ENDA Position Paper: Diagnosis and management of hypersensitivity reactions to non-steroidal anti-inflammatory drugs (NSAIDs) in children and adolescents.
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Kidon M, Blanca-Lopez N, Gomes E, Terreehorst I, Tanno L, Ponvert C, Chin CW, Caubet JC, Soyer O, Mori F, Blanca M, and Atanaskovic-Markovic M
- Subjects
- Adolescent, Allergens therapeutic use, Anaphylaxis etiology, Anaphylaxis therapy, Animals, Anti-Inflammatory Agents, Non-Steroidal therapeutic use, Child, Child, Preschool, Cross Reactions, Drug Hypersensitivity therapy, Expert Testimony, Female, Humans, Male, Practice Guidelines as Topic, Risk Factors, Skin Tests, Allergens immunology, Anaphylaxis diagnosis, Anti-Inflammatory Agents, Non-Steroidal immunology, Desensitization, Immunologic methods, Drug Hypersensitivity diagnosis
- Abstract
Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used in the pediatric population as antipyretics/analgesics and anti-inflammatory medications. Hypersensitivity (HS) reactions to NSAID in this age group, while similar to adults, have unique diagnostic and management issues. Although slowly accumulating, published data in this age group are still relatively rare and lacking a unifying consensus. This work is a summary of current knowledge and consensus recommendations utilizing both published data and expert opinion from the European Network of Drug Allergy (ENDA) and the Drug Hypersensitivity interest group in the European Academy of Allergy and Clinical Immunology (EAACI). This position paper summarizes diagnostic and management guidelines for children and adolescents with NSAIDs hypersensitivity., (© 2018 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.)
- Published
- 2018
- Full Text
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11. Current state and future of pediatric allergology in Europe: A road map.
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Tsilochristou O, Maggina P, Zolkipli Z, Sanchez Garcia S, Uysal P, Alvaro Lozano M, Atanaskovic-Markovic M, Baghdasaryan A, Beyer K, DuToit G, Gerth van Wijk R, Høst A, O'Hourihane J, Ingemann L, Kivistö JE, Lopes Dos Santos JM, Melén E, Muraro A, Nieto A, Pajno G, Rose K, Réthy LA, Sackesen C, Schmid Grendelmeier P, Valovirta E, Wickman M, Eigenmann PA, Wahn U, and van der Poel LA
- Subjects
- Allergists, Biomedical Research, Child, Clinical Competence, Europe, Humans, Pediatrics methods, Allergy and Immunology education, Education, Medical, Continuing methods, Hypersensitivity therapy, Pediatrics education
- Abstract
The history of pediatric allergology (PA) in Europe is relatively youthful, dating back to 1984, when a small group of pediatricians founded the European Working Group on Pediatric Allergy and Immunology-later giving rise to ESPACI (European Society on Pediatric Allergology and Clinical Immunology). In 1990, the first dedicated journal, Pediatric Allergy and Immunology (PAI), was founded. There are striking differences across Europe, and even within European countries, in relation to the training pathways for doctors seeing children with allergic disease(s). In 2016, the EAACIClemens von Pirquet Foundation (CvP) organized and sponsored a workshop with the European Academy of Allergy and Clinical Immunology (EAACI) Pediatric Section. This collaboration focussed on the future of PA and specifically on education, research, and networking/ advocacy. The delegates representing many countries across Europe have endorsed the concept that optimal care of children with allergic diseases is delivered by pediatricians who have received dedicated training in allergy, or allergists who have received dedicated training in pediatrics. In order to meet the needs of children and families with allergic disease(s), the pediatric allergist is highly encouraged to develop several networks. Our challenge is to reinforce a clear strategic approach to scientific excellence to across our member base and to ensure and enhance the relevance of European pediatric research in allergy. With research opportunities in basic, translational, clinical, and epidemiologic trials, more trainees and trained specialists are needed and it is an exciting time to be a pediatric allergologist., (© 2017 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.)
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- 2018
- Full Text
- View/download PDF
12. Non-immediate hypersensitivity reactions to beta-lactam antibiotics in children - our 10-year experience in allergy work-up.
- Author
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Atanaskovic-Markovic M, Gaeta F, Medjo B, Gavrovic-Jankulovic M, Cirkovic Velickovic T, Tmusic V, and Romano A
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- Adolescent, Allergens immunology, Child, Child, Preschool, Diagnosis, Differential, Female, Humans, Infant, Male, Prospective Studies, Skin Tests, beta-Lactams immunology, Exanthema diagnosis, Hypersensitivity, Delayed diagnosis, Mycoplasma pneumoniae physiology, Pneumonia, Mycoplasma diagnosis, Urticaria diagnosis, Virus Diseases diagnosis
- Abstract
Background: Non-immediate reactions to beta-lactam antibiotics (BL) occur more than one hour after drug administration, and the most common manifestations are maculopapular exanthemas and delayed-appearing urticaria and/or angioedema. Infections can lead to skin eruptions and mimic drug hypersensitivity reactions (DHR), if a drug is taken at the same time. The most of children are labeled as 'drug allergic' after considering only the clinical history., Objective: To diagnose/detect a hypersensitivity or an infection which mimic DHR in children with non-immediate reactions to BL METHODS: A prospective survey was conducted in a group of 1026 children with histories of non-immediate reactions to BL by performing patch tests, skin tests, and in case of negative results, drug provocation tests (DPTs). In 300 children, a study was performed to detect infections by viruses or Mycoplasma pneumoniae., Results: Urticaria and maculopapular exanthemas were the most reported non-immediate reactions. Only 76 (7.4%) of 1026 children had confirmed non-immediate hypersensitivity reactions to BL. Fifty-seven children had positive delayed-reading intradermal tests (18 of these with a positive patch test). Nineteen children had positive DPT. Sixty-six of 300 children had positive tests for viruses or Mycoplasma pneumoniae and 2 of them had a positive allergy work-up., Conclusions: A diagnostic work-up should be performed in all children with non-immediate reactions to BL, to remove a false label of hypersensitivity. Even though only 57 (5.5%) of 1026 children displayed positive responses to delayed-reading intradermal tests to BL, such tests appear to be useful in order to reduce the risk for positive DPTs., (© 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
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- 2016
- Full Text
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13. Hypersensitivity reactions to non-betalactam antibiotics in children: an extensive review.
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Kuyucu S, Mori F, Atanaskovic-Markovic M, Caubet JC, Terreehorst I, Gomes E, and Brockow K
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- Allergens immunology, Animals, Child, Drug Hypersensitivity therapy, Humans, Immunization, beta-Lactams immunology, Drug Hypersensitivity diagnosis, Macrolides immunology, Quinolones immunology, Sulfonamides immunology
- Abstract
In contrast to hypersensitivity reactions (HSRs) to β-lactam antibiotics in children, studies about HSR to non-β-lactam antibiotics (NBLAs) such as sulfonamides, macrolides, quinolones, and antituberculosis agents are scarce, and information is generally limited to case reports. The aim of this extensive review was to summarize our present knowledge on clinical characteristics, evaluation, and management of HSR to NBLAs in children based on the literature published between 1980 and 2013. NBLAs have been reported to induce a wide spectrum of HSRs from mild eruptions to severe, and sometimes fatal, systemic drug reactions, especially in some high-risk groups. The diagnosis relied upon history and remained unconfirmed by allergological tests in most of the cases. Obtaining a detailed history is valuable in the diagnosis of suspected reactions to NBLAs. Diagnostic in vivo and in vitro tests for NBLAs lack validation, which makes the diagnosis challenging. The definitive diagnosis of NBLA hypersensitivity frequently depends upon drug provocation tests. Studies including children showed that only 7.8 to 36% of suspected immediate and delayed HSRs to NBLAs could be confirmed by skin and/or provocation tests. Therefore, a standardized diagnostic approach and management strategy should be developed and employed for pediatric patients in the evaluation of suspected HSRs to NBLAs, some of which may be critical and unreplaceable in certain clinical situations., (© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
- Published
- 2014
- Full Text
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14. Testing children for allergies: why, how, who and when: an updated statement of the European Academy of Allergy and Clinical Immunology (EAACI) Section on Pediatrics and the EAACI-Clemens von Pirquet Foundation.
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Eigenmann PA, Atanaskovic-Markovic M, O'B Hourihane J, Lack G, Lau S, Matricardi PM, Muraro A, Namazova Baranova L, Nieto A, Papadopoulos NG, Réthy LA, Roberts G, Rudzeviciene O, Wahn U, Wickman M, and Høst A
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- Age Factors, Child, Child, Preschool, Evidence-Based Medicine standards, Humans, Hypersensitivity epidemiology, Hypersensitivity immunology, Hypersensitivity therapy, Infant, Predictive Value of Tests, Prognosis, Hypersensitivity diagnosis, Immunologic Tests standards
- Abstract
Allergic diseases are common in childhood and can cause a significant morbidity and impaired quality-of-life of the children and their families. Adequate allergy testing is the prerequisite for optimal care, including allergen avoidance, pharmacotherapy and immunotherapy. Children with persisting or recurrent or severe symptoms suggestive for allergy should undergo an appropriate diagnostic work-up, irrespective of their age. Adequate allergy testing may also allow defining allergic trigger in common symptoms. We provide here evidence-based guidance on when and how to test for allergy in children based on common presenting symptoms suggestive of allergic diseases., (© 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd.)
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- 2013
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15. Authors reply to beta-lactam allergy in children.
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Atanaskovic-Markovic M, Cirkovic Velickovic T, Gavrovic-Jankulovic M, Vuckovic O, and Nestorovic B
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- Child, Drug Hypersensitivity epidemiology, Humans, Predictive Value of Tests, Skin Tests, Drug Hypersensitivity diagnosis, beta-Lactams adverse effects
- Published
- 2006
- Full Text
- View/download PDF
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