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[Tropical endemic limbo-conjunctivitis (TELC) and allergic management: a preliminary study in Togolese children].
- Source :
-
Journal francais d'ophtalmologie [J Fr Ophtalmol] 2013 Oct; Vol. 36 (8), pp. 677-82. Date of Electronic Publication: 2013 Jul 29. - Publication Year :
- 2013
-
Abstract
- Purpose: To study the impact of certain allergens on the manifestations of tropical endemic limbo-conjunctivitis (TELC) in Togolese children.<br />Methods: This is a 3-year prospective study of 36 Togolese children with acute recurrences of TELC after 1 to 5 months of remission. Skin prick tests were conducted with five perennial respiratory allergens (dust mites, paper mites, roaches, dog and cat, grass pollen) and three food allergens (egg, peanut, shrimp). The reactions were compared to a negative control (saline solution) and a positive control (histamine or codeine sulfate). Length of remissions between acute exacerbations before and after allergy testing were noted.<br />Results: Thirty-five children were polysensitive. Individual allergens were: dust mites (83.3%), followed by cockroach (72.2%), shrimp (61.1%), peanuts (55.6%), eggs (44.4%), the cat and/or dog dander (38.9%), and grass pollen (22.2%). The rate of remission prior to allergy testing was 77.8% within 2 months after treatment of an exacerbation; with allergy management, 55.5% of patients experienced remission beyond 1 year.<br />Discussion: The literature reports that TELC is caused by multiple antigens. The clear predominance of respiratory and food allergens may lead to a new pathway for managing TELC in Togolese children.<br />Conclusion: Allergy testing is of great importance for patients with frequent acute exacerbations of TELC.<br /> (Copyright © 2013 Elsevier Masson SAS. All rights reserved.)
- Subjects :
- Adolescent
Anti-Allergic Agents administration & dosage
Child
Child, Preschool
Conjunctivitis, Allergic immunology
Dexamethasone administration & dosage
Drug Therapy, Combination
Endemic Diseases
Female
Humans
Infant
Loratadine administration & dosage
Loratadine analogs & derivatives
Male
Neomycin administration & dosage
Pilot Projects
Togo
Tropical Climate
Conjunctivitis, Allergic therapy
Subjects
Details
- Language :
- French
- ISSN :
- 1773-0597
- Volume :
- 36
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Journal francais d'ophtalmologie
- Publication Type :
- Academic Journal
- Accession number :
- 23906546
- Full Text :
- https://doi.org/10.1016/j.jfo.2013.03.008