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1. Aeroallergen immunotherapy associated with reduced risk of severe COVID-19 in 1095 allergic patients

Author

Larenas-Linnemann, Désirée, Morfin-Maciel, Blanca María, Bedolla-Barajas, Martín, López-Bago, Ana, Navarrete Rodríguez, Elsy Maureen, Mogica-Martínez, María Dolores, Gereda, José E., Sarrazola Sanjuan, Mauricio, Cano Pedroza, Rosa Yazmín, Cavallo, María Cecilia, Romero Tapia, Sergio de Jesús, Jossen, Roberto A., Fuentes Pérez, José Miguel, Del Rio Navarro, Blanca E., Rodríguez Zagal, Erendira, Piraino Sosa, Pedro A., Huerta Villalobos, Yunuen Rocío, Chavez-Vereau, Pierre, García Imperial, Daniel Alberto, Olivares Gómez, Margarita, Valle Rodríguez, Francisco, Zuñiga Reyes, Carlos Omar, Rodríguez-González, Mónica, Gallego Corella, Claudia Ivonne, Ivancevich, Juan Carlos, García Cruz, María de la Luz Hortencia, Repka-Ramirez, María Susana, Flores Morales, Mauricio Ernesto, Fernández De Córdova Aguirre, Juan Carlos, Luna-Pech, Jorge A., Rivero Yeverino, Daniela, Martínez Guzmán, Edgar, Pérez Ortiz, Cinthia Elizabeth, and Villa Médica, Leonor

Published
2023
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2. Compromising between European and US allergen immunotherapy schools: Discussions from GUIMIT, the Mexican immunotherapy guidelines

Author

Larenas-Linnemann, Désirée, Rodríguez-Pérez, Noel, Luna-Pech, Jorge A., Rodríguez-González, Mónica, Blandón-Vijil, María Virginia, Del-Río-Navarro, Blanca E., Costa-Domínguez, María del Carmen, Navarrete-Rodríguez, Elsy Maureen, Macouzet-Sánchez, Carlos, Ortega-Martell, José Antonio, Pozo-Beltrán, César Fireth, Estrada-Cardona, Alan, Arias-Cruz, Alfredo, Rodríguez Galván, Karen Guadalupe, Brito-Díaz, Herson, Canseco-Raymundo, María del Rosario, Castelán-Chávez, Enrique Emanuel, Escalante-Domínguez, Alberto José, Gálvez-Romero, José Luis, Gómez-Vera, Javier, González-Díaz, Sandra Nora, Guerrero-Núñez, María Gracia Belinda, Hernández-Colín, Dante Daniel, Macías-Weinmann, Alejandra, Mendoza-Hernández, David Alejandro, Meneses-Sánchez, Néstor Alejandro, Mogica-Martínez, María Dolores, Moncayo-Coello, Carol Vivian, Montiel-Herrera, Juan Manuel, O'Farril-Romanillos, Patricia María, Onuma-Takane, Ernesto, Ortega-Cisneros, Margarita, Rangel-Garza, Lorena, Stone-Aguilar, Héctor, Torres-Lozano, Carlos, Venegas-Montoya, Edna, Wakida-Kusunoki, Guillermo, Partida-Gaytán, Armando, López-García, Aída Inés, Macías-Robles, Ana Paola, Ambriz-Moreno, María de Jesús, Azamar-Jácome, Amyra Ali, Beltrán-De Paz, Claudia Yusdivia, Caballero-López, Chrystopherson, Fernández de Córdova-Aguirre, Juan Carlos, Fernández-Soto, José Roberto, Lozano-Sáenz, José Santos, Oyoqui-Flores, José Joel, Osorio-Escamilla, Roberto Efrain, Ramírez-Jiménez, Fernando, Rivero-Yeverino, Daniela, Martínez Infante, Eric, and Medina-Ávalos, Miguel Alejandro

Published
2020
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3. Compromising between European and US allergen immunotherapy schools: Discussions from GUIMIT, the Mexican immunotherapy guidelines

Author

Larenas Linnemann, Désirée, Rodríguez Pérez, Noel, Luna Pech, Jorge A., Rodríguez González, Mónica, Blandón Vijil, María Virginia, Del Río Navarro, Blanca E., Costa Domínguez, María del Carmen, Navarrete Rodríguez, Elsy Maureen, Macouzet Sánchez, Carlos, Ortega Martell, José Antonio, Pozo Beltrán, César Fireth, Estrada Cardona, Alan, Arias Cruz, Alfredo, Rodríguez Galván, Karen Guadalupe, Brito Díaz, Herson, Canseco Raymundo, María Del Rosario, Castelán Chávez, Enrique Emanuel, Escalante Domínguez, Alberto José, Gálvez Romero, José Luis, Gómez Vera, Javier, González Díaz, Sandra Nora, Guerrero Núñez, María Gracia Belinda, Hernández Colín, Dante Daniel, Macías Weinmann, Alejandra, Mendoza Hernández, David Alejandro, Meneses Sánchez, Néstor Alejandro, Mogica Martínez, María Dolores, Moncayo Coello, Carol Vivian, Montiel Herrera, Juan Manuel, O'Farril Romanillos, Patricia María, Onuma Takane, Ernesto, Ortega Cisneros, Margarita, Rangel Garza, Lorena, Stone Aguilar, Héctor, Torres Lozano, Carlos, Venegas Montoya, Edna, Wakida Kusunoki, Guillermo, Partida Gaytán, Armando, López García, Aída Inés, Macías Robles, Ana Paola, Ambriz Moreno, María de Jesús, Azamar Jácome, Amyra Ali, Beltrán de Paz, Claudia Yusdivia, Caballero López, Chrystopherson, Fernández de Córdova Aguirre, Juan Carlos, Fernández Soto, José Roberto, Lozano Sáenz, José Santos, Oyoqui Flores, José Joel, Osorio Escamilla, Roberto Efrain, Ramírez Jiménez, Fernando, Rivero Yeverino, Daniela, Martínez Infante, Eric, Medina Ávalos, Miguel Alejandro, Larenas Linnemann, Désirée, Rodríguez Pérez, Noel, Luna Pech, Jorge A., Rodríguez González, Mónica, Blandón Vijil, María Virginia, Del Río Navarro, Blanca E., Costa Domínguez, María del Carmen, Navarrete Rodríguez, Elsy Maureen, Macouzet Sánchez, Carlos, Ortega Martell, José Antonio, Pozo Beltrán, César Fireth, Estrada Cardona, Alan, Arias Cruz, Alfredo, Rodríguez Galván, Karen Guadalupe, Brito Díaz, Herson, Canseco Raymundo, María Del Rosario, Castelán Chávez, Enrique Emanuel, Escalante Domínguez, Alberto José, Gálvez Romero, José Luis, Gómez Vera, Javier, González Díaz, Sandra Nora, Guerrero Núñez, María Gracia Belinda, Hernández Colín, Dante Daniel, Macías Weinmann, Alejandra, Mendoza Hernández, David Alejandro, Meneses Sánchez, Néstor Alejandro, Mogica Martínez, María Dolores, Moncayo Coello, Carol Vivian, Montiel Herrera, Juan Manuel, O'Farril Romanillos, Patricia María, Onuma Takane, Ernesto, Ortega Cisneros, Margarita, Rangel Garza, Lorena, Stone Aguilar, Héctor, Torres Lozano, Carlos, Venegas Montoya, Edna, Wakida Kusunoki, Guillermo, Partida Gaytán, Armando, López García, Aída Inés, Macías Robles, Ana Paola, Ambriz Moreno, María de Jesús, Azamar Jácome, Amyra Ali, Beltrán de Paz, Claudia Yusdivia, Caballero López, Chrystopherson, Fernández de Córdova Aguirre, Juan Carlos, Fernández Soto, José Roberto, Lozano Sáenz, José Santos, Oyoqui Flores, José Joel, Osorio Escamilla, Roberto Efrain, Ramírez Jiménez, Fernando, Rivero Yeverino, Daniela, Martínez Infante, Eric, and Medina Ávalos, Miguel Alejandro

Abstract

Background: Allergen immunotherapy (AIT) has a longstanding history and still remains the only disease-changing treatment for allergic rhinitis and asthma. Over the years 2 different schools have developed their strategies: the United States (US) and the European. Allergen extracts available in these regions are adapted to local practice. In other parts of the world, extracts from both regions and local ones are commercialized, as in Mexico. Here, local experts developed a national AIT guideline (GUIMIT 2019) searching for compromises between both schools. Methods: Using ADAPTE methodology for transculturizing guidelines and AGREE-II for evaluating guideline quality, GUIMIT selected 3 high-quality Main Reference Guidelines (MRGs): the European Academy of Allergy, Asthma and Immunology (EAACI) guideines, the S2k guideline of various German-speaking medical societies (2014), and the US Practice Parameters on Allergen Immunotherapy 2011. We formulated clinical questions and based responses on the fused evidence available in the MRGs, combined with local possibilities, patient's preference, and costs. We came across several issues on which the MRGs disagreed. These are presented here along with arguments of GUIMIT members to resolve them. GUIMIT (for a complete English version, see Supplementary data) concluded the following: Results: Related to the diagnosis of IgE-mediated respiratory allergy, apart from skin prick testing complementary tests (challenges, in vitro testing and molecular such as species-specific allergens) might be useful in selected cases to inform AIT composition. AIT is indicated in allergic rhinitis and suggested in allergic asthma (once controlled) and IgE-mediated atopic dermatitis. Concerning the correct subcutaneous AIT dose for compounding vials according to the US school: dosing tables and formula are given; up to 4 non-related allergens can be mixed, refraining from mixing high with low protease extracts. When using European extracts: the man

Published
2020

4. GUIMIT 2019, Guía Mexicana de Inmunoterapia. Guía de diagnóstico de alergia mediada por IgE e inmunoterapia aplicando el método ADAPTE

Author

Larenas-Linnemann, Désirée, primary, Luna-Pech, Jorge A., additional, Rodríguez-Pérez, Noel, additional, Rodríguez-González, Mónica, additional, Arias-Cruz, Alfredo, additional, Blandón-Vijil, María Virginia, additional, Costa-Domínguez, María del Carmen, additional, Del Río-Navarro, Blanca E., additional, Estrada-Cardona, Alan, additional, Navarrete-Rodríguez, Elsy Maureen, additional, Ortega-Martell, José Antonio, additional, Pozo-Beltrán, César Fireth, additional, Brito-Díaz, Herson, additional, Canseco-Raymundo, María del Rosario, additional, Castelán-Chávez, Enrique Emanuel, additional, Domínguez-Silva, Margarita Gabriela, additional, Escalante-Domínguez, Alberto José, additional, Gálvez-Romero, José Luis, additional, García-Reyes, María Guadalupe, additional, Gómez-Vera, Javier, additional, González-Díaz, Sandra Nora, additional, Guerrero-Núñez, María Gracias Belinda, additional, Hernández-Colín, Dante, additional, Macías-Weinmann, Alejandra, additional, Mendoza-Hernández, David Alejandro, additional, Meneses-Sánchez, Néstor Alejandro, additional, Mogica-Martínez, María Dolores, additional, Moncayo-Coello, Carol Vivian, additional, Montiel-Herrera, Manuel, additional, O’Farril-Romanillos, Patricia, additional, Onuma-Takane, Ernesto, additional, Ortega-Cisneros, Margarita, additional, Rangel-Garza, Lorena, additional, Stone-Aguilar, Héctor, additional, Torres-Lozano, Carlos, additional, Venegas-Montoya, Edna, additional, Wakida-Kusunoki, Guillermo, additional, Macouzet-Sánchez, Carlos, additional, Partida-Gaytán, Armando, additional, López-García, Aída Inés, additional, Macías-Robles, Ana Paola, additional, Ambriz-Moreno, María de Jesús, additional, Azamar-Jácome, Amyra Ali, additional, Báez-Loyola, Carlos, additional, Beltrán-De Paz, Claudia Yusdivia, additional, Caballero-López, Chrystopherson, additional, Fernández de Córdova-Aguirre, Juan Carlos, additional, Fernández-Soto, Roberto, additional, Santos Lozano-Sáenz, José, additional, Oyoqui-Flores, José Joel, additional, Osorio-Escamilla, Roberto, additional, Ramírez, Fernando, additional, Rivero-Yeverino, Daniela, additional, Orozco-Martínez, María del Socorro, additional, Rojo-Gutiérrez, María Isabel, additional, Martínez, Eric, additional, and Medina-Ávalos, Miguel Alejandro, additional

Published
2019
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6. GUIMIT 2019, Guía mexicana de inmunoterapia. Guía de diagnóstico de alergia mediada por IgE e inmunoterapia aplicando el método ADAPTE

Author

Larenas Linnemann, Désirée, Luna Pech, Jorge A., Rodríguez Pérez, Noel, Rodríguez González, Mónica, Arias Cruz, Alfredo, Blandón Vijil, María Virginia, Costa Domínguez, María del Carmen, Del Río Navarro, Blanca E., Estrada Cardona, Alan, Navarrete Rodríguez, Elsy Maureen, Ortega Martell, José Antonio, Pozo Beltrán, César Fireth, Brito Díaz, Herson, Canseco Raymundo, María Del Rosario, Castelán Chávez, Enrique Emanuel, Domínguez Silva, Margarita Gabriela, Escalante Domínguez, Alberto José, Gálvez Romero, José Luis, García Reyes, María Guadalupe, Gómez Vera, Javier, González Díaz, Sandra Nora, Guerrero Núñez, María Gracia Belinda, Hernández Colín, Dante Daniel, Macías Weinmann, Alejandra, Mendoza Hernández, David Alejandro, Meneses Sánchez, Néstor Alejandro, Mogica Martínez, María Dolores, Moncayo Coello, Carol Vivian, Montiel Herrera, Manuel, O'Farril Romanillos, Patricia María, Onuma Takane, Ernesto, Ortega Cisneros, Margarita, Rangel Garza, Lorena, Stone Aguilar, Héctor, Torres Lozano, Carlos, Venegas Montoya, Edna, Wakida Kusunoki, Guillermo, Macouzet Sánchez, Carlos, Partida Gaytán, Armando, López García, Aída Inés, Macías Robles, Ana Paola, Ambriz Moreno, María de Jesús, Azamar Jácome, Amyra Ali, Báez Loyola, Carlos, Beltrán de Paz, Claudia Yusdivia, Caballero López, Chrystopherson, Fernández de Córdova Aguirre, Juan Carlos, Fernández Soto, Roberto, Santos Lozano Sáenz, José, Oyoqui Flores, José Joel, Osorio Escamilla, Roberto Efrain, Ramírez, Fernando, Rivero Yeverino, Daniela, Orozco Martínez, María Del Socorro, Rojo Gutiérrez, María Isabel, Martínez, Eric, Medina Ávalos, Miguel Alejandro, Larenas Linnemann, Désirée, Luna Pech, Jorge A., Rodríguez Pérez, Noel, Rodríguez González, Mónica, Arias Cruz, Alfredo, Blandón Vijil, María Virginia, Costa Domínguez, María del Carmen, Del Río Navarro, Blanca E., Estrada Cardona, Alan, Navarrete Rodríguez, Elsy Maureen, Ortega Martell, José Antonio, Pozo Beltrán, César Fireth, Brito Díaz, Herson, Canseco Raymundo, María Del Rosario, Castelán Chávez, Enrique Emanuel, Domínguez Silva, Margarita Gabriela, Escalante Domínguez, Alberto José, Gálvez Romero, José Luis, García Reyes, María Guadalupe, Gómez Vera, Javier, González Díaz, Sandra Nora, Guerrero Núñez, María Gracia Belinda, Hernández Colín, Dante Daniel, Macías Weinmann, Alejandra, Mendoza Hernández, David Alejandro, Meneses Sánchez, Néstor Alejandro, Mogica Martínez, María Dolores, Moncayo Coello, Carol Vivian, Montiel Herrera, Manuel, O'Farril Romanillos, Patricia María, Onuma Takane, Ernesto, Ortega Cisneros, Margarita, Rangel Garza, Lorena, Stone Aguilar, Héctor, Torres Lozano, Carlos, Venegas Montoya, Edna, Wakida Kusunoki, Guillermo, Macouzet Sánchez, Carlos, Partida Gaytán, Armando, López García, Aída Inés, Macías Robles, Ana Paola, Ambriz Moreno, María de Jesús, Azamar Jácome, Amyra Ali, Báez Loyola, Carlos, Beltrán de Paz, Claudia Yusdivia, Caballero López, Chrystopherson, Fernández de Córdova Aguirre, Juan Carlos, Fernández Soto, Roberto, Santos Lozano Sáenz, José, Oyoqui Flores, José Joel, Osorio Escamilla, Roberto Efrain, Ramírez, Fernando, Rivero Yeverino, Daniela, Orozco Martínez, María Del Socorro, Rojo Gutiérrez, María Isabel, Martínez, Eric, and Medina Ávalos, Miguel Alejandro

Published
2019

8. Factores de riesgo para mal control de asma en adultos.

Author

Fernández de Córdova-Aguirre, Juan Carlos, Velasco-Medina, Andrea Aída, Urquiza, César, Guzmán-Guillén, Karol Andrea, and Velázquez-Sámano, Guillermo

Abstract

Background: Many studies in children had identified risk factors associated with partly or uncontrolled asthma. In adults, factors related to asthma control were not well defined. Objective: To find the factors related to partly or uncontrolled asthma in adults. Methods: Asthmatic adults who had severity at least in the mild persistent level, were recruited. The asthma control levels were classified as controlled, partly controlled and uncontrolled according to the Global Initiative for Asthma guideline. Risk factors were compared between the patients with controlled and partly controlled/ uncontrolled asthma groups. Results: two hundred (75.5 % females) were included. The mean age was 38.4 ± 11.93 years old. There were 100 patients (50 %) in the controlled and 100 patients (50 %) in partly controlled and uncontrolled asthma group. For asthma severity, 35 patients (88.2 %) were in mild persistent, 14 patients (10 %) in moderate persistent and 97 patients (1.8 %) in severe persistent groups. The absence of stress yielded an OR = 0.41 (95 % CI = 0.23-0.75), p = 0.03. While active smoking, OR = 4.23 (95 % CI = 1.35-13.2), p = 0.007. Patients who have no contact with stuffed animals or rugs have OR = 0.4 (IC 95 % = 0.2-0.79). It was important the result of the patients that if they correctly use their inhalers OR = 0.36 (IC 95 % = 0.13-0.97), p = 0.031. Conclusions: Current and active smoking and atopic dermatitis are risk factors. As a protective factor to the normal levels of eosinophils in blood, correct use of inhalers, FEV1 > 80 %, the absence of stress and the absence of contact with carpets and stuffed animals. [ABSTRACT FROM AUTHOR]

Published
2019
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9. Factores asociados a enfermedad pulmonar obstructiva crónica, hospitales José Carrasco Arteaga y Vicente Corral Moscoso, 2011-2012

Author

Fernández de Córdova Aguirre, Juan Carlos, Alvarez Serrano, Marlene Elizabeth, and Vintimilla Maldonado, Jaime Rosendo

Subjects
Tesis de Especialización en Medicina Interna, Medicina Interna, Patología, Cantón Cuenca, Neumología
Abstract

Objetivo: Determinar los factores asociados a enfermedad pulmonar obstructiva crónica en pacientes entre 40 y 85 años en los departamentos de Medicina Interna y Neumología de los hospitales José Carrasco Arteaga y Vicente Corral Moscoso entre el 2011 y 2012. Materiales y Métodos: Se realizó un estudio de casos y controles. La muestra se calculó sobre la base del 95% de nivel de confianza, 80% de poder estadístico, OR de 3 y 10% del factor de exposición con más baja frecuencia; se pareó por edad y sexo e ingresaron al estudio de manera secuencial. Los datos se obtuvieron por entrevista directa y se analizaron con el programa SPSS.-Resultados: Se evaluó a 318 sujetos, 106 casos y 212 controles. Los grupos fueron similares en promedio de edad y sexo (p> 0.05). El 72.3% fueron hombres; el promedio de edad fue 62.4 años (±13.1D.E.). El índice paquetes/años superior a 20 resultó ser factor de riesgo para EPOC (OR de 9.03, IC95%, 3.76 21.72; valor de p = 0.000), al igual que la exposición al humo de leña en horas/años mayor a 100 (OR de 9.65, IC 95% 4.87 19.32; valor de p = 0.000). La exposición al polvo, contaminación ambiental y antecedente familiar de EPOC en los padres, no resultaron ser factores de riesgo. Conclusiones: Main objective: Our main objective is to determine risk factors which are associated to chronic pulmonary disease, among patients who are 40-85 years old, who were attended to the external consultation wards or admitted to the Internal Medicine and Pneumology Departments of the Jose Carrasco Arteaga and Vicente Corral Moscoso hospitals from 2011 to 2012. Materials and methods: This is a case-control research. Our sample was calculated taking in account a 95% confidence interval, 80% ratio of statiscal power, odds ratio of 3 and a 10% of exposition factor with its lowest frequency; a couple procedure was applied according to sex and age and were interned in a sequential manner. All data was obtained by a direct interview and was analyzed with the SPSS analytics software. Results: 318 patients were evaluated, of whom, 106 were cases and 212 controls. Both groups were similar in relation to age and sex (p>0.05). 72.3% were male, with an average of 62.4 years old (±13.1D.E.). The pack/year index superior to 20 was a risk factor for COPD (OR de 9.03, CI95%, 3.76 – 21.72; p = 0.000), equally biomass fumes exposure in years/hours index greater than a 100 (OR 9.65, CI 95% 4.87-19.32, p=0.000). Dust exposure, air pollution and family antecedents of COPD in patients’ parents were not risk factors for COPD. Conclusions: The risk factors for COPD are attributable to smoking and biomass fumes exposure. Especialista en Medicina Interna Cuenca

Published
2013

11. Aspergilosis broncopulmonar alérgica

Author

Fernández de Córdova-Aguirre, Juan Carlos, primary, Velasco-Medina, Andrea Aída, additional, Cariño-Cartagena, Diego Antonio, additional, and Velázquez-Sámano, Guillermo, additional

Published
2014
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12. Factores asociados a enfermedad pulmonar obstructiva crónica, hospitales José Carrasco Arteaga y Vicente Corral Moscoso, 2011-2012

Author

Alvarez Serrano, Marlene Elizabeth, Vintimilla Maldonado, Jaime Rosendo, Fernández de Córdova Aguirre, Juan Carlos, Alvarez Serrano, Marlene Elizabeth, Vintimilla Maldonado, Jaime Rosendo, and Fernández de Córdova Aguirre, Juan Carlos

Abstract

Main objective: Our main objective is to determine risk factors which are associated to chronic pulmonary disease, among patients who are 40-85 years old, who were attended to the external consultation wards or admitted to the Internal Medicine and Pneumology Departments of the Jose Carrasco Arteaga and Vicente Corral Moscoso hospitals from 2011 to 2012. Materials and methods: This is a case-control research. Our sample was calculated taking in account a 95% confidence interval, 80% ratio of statiscal power, odds ratio of 3 and a 10% of exposition factor with its lowest frequency; a couple procedure was applied according to sex and age and were interned in a sequential manner. All data was obtained by a direct interview and was analyzed with the SPSS analytics software. Results: 318 patients were evaluated, of whom, 106 were cases and 212 controls. Both groups were similar in relation to age and sex (p>0.05). 72.3% were male, with an average of 62.4 years old (±13.1D.E.). The pack/year index superior to 20 was a risk factor for COPD (OR de 9.03, CI95%, 3.76 – 21.72; p = 0.000), equally biomass fumes exposure in years/hours index greater than a 100 (OR 9.65, CI 95% 4.87-19.32, p=0.000). Dust exposure, air pollution and family antecedents of COPD in patients’ parents were not risk factors for COPD. Conclusions: The risk factors for COPD are attributable to smoking and biomass fumes exposure.

Published
2013

13. Síndrome DRESS o reacción a fármacos con eosinofilia y síntomas sistémicos asociada con el consumo de fármacos antituberculosos.

Author

Fernández de Córdova-Rodríguez, Luis René, Guzmán-Guillén, Karol Andrea, and Fernández de Córdova-Aguirre, Juan Carlos

Abstract

Copyright of Revista Alergia de Mexico is the property of Coleg. Mexicano de Inmunologia Clinica y Alergia A.C.; Soc. Lat. de Alergia, Asma e Inmunologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2015
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14. Aspergilosis broncopulmonar alérg.

Author

Fernández de Córdova-Aguirre, Juan Carlos, Velasco-Medina, Andrea Aída, Cariño-Cartagena, Diego Antonio, and Velázquez-Sámano, Guillermo

Abstract

Allergic bronchopulmonary aspergillosis is a slowly progressive disease, caused by the fungus Aspergillus fumigatus hypersensitivity when it is found in the airway. It usually affects asthmatics and patients with cystic fibrosis. We report the case of a 20-year-old male patient, student, farmer and rancher with chronic respiratory disease. The diagnosis of allergic bronchopulmonary aspergillosis was made on the basis of the clinical symptoms and complementary studies. [ABSTRACT FROM AUTHOR]

Published
2014
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15. [GUIMIT 2019, Mexican Guideline on Immunotherapy. Guideline on the diagnosis of IgE-mediated allergic disease and immunotherapy following the ADAPTE approach].

Author

Larenas-Linnemann D, Luna-Pech JA, Rodríguez-Pérez N, Rodríguez-González M, Arias-Cruz A, Blandón-Vijil MV, Costa-Domínguez MC, Del Río-Navarro BE, Estrada-Cardona A, Navarrete-Rodríguez EM, Ortega-Martell JA, Pozo-Beltrán CF, Brito-Díaz H, Canseco-Raymundo MR, Castelán-Chávez EE, Domínguez-Silva MG, Escalante-Domínguez AJ, Gálvez-Romero JL, García-Reyes MG, Gómez-Vera J, González-Díaz SN, Guerrero-Núñez MGB, Hernández-Colín D, Macías-Weinmann A, Mendoza-Hernández DA, Meneses-Sánchez NA, Mogica-Martínez MD, Moncayo-Coello CV, Montiel-Herrera M, O'Farril-Romanillos P, Onuma-Takane E, Ortega-Cisneros M, Rangel-Garza L, Stone-Aguilar H, Torres-Lozano C, Venegas-Montoya E, Wakida-Kusunoki G, Macouzet-Sánchez C, Partida-Gaytán A, López-García AI, Macías-Robles AP, Ambriz-Moreno MJ, Azamar-Jácome AA, Báez-Loyola C, Beltrán-De Paz CY, Caballero-López C, Fernández de Córdova-Aguirre JC, Fernández-Soto R, Lozano-Sáenz JS, Oyoqui-Flores JJ, Osorio-Escamilla R, Ramírez F, Rivero-Yeverino D, Orozco-Martínez MS, Rojo-Gutiérrez MI, Martínez E, and Medina-Ávalos MA

Subjects
Humans, Hypersensitivity immunology, Hypersensitivity diagnosis, Hypersensitivity therapy, Immunoglobulin E immunology, Immunotherapy standards
Abstract

Background: In Mexico, allergen immunotherapy (AIT) and immunotherapy with hymenoptera venom (VIT) is traditionally practiced combining aspects of the European and American school. In addition, both types of extracts (European and American) are commercially available in Mexico. Moreover, for an adequate AIT/VIT a timely diagnosis is crucial. Therefore, there is a need for a widely accepted, up-to-date national immunotherapy guideline that covers diagnostic issues, indications, dosage, mechanisms, adverse effects and future expectations of AIT (GUIMIT 2019)., Method: With nationwide groups of allergists participating, including delegates from postgraduate training-programs in Allergy/Immunology-forming, the guideline document was developed according to the ADAPTE methodology: the immunotherapy guidelines from European Academy of Allergy and Clinical Immunology, German Society for Allergology and Clinical Immunology, The American Academy of Allergy, Asthma and Immunology and American College of Allergy, Asthma, and Immunology were selected as mother guidelines, as they received the highest AGREE-II score among international guidelines available; their evidence conforms the scientific basis for this document., Results: GUIMIT emanates strong or weak (suggestions) recommendations about practical issues directly related to in vivo or in vitro diagnosis of IgE mediated allergic diseases and the preparation and application of AIT/VIT and its adverse effects. GUIMIT finishes with a perspective on AIT modalities for the future. All the statements were discussed and voted on until > 80 % consensus was reached., Conclusions: A wide and diverse group of AIT/VIT experts issued transculturized, evidence-based recommendations and reached consensus that might improve and standardize AIT practice in Mexico.

Published
2019
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16. [DRESS syndrome or reaction to drugs with eosinophilia and systemic symptoms associated to anti-tuberculosis drugs].

Author

Fernández de Córdova-Rodríguez1 LR, Guzmán-Guillén KA, and Fernández de Córdova-Aguirre JC

Abstract

Tuberculosis has increased all over the world. This paper reports the case of a male patient with tuberculous meningitis, spinal tuberculosis (Pott's disease) and severe adverse reactions to antituberculosis drugs. He had skin rash, hepatitis, eosinophilia and fever; all these signs make the diagnosis of DRESS syndrome. This syndrome is caused by a severe hypersensitivity reaction to different drugs. It is usually caused by anticonvulsants, sulfonamides and some antiviral drugs, among other drugs. Anti-tuberculosis drugs can also cause this potentially fatal syndrome. The importance of surveillance for early detection and treatment of adverse drug reactions is emphasized.

Published
2015

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