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Even if severe allergic reaction is in doubt, epinephrine should be used

A new article from the American College of Allergy, Asthma and Immunology recommends using epinephrine for all severe allergic reactions, regardless of symptom certainty. Experts stress that delays can have severe consequences, making epinephrine the most effective tool in combatting anaphylaxis.

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Estrogen worsens allergic reactions in mice

Researchers found that estrogen enhances an enzyme driving life-threatening allergic reactions in female mice, leading to more severe and longer-lasting reactions. Blocking estrogen or reducing eNOS activity eliminated the gender disparity, suggesting a potential role for estrogen in allergic reactions.

Emergency epinephrine used 38 times in Chicago Public School academic year

A study published by Northwestern Medicine found that emergency epinephrine was administered to 38 Chicago Public School students and staff during the 2012-2013 school year. Most of those receiving epinephrine had no known history of allergic reaction, emphasizing the need for widespread access to this life-saving medication.

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Dying from a food allergy is less likely than being murdered

A new study found that dying from a food allergy is less likely than being murdered, with risks of 1.81 in a million and 3.25 in a million for adults and children respectively. The study aimed to put the risk of anaphylaxis into perspective, as anxiety and quality of life impacts are significant concerns.

Anaphylaxis from shrimp allergy is rare in children

Anaphylaxis from shrimp allergy is rare in children, affecting only 7.8 percent of cases, according to a study. The most common reactions are angioedema and skin symptoms like hives, with asthma being a potential risk factor for anaphylactic reactions.

A potentially deadly reason to seek preventive health care

A study by the American College of Allergy, Asthma, and Immunology found that individuals with severe anaphylaxis are less likely to have seen an allergist in the previous year. Regular care from an allergist can prevent severe allergic reactions and reduce hospitalization rates.

Life-saving epinephrine under utilized by paramedics

A new study at the American College of Allergy, Asthma and Immunology Annual Scientific Meeting found that only 15% of patients with anaphylaxis received epinephrine from paramedics. The authors recommend improving paramedic education on epinephrine use for allergic reactions and anaphylaxis.

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Carnivores: Beware of ticks

Researchers discover tick bites trigger alpha-gal antibodies in patients, leading to delayed anaphylaxis after eating red meat. The study highlights a previously unknown food-induced severe allergic reaction due to a carbohydrate, not protein.

Anaphylactic shock after vaccination 'extremely rare'

Research published in the Archives of Disease in Childhood found that vaccination-induced anaphylactic shock is extremely rare. In a study of children under 16 in the UK and Ireland who were suspected of experiencing anaphylaxis after vaccination between 2008 and 2009, only seven cases were confirmed, resulting in no fatalities.

JCI online early table of contents: March 23, 2011

Researchers at the University of Pittsburgh discovered a new nitric oxide pathway that protects against intimal hyperplasia in rats. The study found that supplementing rats with nitrate before vessel injury markedly limited damage, while a diet low in nitrate exacerbated it.

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Promoting recovery from effects of severe allergic reaction

Researchers have identified SphK1 and SphK2 as crucial proteins involved in generating the molecule S1P, which affects blood vessels and the immune system. Mice lacking these proteins showed improved recovery from anaphylaxis, while those lacking only SphK1 recovered poorly.

Children with food allergies should carry 2 doses of emergency medicine

A large six-year review found that many children with severe food-related allergic reactions needed a second dose of epinephrine, highlighting the importance of carrying multiple doses. The study recommends that all children at risk for food-related anaphylaxis carry two doses of epinephrine.

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Protein suppresses allergic response in mice

A protein called RGS13 has been found to suppress allergic responses in mice, including severe anaphylaxis. Researchers believe RGS13 may be a target for developing new drugs to treat certain allergic diseases.

Abnormal immune cells may cause unprovoked anaphylaxis

Researchers found mast cells with mutated cell surface receptor in patients with idiopathic anaphylaxis, suggesting a genetic trigger. The mutation may predispose people to idiopathic anaphylaxis and respond to inhibitors targeting the mutated cell surface receptor.

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Rates of eczema and hay fever may be in decline

The study suggests that eczema and hay fever prevalence has plateaued or declined in recent years, while hospital admissions for these conditions have stabilized. Systemic allergies, including anaphylaxis, food allergy, and urticaria, have shown a significant increase in rates over the past few decades.

Study reports seafood allergies often begin later in life

A nationwide survey found that approximately 11 million people in the US have food allergies, with shellfish being the most commonly reported severe allergy in adults. The study also revealed that seafood allergies often begin later in life, with a prevalence of at least 2.5% among adults and 0.8% among children.

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