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1. Allergic diseases and immunodeficiencies in children, lessons learnt from COVID-19 pandemic by 2022: A statement from the EAACI-section on pediatrics

Author

Daniel Munblit, Matthew Greenhawt, Helen A. Brough, Anna Pushkareva, Diana Karimova, Anastasia Demidova, John O. Warner, Omer Kalayci, Anna Sediva, Eva Untersmayr, Pablo Rodriguez del Rio, Marta Vazquez‐Ortiz, Stefania Arasi, Montserrat Alvaro‐Lozano, Sophia Tsabouri, Elena Galli, Burcin Beken, Philippe A. Eigenmann, and Acibadem University Dspace

Subjects
allergic diseases, food allergy, post-covid-19 condition, long covid, SARS-CoV-2, pandemic, Immunology, Immunologic Deficiency Syndromes, COVID-19, MIS-C, allergy, vaccination, immunodeficiencies, Asthma, lockdown, Post-Acute COVID-19 Syndrome, children, Pediatrics, Perinatology and Child Health, Hypersensitivity, Immunology and Allergy, Humans, care, eczema, Child, Pandemics
Abstract

By the April 12, 2022, the COVID-19 pandemic had resulted in over half a billion people being infected worldwide. There have been 6.1 million deaths directly due to the infection, but the pandemic has had many more short- and long-term pervasive effects on the physical and mental health of the population. Allergic diseases are among the most prevalent noncommunicable chronic diseases in the pediatric population, and health-care professionals and researchers were seeking answers since the beginning of pandemic. Children are at lower risk of developing severe COVID-19 or dying from infection. Allergic diseases are not associated with a higher COVID-19 severity and mortality, apart from severe/poorly controlled asthma. The pandemic disrupted routine health care, but many mitigation strategies, including but not limited to telemedicine, were successfully implemented to continue delivery of high-standard care. Although children faced a multitude of pandemic-related issues, allergic conditions were effectively treated remotely while reduction in air pollution and lack of contact with outdoor allergens resulted in improvement, particularly respiratory allergies. There is no evidence to recommend substantial changes to usual management modalities of allergic conditions in children, including allergen immunotherapy and use of biologicals. Allergic children are not at greater risk of multisystem inflammatory syndrome development, but some associations with Long COVID were reported, although the data are limited, and further research is needed. This statement of the EAACI Section on Pediatrics provides recommendations based on the lessons learnt from the pandemic, as available evidence.

Published
2022

6. Reply

Author

Helen A. Brough, Jean-Christoph Caubet, Angel Mazon, Diab Haddad, Marcel M. Bergmann, Jacqueline Wassenberg, Valentina Panetta, Rosalynd Gourgey, Suzana Radulovic, Maria Nieto, Alexandra F. Santos, Antonio Nieto, Gideon Lack, and Philippe A. Eigenmann

Subjects
ddc:618, Immunology, Hypersensitivity, Humans, Nuts, Immunology and Allergy, Prospective Studies, Sesamum
Abstract

refers to: (1) Brough HA, Caubet JC, Mazon A, Haddad D, Bergmann MM, Wassenberg J, Panetta V, Gourgey R, Radulovic S, Nieto M, Santos AF, Nieto A, Lack G, Eigenmann PA. Defining challenge-proven coexistent nut and sesame seed allergy: A prospective multicenter European study. J Allergy Clin Immunol. 2020 Apr;145(4):1231-1239. doi: 10.1016/j.jaci.2019.09.036. Epub 2019 Dec 20. PMID: 31866098. And (2) Elizur A, Nachshon L, Levy MB, Epstein-Rigbi N, Goldberg MR; Nut CRACKER study group. Translating tree nut cross-reactivity into clinical practice. J Allergy Clin Immunol. 2020 May;145(5):1480-1481. doi: 10.1016/j.jaci.2020.02.003. Epub 2020 Mar 26. PMID: 32223980.

Published
2020

9. Reply: To PMID 23195525

Author

Hugh A, Sampson, Roy Gerth, van Wijk, Carsten, Bindslev-Jensen, Scott H, Sicherer, Suzanne, Teuber, Wesley, Burks, Anthoney E, Dubois, Kirsten, Beyer, Philippe A, Eigenmann, Jonathan M, Spergel, and Thomas, Werfel

Subjects
Food, Humans, Immunologic Tests, Food Hypersensitivity, Randomized Controlled Trials as Topic
Published
2013

10. Contributors

Author

Mansurah A. Abdulazeez, Mahinda Abeywardena, Mujitaba S. Abubakar, G.O. Adegoke, Oluyemisi Elizabeth Adelakun, Shyam S. Agrawal, Francis Agyemang-Yeboah, Cecilia Aiello, Ibironke Adetolu Ajayi, Olubunmi Bolanle Ajayi, Teresa A. Akeng'a, Aderemi Caleb Aladeokin, Mohamed Ali Al-Farsi, Amna Ali, Niloufer Sultan Ali, Ryszard Amarowicz, Sunday J. Ameh, Larissa Lovatto Amorin, B. Andallu, Paula B. Andrade, Sirajudheen Anwar, Harry Archimède, Ignasius Radix Astadi, Everaldo Attard, Marcos Aurélio de Santana, Cecile Badet, Sachin L. Badole, Daniel J. Ballhorn, Monica S. Banach, Douglas C. Baxter, Dorothea Bedigian, Mikhail A. Belozersky, Valerio Berardi, Trust Beta, Aruna Bhatia, Sanjib Bhattacharya, Jitendra D. Bhosale, Sujit K. Bhutia, Hans Konrad Biesalski, Abdullah bin Habeeballah bin Abdullah Juma, Rune Blomhoff, Judith Boateng, Subhash L. Bodhankar, Anders Borgen, Tomasz Brzozowski, H.N. Büyükkartal, Deon V. Canyon, Monica H. Carlsen, Benildo S. Cavada, Pierre Champy, Cheng-Jie Chen, Jianwei Chen, Yong Chen, Eliton Chivandi, Chanya Chaicharoenpong, Yau-Sang Chan, Randy C.F. Cheung, Adriana Chicco, Pei-Yi Chu, M. Carmen Cid, William de Castro Borges, Luis Cisneros-Zevallos, Wayne Coates, Marie M. Cochard, Marina Cocchi, Hatice Çölgeçen, Marina Contini, Rajesh Dabur, Patrick A. Dakia, B. Daramola, Teresa Delgado, Sandhya Desai, Saikat Dewanjee, Giuseppa Di Bella, Irene Dini, Danuta Drozdowicz, Noélia Duarte, Anuradha Dube, Giacomo Dugo, Yakov E. Dunaevsky, null María del Carmen Durán-de-Bazúa, Caterina Durante, Rafael Cypriano Dutra, George A. Dyer, Tsezi A. Egorov, Akram Eidi, Maryam Eidi, Philippe A. Eigenmann, Mohamed Elleuch, Emma Engström, Kennedy H. Erlwanger, Amin Esfahani, Letícia Estevinho, Mohd Fadzelly Abu Bakar, Evandro F. Fang, Fan-Fu Fang, E. Olatunde Farombi, Afrânio G. Fernandes, Maria-José U. Ferreira, Federico Ferreres, Swaran J.S. Flora, Giorgia Foca, Octavio Luiz Franco, Maria Teresa Frangipane, Jeffrey R. Fry, Shin Yee Fung, Magaji Garba, Manohar L. Garg, Mahavir H. Ghante, Hasanah Mohd Ghazali, Kesturu Subbaiah Girish, Daniele Giuffrida, Alexandre Gonçalves Santos, Mónica González, Milton Hércules Guerra de Andrade, Asheesh Gupta, Ashish Deep Gupta, Ella H. Haddad, Bente Lise Halvorsen, Hans-Peter Hanssen, Ken-ichi Hatano, Mahadevappa Hemshekhar, Blanca Hernández-Ledesma, María del Rosario Hernández-Medel, Elisa Yoko Hirooka, Michal Holčapek, Chia-Chien Hsieh, Dur-Zong Hsu, Xiaojie Hu, Wen-Chuan Huang, Uford S. Inyang, Zafar Iqbal, Gerhard Jahreis, Anna Jaromin, David J.A. Jenkins, Sunny Jhamnani, Yueming Jiang, Rod Jones, Rachid Kacem, Monica Kachroo, Daein Kang, Dayanand M. Kannur, Kempaiah Kemparaju, Cyril C.W. Kendall, Natalya V. Khadeeva, Tanvir Khaliq, Ali Khan Khuwaja, David H. Kinder, Jiyoung Kim, Soressa M. Kitessa, Merih Kivanc, Kathryn T. Knecht, Kazunori Koba, U. Koca, Mongomaké Koné, Stanislaw J. Konturek, Mariola Korycińska, Arkadiusz Kozubek, Vera Krimer-Malešević, Nikhil Kumar, A.V. Vinay Kumar, Slawomir Kwiecien, Sze-Kwan Lam, Karen Lapsley, Carl J. Lavie, Sonaly Cristine Leal, Chang Young Lee, John H. Lee, Hyong Joo Lee, Ki Won Lee, Yang Deok Lee, Yann-Lii Leu, Delfín Rodríguez Leyva, Duo Li, Min Li, Xiang Li, Ying Liang, Chang-Quan Ling, Miroslav Lísa, Ming-Yie Liu, Qin Liu, Xianxian Liu, Mario Li Vigni, M. Gloria Lobo, Tirupur Venkatachalam Logaraj, Leonardo Lombardini, Yolanda B. Lombardo, Giovanna Loredana La Torre, Ben O. de Lumen, Xingming Ma, Senka Mađarev-Popović, Maurice Mahieu, Anup Maiti, Tapas K. Maiti, Manisha Deb Mandal, Shyamapada Mandal, Tusharkanti Mandal, Andrea Marchetti, Carine Marie-Magdeleine, Colin R. Martin, Sarfaraz Khan Marwat, Riccardo Massantini, Richard D. Mattes, Richelle S. McCullough, Krystyna Michalak, Richard Milani, Arash Mirrahimi, Tulika Mishra, Pragya Misra, Takuya Miyakawa, Abdulkarim Sabo Mohammed, Maryati Mohamed, Joseph Molnár, Alisa Mori, Siham Mostafa Ali El-Shenawy, Michael Murkovic, Subban Nagarajan, Marcelo H. Napimoga, Tadigoppula Narender, Tzi-Bun Ng, Patrick H.K. Ngai, Nguyen Nguyen, Peter D. Nichols, Julius Enyong Oben, Obiageli O. Obodozie, Steve Ogbonnia, James H. O'Keefe, María Eugenia Oliva, Elisabete Yurie Sataque Ono, Mario Augusto Ono, Ana G. Ortiz-Quezada, Olusegun James Oyelade, Folake Lucy Oyetayo, Yingming Pan, Vidhu Pachauri, Madan Mohan Padhi, Robert Pajdo, Alistair G. Paice, Dilipkumar Pal, Michal Pawlik, Wieslaw W. Pawlik, Patrícia Barbosa Pelegrini, Draginja Peričin, David M. Pereira, José Alberto Pereira, Amorn Petsom, Grant N. Pierce, Alexander M. Popov, Y. Pramodini, Nagendra Prasad, Lu-Ping Qin, Yang Qiu, K. Vijaya Rachel, Ljiljana Radulović, Asmah Rahmat, P.S. Rajini, Deepak Rajpurohit, C.U. Rajeshwari, Elsa Ramalhosa, Gajendra Rao, Lingamallu Jagan Mohan Rao, Nádia Rezende Barbosa Raposo, Francesca Ricci, Gianfranco Risuleo, Simone J. Rochfort, Ilia Rodushkin, Carolina Nachi Rossi, Hafiz Abubaker Saddiqi, Kanagal Sahana, Marcello Saitta, Ibrahim Sani, Nalan Yilmaz Sariozlu, Yoriko Sawano, Ulrich Schäfer, Markus Schmitz-Hübsch, Dante Selenscig, S. Sengottuvelu, Essam Shaalan, John L. Sievenpiper, Simona Sighinolfi, Si Mui Sim, Aline Siqueira Ferreira, Julio A. Solís-Fuentes, Korbua Srichaikul, Welma Stonehouse, M.T. Ravi Subbiah, Katarzyna Suchoszek-Łukaniuk, Reka Szollosi, Nget Hong Tan, Masaru Tanokura, Lorenzo Tassi, Edson H. Teixeira, Christine D. Thomson, Sriniwas Tiwari, Yaya Touré, Alessandro Ulrici, A. Umasankar, Solomon Umukoro, Nitin K. Upadhyay, Fazal ur Rehman, Vellingiri Vadivel, Patrícia Valentão, Andras Varga, Žužana Vaštag, Martha Verghese, Y. Vimala, Lloyd T. Walker, He-xiang Wang, Hengshan Wang, Kai Wang, Xiao-li Wang, Cornelius W. Wanjala, Francine K. Welty, Jack H. Wong, Lisa G. Wood, Teruyoshi Yanagita, Bao Yang, Xiujuan Ye, Xianghui Yi, Jau-Song Yu, Alam Zeb, Ye Zhang, Cheng-Jian Zheng, and Adel Zitoun

Published
2011

12. T lymphocytes in food allergy: overview of an intricate network of circulating and organ-resident cells

Author

Philippe A, Eigenmann

Subjects
Integrins, T-Lymphocytes, Models, Immunological, Allergens, Peyer's Patches, Cell Adhesion, Immune Tolerance, Humans, Receptors, Chemokine, Immunotherapy, Chemokines, Child, Digestive System, Immunologic Memory, Food Hypersensitivity
Abstract

Although food hypersensitivity might be divided in IgE- and non-IgE mediated food allergy, there is a large body of evidence implicating T lymphocytes overall in the pathogenesis of food allergy. Priming of naive T cells will occur mainly in Peyer's patches (PP), where surface receptors (l-selectin, CCR7 and CXCR4) will help to initiate diapedesis of the cells to the submucosa. Various antigen-presenting cells (e.g. dendritic cells, M cells) will present food antigen-derived epitopes and initiate either non-responsiveness, or a food-mediated immune response. Food-specific memory T cells express various surface receptors such as the alpha4beta7-integrin, or the cutaneous lymphocyte antigen. It is speculated, that they might also express specific chemokine receptors (CCR4, CCR7 or CCR9). Organ-specific homing will be facilitated through the corresponding receptors (i.e. MAdCAM-1 in the gut, VCAM-1 or fibronectin in other mucosal organs, or E-selectin in the skin). Locally secreted chemokines might help to attract T cells through their corresponding chemokine receptors. Finally, potential T-cell directed therapeutic interventions (peptide-derived immunotherapy, DNA vaccination, or strategies preventing T cells from trafficking to target organs) are discussed.

Published
2002

13. Reply

Author

Jean-Christoph Caubet and Philippe A. Eigenmann

Subjects
Immunology, Immunology and Allergy
Published
2011

14. Reply

Author

Marie M. Cochard and Philippe A. Eigenmann

Subjects
Immunology, Immunology and Allergy
Published
2010

15. Letter to the Editor

Author

Philippe A. Eigenmann and Hugh A. Sampson

Subjects
Immunology, Pediatrics, Perinatology and Child Health, Immunology and Allergy
Published
1999

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