House dust mite avoidance measures improve peak flow and symptoms in patients with allergy but without asthma: A possible delay in the manifestation of.

Slides:



Advertisements
Similar presentations
Joint modeling of parentally reported and physician-confirmed wheeze identifies children with persistent troublesome wheezing Danielle C.M. Belgrave, MSc,
Advertisements

Reducing relative humidity to control the house dust mite Dermatophagoides farinae Larry G. Arlian, PhD, Jacqueline S. Neal, BS, DiAnn L. Vyszenski-Moher,
Volume 119, Issue 5, Pages (May 2001)
Effect of 2-year placebo-controlled immunotherapy on airway symptoms and medication in patients with birch pollen allergy  Monica B. Arvidsson, MD, Olle.
Evaluation and treatment of allergic fungal sinusitis. II
Diane J. Pincus, MD, Stanley J. Szefler, MD, Lynn M
F.Estelle R. Simons, MDa, Bruce M. Prenner, MDb, Albert Finn, MDc 
Effects of time, albuterol, and budesonide on the shape of the flow-volume loop in children with asthma  Anand C. Patel, MD, Mark L. Van Natta, MHS, James.
Comparative efficacy and anti-inflammatory profile of once-daily therapy with leukotriene antagonist or low-dose inhaled corticosteroid in patients with.
Fluticasone furoate nasal spray: A single treatment option for the symptoms of seasonal allergic rhinitis  Harold B. Kaiser, MD, Robert M. Naclerio, MD,
Protective effect of inhaled budesonide against unlimited airway narrowing to methacholine in atopic patients with asthma  Patrick Booms, MSca, David.
Evaluation and treatment of allergic fungal sinusitis. II
Oral steroids and doxycycline: Two different approaches to treat nasal polyps  Thibaut Van Zele, MD, PhD, Philippe Gevaert, MD, PhD, Gabriele Holtappels,
Rosa Codina, PhD, Richard F. Lockey, MD 
Comparison of once-daily ebastine 20 mg, ebastine 10 mg, loratadine 10 mg, and placebo in the treatment of seasonal allergic rhinitis  Paul H. Ratner,
Badrul A. Chowdhury, MD, PhD 
Hydroxychloroquine improves airflow and lowers circulating IgE levels in subjects with moderate symptomatic asthma  B.Lauren Charous, MD, Elkan F. Halpern,
Comparison of the effects of terfenadine with fexofenadine on nasal provocation tests with allergen  Maria-Helena Terrien, MD, François Rahm, MD, Jean-Marc.
Comparison of the efficacy of budesonide and fluticasone propionate aqueous nasal spray for once daily treatment of perennial allergic rhinitis  James.
Is there any role for allergen avoidance in the primary prevention of childhood asthma?  Onno C.P. van Schayck, PhD, Tanja Maas, MSc, Janneke Kaper, PhD,
Chemical treatment of carpets to reduce allergen: A detailed study of the effects of tannic acid on indoor allergens  Judith A. Woodfolk, MB, ChB, Mary.
Treatment of chronic autoimmune urticaria with omalizumab
A randomized, placebo-controlled, dose-ranging study of single-dose omalizumab in patients with H1-antihistamine–refractory chronic idiopathic urticaria 
Nonadherence to Asthma Treatment: Getting Unstuck
Thys van der Molen, MD, PhD, Monica Fletcher, MSc, David Price, FRCGP 
Efficacy and safety of budesonide inhalation suspension (Pulmicort Respules) in young children with inhaled steroid–dependent, persistent asthma  Gail.
Successful management of mite-allergic asthma with modified extracts of Dermatophagoides pteronyssinus and Dermatophagoides farinae in a double-blind,
Reply Journal of Allergy and Clinical Immunology
Paul M. O’Byrne, MB, FRCPI, FRCP(C)a, Soren Pedersen, MD, PhDb 
A methodological assessment of diurnal variability of peak flow as a basis for comparing different inhaled steroid formulations  John H. Toogood, MD,
Phillip Lieberman, MD, Michael Tankersley, MD 
Robert A. Wood, MD, Wanda Phipatanakul, MD, Robert G
A review of the current guidelines for allergic rhinitis and asthma
Early decreases in blood eosinophil levels with reslizumab
News & Notes Journal of Allergy and Clinical Immunology
James P. Kemp, MDa, David A. Cook, MDb, Gary A
Allergens in school dust: II
Inflammatory cells, cytokine and chemokine expression in asthma immunocytochemistry and in situ hybridization  Qutayba Hamid, MD, PhD, Editor  Journal.
The editors' choice Journal of Allergy and Clinical Immunology
Efficacy of nebulized budesonide in treatment of severe infantile asthma: A double-blind study  Jacques de Blic, MDa, Christophe Delacourt, MDa, Muriel.
Budesonide delivered by Turbuhaler is effective in a dose-dependent fashion when used in the treatment of adult patients with chronic asthma  William.
What is an “eosinophilic phenotype” of asthma?
Subjective and objective assessments in patients with seasonal allergic rhinitis: Effects of therapy with mometasone furoate nasal spray  Eli O. Meltzer,
Exercise-induced bronchoconstriction in children: Montelukast attenuates the immediate-phase and late-phase responses  Raul E. Melo, MD, Dirceu Solé,
F.Estelle R. Simons, MDa, Bruce M. Prenner, MDb, Albert Finn, MDc 
Susanne Halken, MDa, Arne Høst, MD, DMScb, Ulla Niklassen, MDc, Lars G
News & Notes Journal of Allergy and Clinical Immunology
Low-dose inhaled fluticasone propionate versus oral zafirlukast in the treatment of persistent asthma  Eugene R. Bleecker, MDa, Michael J. Welch, MDb,
Association of humoral immunodeficiency, cleidocranial dysplasia, and von Willebrand’s disease in a family cluster  Pramod S. Kelkar, MD, Rosa M. Ten,
House dust mite sublingual immunotherapy: Results of a US trial
Omalizumab improves asthma-related quality of life in patients with severe allergic asthma  Albert Finn, MDa, Gary Gross, MDb, Julius van Bavel, MDc,
Gail G. Shapiro, MDa, Timothy G
The Editors' Choice Journal of Allergy and Clinical Immunology
Larry G. Arlian, PhD, Jacqueline S. Neal, BS, DiAnn L
Preparing patients and health professionals for the transition to chlorofluorocarbon-free inhalers: The British perspective  Helen Donohoe, MSc (Econ) 
Intranasal administration of eotaxin increases nasal eosinophils and nitric oxide in patients with allergic rhinitis  Toyoyuki Hanazawa, MD, PhD, Julio.
Mometasone furoate administered once daily is as effective as twice-daily administration for treatment of mild-to-moderate persistent asthma  James P.
Abnormalities of cell and mediator levels in bronchoalveolar lavage fluid of patients with mild asthma  Sally E. Wenzel, MD  Journal of Allergy and Clinical.
Further studies on the chronotherapy of asthma with inhaled steroids: The effect of dosage timing on drug efficacy  Diane J. Pincus, MD, Teresa R. Humeston,
Diane J. Pincus, MD, Stanley J. Szefler, MD, Lynn M
Footnotes1 Journal of Allergy and Clinical Immunology
Macrolide antibiotics and asthma treatment
Larry C. Borish, MDa, Harold S
Andrea J. Apter, MD, MSca, c, Susan T
The preventive effect and duration of action of two doses of inhaled furosemide on exercise-induced asthma in children  Elio Novembre, MD, Gianfranco.
Asthma symptoms and airway hyperresponsiveness are lower during treatment with nedocromil sodium than during treatment with regular inhaled albuterol 
The acquisition of tolerance toward cow's milk through probiotic supplementation: A randomized, controlled trial  Jeroen Hol, MD, Eduard H.G. van Leer,
News & Notes Journal of Allergy and Clinical Immunology
Omalizumab is effective in allergic and nonallergic patients with nasal polyps and asthma  Philippe Gevaert, MD, PhD, Lien Calus, MD, Thibaut Van Zele,
Natural history of cow’s milk allergy
Presentation transcript:

House dust mite avoidance measures improve peak flow and symptoms in patients with allergy but without asthma: A possible delay in the manifestation of clinical asthma?  S.M. Cloosterman, MSca, I.D. Hofland, MSca, H.M. Lukassen, MSca, M.H. Wieringa, MSca, H.M. Folgering, MD, PhD b, S. van der Heide, MScc, B. Brunekreef, PhDd, C.P. van Schayck, MSc, PhD a  Journal of Allergy and Clinical Immunology  Volume 100, Issue 3, Pages 313-319 (September 1997) DOI: 10.1016/S0091-6749(97)70243-4 Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 1 Mean ± SEM changes in peak flow morning values (A), peak flow evening values (B), and peak flow variability (C) compared with baseline for the treatment group (solid square) and the placebo group (solid triangle). A, Significant increases in peak flow morning values compared with baseline occurred only in the treatment group during weeks 4 (*p = 0.029), 5 (#p = 0.024), and 6 ($p = 0.030). B, In the treatment group, a significant increase in peak flow evening values compared with baseline was also seen during week 4 (*p = 0.027). This tendency was also seen during weeks 5 (# p = 0.070) and 6 ($p = 0.054). C, Peak flow variability tended to decrease in the treatment group. This tendency was most pronounced in week 6 (*p = 0.064). Journal of Allergy and Clinical Immunology 1997 100, 313-319DOI: (10.1016/S0091-6749(97)70243-4) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 1 Mean ± SEM changes in peak flow morning values (A), peak flow evening values (B), and peak flow variability (C) compared with baseline for the treatment group (solid square) and the placebo group (solid triangle). A, Significant increases in peak flow morning values compared with baseline occurred only in the treatment group during weeks 4 (*p = 0.029), 5 (#p = 0.024), and 6 ($p = 0.030). B, In the treatment group, a significant increase in peak flow evening values compared with baseline was also seen during week 4 (*p = 0.027). This tendency was also seen during weeks 5 (# p = 0.070) and 6 ($p = 0.054). C, Peak flow variability tended to decrease in the treatment group. This tendency was most pronounced in week 6 (*p = 0.064). Journal of Allergy and Clinical Immunology 1997 100, 313-319DOI: (10.1016/S0091-6749(97)70243-4) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 1 Mean ± SEM changes in peak flow morning values (A), peak flow evening values (B), and peak flow variability (C) compared with baseline for the treatment group (solid square) and the placebo group (solid triangle). A, Significant increases in peak flow morning values compared with baseline occurred only in the treatment group during weeks 4 (*p = 0.029), 5 (#p = 0.024), and 6 ($p = 0.030). B, In the treatment group, a significant increase in peak flow evening values compared with baseline was also seen during week 4 (*p = 0.027). This tendency was also seen during weeks 5 (# p = 0.070) and 6 ($p = 0.054). C, Peak flow variability tended to decrease in the treatment group. This tendency was most pronounced in week 6 (*p = 0.064). Journal of Allergy and Clinical Immunology 1997 100, 313-319DOI: (10.1016/S0091-6749(97)70243-4) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 2 Mean ± SEM changes in the symptom scores for disturbed slee(p (A), breathlessness (B), wheeze (C), and overall symptom score (square root) (D) compared with baseline for the treatment group (solid square) and the placebo group (solid triangle). A, A tendency toward a decrease in Borg score for disturbed sleep was seen in the treatment group during week 4 (*p = 0.063), which became significant in week 5 (#p = 0.050). B, Significant differences for breathlessness compared with baseline were seen only in the treatment group during weeks 5 (*p = 0.024) and 6 (# p = 0.020). C, A significant decrease in wheeze was seen in the treatment group during week 5 (*p = 0.032). This decrease in the treatment group was significantly different from the increase in the placebo group (p = 0.038). This tendency was also seen in week 6 (#p = 0.077). D, Significant decreases in overall symptom score (square root) with baseline occurred only in the treatment group during weeks 4 (*p = 0.039), 5 (#p = 0.005), and 6 ($p = 0.002). Journal of Allergy and Clinical Immunology 1997 100, 313-319DOI: (10.1016/S0091-6749(97)70243-4) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 2 Mean ± SEM changes in the symptom scores for disturbed slee(p (A), breathlessness (B), wheeze (C), and overall symptom score (square root) (D) compared with baseline for the treatment group (solid square) and the placebo group (solid triangle). A, A tendency toward a decrease in Borg score for disturbed sleep was seen in the treatment group during week 4 (*p = 0.063), which became significant in week 5 (#p = 0.050). B, Significant differences for breathlessness compared with baseline were seen only in the treatment group during weeks 5 (*p = 0.024) and 6 (# p = 0.020). C, A significant decrease in wheeze was seen in the treatment group during week 5 (*p = 0.032). This decrease in the treatment group was significantly different from the increase in the placebo group (p = 0.038). This tendency was also seen in week 6 (#p = 0.077). D, Significant decreases in overall symptom score (square root) with baseline occurred only in the treatment group during weeks 4 (*p = 0.039), 5 (#p = 0.005), and 6 ($p = 0.002). Journal of Allergy and Clinical Immunology 1997 100, 313-319DOI: (10.1016/S0091-6749(97)70243-4) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 2 Mean ± SEM changes in the symptom scores for disturbed slee(p (A), breathlessness (B), wheeze (C), and overall symptom score (square root) (D) compared with baseline for the treatment group (solid square) and the placebo group (solid triangle). A, A tendency toward a decrease in Borg score for disturbed sleep was seen in the treatment group during week 4 (*p = 0.063), which became significant in week 5 (#p = 0.050). B, Significant differences for breathlessness compared with baseline were seen only in the treatment group during weeks 5 (*p = 0.024) and 6 (# p = 0.020). C, A significant decrease in wheeze was seen in the treatment group during week 5 (*p = 0.032). This decrease in the treatment group was significantly different from the increase in the placebo group (p = 0.038). This tendency was also seen in week 6 (#p = 0.077). D, Significant decreases in overall symptom score (square root) with baseline occurred only in the treatment group during weeks 4 (*p = 0.039), 5 (#p = 0.005), and 6 ($p = 0.002). Journal of Allergy and Clinical Immunology 1997 100, 313-319DOI: (10.1016/S0091-6749(97)70243-4) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 2 Mean ± SEM changes in the symptom scores for disturbed slee(p (A), breathlessness (B), wheeze (C), and overall symptom score (square root) (D) compared with baseline for the treatment group (solid square) and the placebo group (solid triangle). A, A tendency toward a decrease in Borg score for disturbed sleep was seen in the treatment group during week 4 (*p = 0.063), which became significant in week 5 (#p = 0.050). B, Significant differences for breathlessness compared with baseline were seen only in the treatment group during weeks 5 (*p = 0.024) and 6 (# p = 0.020). C, A significant decrease in wheeze was seen in the treatment group during week 5 (*p = 0.032). This decrease in the treatment group was significantly different from the increase in the placebo group (p = 0.038). This tendency was also seen in week 6 (#p = 0.077). D, Significant decreases in overall symptom score (square root) with baseline occurred only in the treatment group during weeks 4 (*p = 0.039), 5 (#p = 0.005), and 6 ($p = 0.002). Journal of Allergy and Clinical Immunology 1997 100, 313-319DOI: (10.1016/S0091-6749(97)70243-4) Copyright © 1997 Mosby, Inc. Terms and Conditions