1
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Gonzalez-Delgado P, Anvari S, Entrala A, Infante S. Medical algorithm: Diagnosis and management of adult food protein-induced enterocolitis syndrome. Allergy 2024. [PMID: 38686652 DOI: 10.1111/all.16142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2023] [Revised: 04/11/2024] [Accepted: 04/18/2024] [Indexed: 05/02/2024]
Affiliation(s)
- Purificación Gonzalez-Delgado
- Allergy Service, Hospital General Universitario de Alicante, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Alicante, Spain
- Departamento de Medicina Clínica, Universidad Miguel Hernández, Alicante, Spain
| | - Sara Anvari
- Division of Immunology, Allergy and Retrovirology, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA
- Texas Children's Hospital, William T. Shearer Center for Human Immunobiology, Houston, Texas, USA
| | - Ana Entrala
- Allergy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Sonsoles Infante
- Allergy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain
- Gregorio Marañón Health Research Institute (IiSGM), Madrid, Spain
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2
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Entrala A, Loli-Ausejo D, Losantos I, Pérez T, Cabañas R, Caballero T. Real-life experience of subcutaneous (SC) plasma derived C1-inhibitor (pdC1INH) as long-term prophylaxis (LTP) in HAE-C1INH. J Investig Allergol Clin Immunol 2023; 34:0. [PMID: 38131209 DOI: 10.18176/jiaci.0977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2023] Open
Affiliation(s)
- A Entrala
- Department of Allergy, Hospital Universitario La Paz, Madrid, Spain
- Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
- CSUR de Angioedema Hereditario, Hospital Universitario La Paz, Madrid, Spain
| | - D Loli-Ausejo
- Department of Allergy, Hospital Clinic de Barcelona, Universitat de Barcelona, Clinical and Experimental Respiratory Immunoallergy (IRCE), August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain
| | - I Losantos
- Department of Biostatistics, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid Spain
| | - T Pérez
- Department of Pharmacy, Hospital Universitario La Paz. Madrid (Spain)
| | - R Cabañas
- Department of Allergy, Hospital Universitario La Paz, Madrid, Spain
- Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
- CSUR de Angioedema Hereditario, Hospital Universitario La Paz, Madrid, Spain
- Biomedical Research Network on Rare Diseases (CIBERER, U754). Madrid (Spain)
- PIELenRed Consortium
| | - T Caballero
- Department of Allergy, Hospital Universitario La Paz, Madrid, Spain
- Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
- CSUR de Angioedema Hereditario, Hospital Universitario La Paz, Madrid, Spain
- Biomedical Research Network on Rare Diseases (CIBERER, U754). Madrid (Spain)
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3
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Entrala A, Domínguez-Ortega J, Pulido Lucas E, Losantos I, Lluch-Bernal M, Quirce S, Rodríguez-Perez R. Lymphocyte transformation test in the diagnosis of adult fish-induced enterocolitis syndrome. J Allergy Clin Immunol Pract 2023; 11:2945-2947. [PMID: 37329953 DOI: 10.1016/j.jaip.2023.06.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Revised: 06/07/2023] [Accepted: 06/08/2023] [Indexed: 06/19/2023]
Affiliation(s)
- Ana Entrala
- Department of Allergy, Hospital Universitario La Paz, Madrid, Spain; Hospital La Paz Institute for Health Research, Madrid, Spain.
| | - Javier Domínguez-Ortega
- Department of Allergy, Hospital Universitario La Paz, Madrid, Spain; CIBER de Enfermedades Respiratorias, Madrid, Spain
| | | | - Itsaso Losantos
- Biostatistics Unit, Hospital La Paz Institute for Health Research, Madrid, Spain
| | - Magdalena Lluch-Bernal
- Department of Allergy, Hospital Universitario La Paz, Madrid, Spain; Hospital La Paz Institute for Health Research, Madrid, Spain; CIBER de Enfermedades Respiratorias, Madrid, Spain
| | - Santiago Quirce
- Department of Allergy, Hospital Universitario La Paz, Madrid, Spain; Hospital La Paz Institute for Health Research, Madrid, Spain; CIBER de Enfermedades Respiratorias, Madrid, Spain
| | - Rosa Rodríguez-Perez
- Hospital La Paz Institute for Health Research, Madrid, Spain; CIBER de Enfermedades Respiratorias, Madrid, Spain
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4
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Narváez-Fernández EJ, Entrala A, Nin-Valencia A, Mir-Ihara P, Losantos-García I, Domínguez-Ortega J, González-Fernández MÁ, Quirce S, Hernández-Cano N, Cabañas R, Caballero T. Long-Term Omalizumab in Elderly Patients with Chronic Urticaria: Is It a Safe Therapy? Int Arch Allergy Immunol 2023; 184:1003-1009. [PMID: 37231812 DOI: 10.1159/000530494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Accepted: 03/29/2023] [Indexed: 05/27/2023] Open
Abstract
BACKGROUND Biologics have revolutionized the treatment of many diseases. In this regard, omalizumab (OMA), an anti-IgE monoclonal antibody, is the recommended therapeutic option for patients with chronic spontaneous urticaria (CSU) refractory to second-generation H1-antihistamines. Several studies confirm the efficacy and safety of the drug. However, the literature focusing on the elderly population is scarce, as this age group is often excluded from clinical trials. Therefore, the pharmacological treatment of CSU in elderly patients is a challenge that is increased by their comorbidities and consequent polypharmacy. OBJECTIVES We describe the real-life safety profile of OMA in elderly patients (≥70 years) with CSU and chronic inducible urticaria (CIndU). We aimed to provide data for daily clinical practice in this vulnerable patient group. METHOD A retrospective review was performed of the records of patients with CSU/CIndU from May 2003 to December 2019 in the Hospital Universitario La Paz. We describe qualitative and quantitative data according to measures of central tendency. Comparisons between qualitative and quantitative data were performed with the Mann-Whitney U test and the Fisher's test for qualitative variables. A p value <0.05 was considered statistically significant. RESULTS AND CONCLUSIONS Eighty-nine patients were included, divided into two groups (<70 vs. ≥70 years). The overall rate of adverse events (AEs) was 48%, mainly mild. No association between age and AE was found (p = 0.789). No serious AE such as anaphylaxis was detected. CSU predominated in both groups. CIndU was less prevalent in the elderly (p = 0.017). There was no association between age and the other variables. Although the frequency of neoplasms was slightly higher in the elderly with OMA, we found no difference compared to the incidence of neoplasms in the general population. Therefore, our data suggest that OMA may be a safe treatment in elderly people with CSU/CIndU for prolonged periods of treatment, although further studies with larger samples are needed to corroborate our observations.
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Affiliation(s)
| | - Ana Entrala
- Department of Allergy, Hospital Universitario La Paz, Madrid, Spain
- Hospital La Paz Institute for Health Research, IdiPAZ, Madrid, Spain
| | - Ana Nin-Valencia
- Department of Allergy, Hospital Universitario La Paz, Madrid, Spain
| | | | | | - Javier Domínguez-Ortega
- Department of Allergy, Hospital Universitario La Paz, Madrid, Spain
- Hospital La Paz Institute for Health Research, IdiPAZ, Madrid, Spain
- CIBERES, CIBER of Respiratory Diseases, Madrid, Spain
| | - María Ángeles González-Fernández
- Hospital La Paz Institute for Health Research, IdiPAZ, Madrid, Spain
- Department of Pharmacy, Hospital Universitario La Paz, Madrid, Spain
| | - Santiago Quirce
- Department of Allergy, Hospital Universitario La Paz, Madrid, Spain
- Hospital La Paz Institute for Health Research, IdiPAZ, Madrid, Spain
- CIBERES, CIBER of Respiratory Diseases, Madrid, Spain
| | | | - Rosario Cabañas
- Department of Allergy, Hospital Universitario La Paz, Madrid, Spain
- Hospital La Paz Institute for Health Research, IdiPAZ, Madrid, Spain
- Center for Biomedical Research Network on Rare Diseases, CIBERER, Madrid, Spain
- PIELenRed Consortium, Madrid, Spain
| | - Teresa Caballero
- Department of Allergy, Hospital Universitario La Paz, Madrid, Spain
- Hospital La Paz Institute for Health Research, IdiPAZ, Madrid, Spain
- Center for Biomedical Research Network on Rare Diseases, CIBERER, Madrid, Spain
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5
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Mir-Ihara P, Narváez-Fernández E, Domínguez-Ortega J, Entrala A, Barranco P, Luna-Porta JA, Romero D, Villamañán E, Losantos-García I, Quirce S. Safety of biological therapy in elderly patients with severe asthma. J Asthma 2021; 59:2218-2222. [PMID: 34889165 DOI: 10.1080/02770903.2021.2010747] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE To assess the safety of biological therapy for severe T2 asthma (omalizumab, mepolizumab, benralizumab and reslizumab) under real-life conditions in elderly patients older than 70 years. METHODS Retrospective data collection including clinical characteristics, comorbidities, treatment, disease control and adverse events (AE) of all patients with severe asthma on biological therapy older than 70 years seen in the Severe Asthma Unit of our hospital. RESULTS Of 147 patients with severe asthma being treated with biologics, 21 patients older than 70 years were included. The median age of these patients was 76.3 years (range 71-86) and the majority were women (n = 18, 85.7%). There were 9 patients (42.9%) who experienced an AE related to biological treatment. Four (44.4%) were in treatment with omalizumab, two (22.2%) with mepolizumab, two patients (22.2%) with reslizumab and one (11.1%) with benralizumab. The median FEV1 (%) was 66%. These patients had a considerably higher body mass index (BMI). No significant differences were found for any other variable. Most of the AE reported were considered mild with the exception of one case of systemic AE (anaphylaxis) associated with omalizumab. CONCLUSION This study indicates that the prescription of biological therapy in elderly patients with severe asthma seems to be safe. More evidence is needed in this particular population.
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Affiliation(s)
| | | | - Javier Domínguez-Ortega
- Department of Allergy, La Paz University Hospital, Madrid, Spain.,IdiPAZ, Hospital La Paz Institute for Health Research, Madrid, Spain.,CIBERES, CIBER of Respiratory Diseases, Madrid, Spain
| | - Ana Entrala
- Department of Allergy, La Paz University Hospital, Madrid, Spain.,IdiPAZ, Hospital La Paz Institute for Health Research, Madrid, Spain
| | - Pilar Barranco
- Department of Allergy, La Paz University Hospital, Madrid, Spain.,IdiPAZ, Hospital La Paz Institute for Health Research, Madrid, Spain.,CIBERES, CIBER of Respiratory Diseases, Madrid, Spain
| | - Juan-Alberto Luna-Porta
- Department of Allergy, La Paz University Hospital, Madrid, Spain.,IdiPAZ, Hospital La Paz Institute for Health Research, Madrid, Spain.,CIBERES, CIBER of Respiratory Diseases, Madrid, Spain
| | - David Romero
- Department of Pulmonology, La Paz University Hospital, Madrid, Spain
| | - Elena Villamañán
- Department of Pharmacy, La Paz University Hospital, Madrid, Spain
| | | | - Santiago Quirce
- Department of Allergy, La Paz University Hospital, Madrid, Spain.,IdiPAZ, Hospital La Paz Institute for Health Research, Madrid, Spain.,CIBERES, CIBER of Respiratory Diseases, Madrid, Spain
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6
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Marques-Mejias MA, Entrala A, Cabañas R, Caballero T. Mediastinal Angioedema: A Rare Manifestation of Hereditary Angioedema. J Allergy Clin Immunol Pract 2020; 9:477-478. [PMID: 33168427 DOI: 10.1016/j.jaip.2020.09.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 09/25/2020] [Accepted: 09/27/2020] [Indexed: 11/30/2022]
Affiliation(s)
| | - Ana Entrala
- Allergy Department, Hospital Universitario La Paz, Madrid, Spain
| | - Rosario Cabañas
- Allergy Department, Hospital Universitario La Paz, Madrid, Spain; Hospital La Paz Health Research Institute (IdiPaz), Madrid, Spain; Biomedical Research Network on Rare Diseases (CIBERER U754), Madrid, Spain
| | - Teresa Caballero
- Allergy Department, Hospital Universitario La Paz, Madrid, Spain; Hospital La Paz Health Research Institute (IdiPaz), Madrid, Spain; Biomedical Research Network on Rare Diseases (CIBERER U754), Madrid, Spain
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7
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Loli-Ausejo D, Hernández-Martín I, Cabañas R, Entrala A, Gutiérrez-Alvariño M, Martínez-Sánchez N, Caballero T. Tranexamic Acid Plus Bemiparin Sodium as Long- Term Prophylaxis in a Patient With FXII-HAE During Pregnancy: A Case Report. J Investig Allergol Clin Immunol 2020; 30:464-465. [PMID: 32490821 DOI: 10.18176/jiaci.0585] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- D Loli-Ausejo
- Allergy Department, La Paz University Hospital, Madrid, Spain
| | | | - R Cabañas
- Allergy Department, La Paz University Hospital, Madrid, Spain.,Hospital La Paz Institute for Health Research (IdiPaz), Madrid, Spain.,Biomedical Research Network on Rare Diseases - U754 (CIBERER), Madrid, Spain
| | - A Entrala
- Allergy Department, La Paz University Hospital, Madrid, Spain.,Hospital La Paz Institute for Health Research (IdiPaz), Madrid, Spain
| | | | - N Martínez-Sánchez
- Obstetrics and Gynecology Department, High Risk Pregnancy Unit, Autoimmune Diseases and Pregnancy clinic, La Paz University Hospital, Madrid, Spain
| | - T Caballero
- Allergy Department, La Paz University Hospital, Madrid, Spain.,Hospital La Paz Institute for Health Research (IdiPaz), Madrid, Spain.,Biomedical Research Network on Rare Diseases - U754 (CIBERER), Madrid, Spain
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Entrala A, Dominguez-Ortega J, Gonzalez-Muñoz M, Fiandor A, Quirce S. Usefulness of the Basophil Activation Test to Confirm Beer Allergy. J Investig Allergol Clin Immunol 2019; 28:279-280. [PMID: 30073968 DOI: 10.18176/jiaci.0266] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- A Entrala
- Department of Allergy, Hospital La Paz, Madrid, Spain
| | - J Dominguez-Ortega
- Department of Allergy, Hospital La Paz, Madrid, Spain.,Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain.,CIBER de Enfermedades Respiratorias, Ciberes, Madrid, Spain
| | | | - A Fiandor
- Department of Allergy, Hospital La Paz, Madrid, Spain.,Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
| | - S Quirce
- Department of Allergy, Hospital La Paz, Madrid, Spain.,Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain.,CIBER de Enfermedades Respiratorias, Ciberes, Madrid, Spain
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9
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González-Cavero L, Gómez-Traseira C, Fiandor A, Entrala A, Quirce S. Desensitization to Filgrastim in a 2-Year-Old Girl With a Vaginal Endodermal Sinus Tumor. J Investig Allergol Clin Immunol 2019; 29:329-330. [PMID: 31478530 DOI: 10.18176/jiaci.0399] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- L González-Cavero
- Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
| | - C Gómez-Traseira
- Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
| | - A Fiandor
- Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
| | - A Entrala
- Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
| | - S Quirce
- Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain
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10
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Pola-Bibian B, Dominguez-Ortega J, Vilà-Nadal G, Entrala A, González-Cavero L, Barranco P, Cancelliere N, Díaz-Almirón M, Quirce S. Predictors of asthma relapse in patients who attended an emergency department. Allergy Asthma Proc 2018; 39:292-298. [PMID: 30095395 DOI: 10.2500/aap.2018.39.4130] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Patients with asthma exacerbations and frequent relapses that require admission to the emergency department (ED) often have more severe disease, worse quality of life, and higher use of health care resources. OBJECTIVE The aim of this study was to identify potential predictors of relapse after patients are treated in an ED for an asthma exacerbation. METHODS A retrospective, noninterventional cohort study was conducted in adult patients who attended the ED of a tertiary hospital in 2014 for an asthma exacerbation. We analyzed the subpopulation who experienced at least one relapse (returned to the ED < 15 days after the previous event). RESULTS Fifty-two of 831 patients experienced 66 relapses after going to the ED (mean ± standard deviation [SD] age, 58.5 ± 23.4 years). The average ± SD probability of a relapse was 6 ± 0.8%. The frequency of episodes was higher in May and November. Twenty-four patients had ≥260 blood eosinophils/μL, including 17 who had ≥400 eosinophils/μL. Only 15% of the patients were referred to an asthma specialist at discharge. Factors related to a higher probability of relapse were the following: having multiple visits to the ED in 1 year, uncontrolled asthma, wheezing in the pulmonary auscultation, peripheral eosinophilia with ≥400 eosinophils/ μL, and being discharged in the first visit to the ED (p < 0.01 for all). CONCLUSION In this population, patients who had multiple ED visits in 1 year, those with uncontrolled asthma, wheezing, ≥400 blood eosinophils/μL, or who had been discharged at the first ED visit are at higher risk of relapse.
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Affiliation(s)
- Beatriz Pola-Bibian
- From the Department of Allergy, Hospital La Paz Institute for Health Research, Madrid. Spain
| | - Javier Dominguez-Ortega
- From the Department of Allergy, Hospital La Paz Institute for Health Research, Madrid. Spain
| | - Gemma Vilà-Nadal
- From the Department of Allergy, Hospital La Paz Institute for Health Research, Madrid. Spain
| | - Ana Entrala
- From the Department of Allergy, Hospital La Paz Institute for Health Research, Madrid. Spain
| | - Lourdes González-Cavero
- From the Department of Allergy, Hospital La Paz Institute for Health Research, Madrid. Spain
| | - Pilar Barranco
- From the Department of Allergy, Hospital La Paz Institute for Health Research, Madrid. Spain
| | - Nataly Cancelliere
- Department of Emergency Medicine, Hospital Universitario La Paz, Madrid, Spain
| | | | - Santiago Quirce
- From the Department of Allergy, Hospital La Paz Institute for Health Research, Madrid. Spain
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Tomas-Pérez M, Entrala A, Bartolomé B, Caballero ML, Quirce S. Dermatitis Caused by Ingestion of Chia Seeds. J Investig Allergol Clin Immunol 2018; 28:46-47. [DOI: 10.18176/jiaci.0203] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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12
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Pola-Bibian B, Dominguez-Ortega J, Vilà-Nadal G, Entrala A, González-Cavero L, Barranco P, Cancelliere N, Díaz-Almirón M, Quirce S. Asthma exacerbations in a tertiary hospital: clinical features, triggers, and risk factors for hospitalization. J Investig Allergol Clin Immunol 2016; 27:0. [PMID: 27973326 DOI: 10.18176/jiaci.0128] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Risk factors for asthma exacerbations are not fully understood. The aim of this study was to determine the epidemiological and clinical characteristics of patients with an asthma exacerbation, potential triggers, and possible predictors of hospitalization. METHODS A retrospective, non-interventional cohort study was conducted in adult patients who attended the Emergency Department of a tertiary hospital with an asthma exacerbation during 2014. RESULTS 831 patients (888 events) were included. The highest number of episodes occurred in January and May. Respiratory infection was considered the trigger in 523 events. 34.21% had ≥260 eosinophils/mm3 (20.7%≥400 eosinophils/mm3), significantly associated with allergic asthma (p<0.0001). Risk factors for hospitalization were: older age [OR:1.58 (95% CI 1.46-1.71)]; no previous diagnosis of asthma [OR:1.40(95% CI 1.06-1.86)]; poorly controlled asthma[OR:1.78 (95% CI 1.10-2.88)]; respiratory infection [OR:2.65 (95% CI 1.95-3.62)]; and severe crisis with more treatment requirements. Of those asthmatics with ≥400 eosinophils/mm3, the rate of hospitalization was lower (p<0.001). CONCLUSION Older age, absence of a previous asthma diagnosis, uncontrolled disease or concomitant COPD are frequent among patients presenting to the ED with asthma exacerbations. There were some features associated with higher risk of admission. Blood eosinophilia should be considered as a marker of asthma, but not as a predictor of hospitalization.
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Affiliation(s)
- B Pola-Bibian
- Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid. Spain
| | - J Dominguez-Ortega
- Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid. Spain
- CIBER de Enfermedades Respiratorias, CIBERES, Madrid, Spain
| | - G Vilà-Nadal
- Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid. Spain
| | - A Entrala
- Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid. Spain
| | - L González-Cavero
- Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid. Spain
| | - P Barranco
- Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid. Spain
- CIBER de Enfermedades Respiratorias, CIBERES, Madrid, Spain
| | - N Cancelliere
- Department of Emergency Medicine, Hospital Universitario La Paz, Madrid, Spain
| | - M Díaz-Almirón
- Department of Biostatistics, Hospital Universitario La Paz, Madrid, Spain
| | - S Quirce
- Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid. Spain
- CIBER de Enfermedades Respiratorias, CIBERES, Madrid, Spain
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13
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Dominguez-Ortega J, Entrala A, Pola-Bibian B, Gonzalez-Muñoz M, Fiandor A, Quirce S. Delayed Allergic Reaction to Acenocoumarol With a Positive Lymphocyte Transformation Test. J Investig Allergol Clin Immunol 2016; 26:273-4. [PMID: 27470649 DOI: 10.18176/jiaci.0072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- J Dominguez-Ortega
- Department of Allergy, Hospital La Paz, Madrid, Spain.,Hospital La Paz Institute for Health Research (IdiPAZ).,CIBER de Enfermedades Respiratorias, Ciberes, Madrid, Spain
| | - A Entrala
- Department of Allergy, Hospital La Paz, Madrid, Spain
| | - B Pola-Bibian
- Department of Allergy, Hospital La Paz, Madrid, Spain
| | | | - A Fiandor
- Department of Allergy, Hospital La Paz, Madrid, Spain.,Hospital La Paz Institute for Health Research (IdiPAZ)
| | - S Quirce
- Department of Allergy, Hospital La Paz, Madrid, Spain.,Hospital La Paz Institute for Health Research (IdiPAZ).,CIBER de Enfermedades Respiratorias, Ciberes, Madrid, Spain
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Abstract
OBJECTIVE To determine the vitamin status of different groups within the Spanish population. DESIGN Pooled analysis of cross-sectional population nutritional regional studies and meta-analysis of smaller studies in population subgroups performed in Spain between 1990 and 1999. SUBJECTS In total, 10 208 participants in eight random population studies aged 25-60 y and participants in 76 studies included in the meta-analysis. INTERVENTIONS The data from different nutritional studies performed on sample populations representative of eight regions of Spain were integrated into a single database. A meta-analysis was also performed on the results of nutritional studies on the Spanish population involving subjects of other ages and status (all published between 1990 and 1999). RESULTS The mean intakes observed after the integration of the eight regional studies, and in the meta-analysis study, were similar to those recommended, although a considerable percentage of people had insufficient intakes. CONCLUSIONS Further studies are required, but the vitamin status of the Spanish population clearly shows room for improvement, especially with respect to vitamins B(2), B(6), A, E, D and folates. Bearing in mind that adequate vitamin intakes are associated with protection from a range of diseases, steps should be taken to correct the imbalances recorded.
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Affiliation(s)
- R M Ortega
- Departamento de Nutrición, Facultad de Farmacia, Universidad Complutense, Madrid, Spain
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15
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Gómez-Coronado D, Entrala A, Alvarez JJ, Ortega H, Olmos JM, Castro M, Sastre A, Herrera E, Lasunción MA. Influence of apolipoprotein E polymorphism on plasma vitamin A and vitamin E levels. Eur J Clin Invest 2002; 32:251-8. [PMID: 11952810 DOI: 10.1046/j.1365-2362.2002.00983.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Plasma concentrations of vitamins A and E are positively correlated with those of concurrent lipids and, on the other hand, lipid levels are influenced by apolipoprotein E polymorphism. Therefore, the effect of this polymorphism on both vitamins was analysed in an adult population. MATERIALS AND METHODS Subjects were recruited from a working population. Their anthropometric, lifestyle and dietary intake variables and menopausal status were recorded. Their apolipoprotein E phenotype and their plasma vitamins A and E (by high-performance liquid chromatography) and lipid (enzymatically) concentrations were determined after an overnight fast. The associations of the phenotype with vitamins and lipids were studied in men and women separately and controlling for significant covariates. RESULTS The apolipoprotein E phenotype was associated with the concentrations of total, low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol in women, whereas no associations with lipids were found in men. Vitamin A and vitamin E levels were higher in men than in women, but only the difference in the former persisted after lipid adjustment. Apolipoprotein E2 slightly increased vitamin A levels in women, an effect which was still evident with lipid adjustment. Actually, both the apolipoprotein E phenotype and triglyceride were selected as significant predictors of this vitamin by multiple regression. This phenotype did not affect vitamin E levels in either sex. CONCLUSIONS Lipids do not mediate the effect of gender on vitamin A levels. Apolipoprotein E polymorphism is an independent determinant of vitamin A levels in women. Pending confirmation by others, we propose that enhancement of this vitamin may contribute to the beneficial impact of the epsilon2 allele on human ageing and health.
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Affiliation(s)
- D Gómez-Coronado
- Servicio de Bioquímica-Investigación, Hospital Ramón y Cajal, Madrid, Spain.
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Abstract
OBJECTIVE To review and analyse criteria for vitamin supplementation and fortification in Spain. DESIGN Systematic review of scientific literature and simulation analysis of food fortification. METHODS A simulation analysis using a fortified beverage was performed in a random sample of 2855 children aged 2 to 24 years in Spain. RESULTS High-risk groups for vitamin supplementation and fortification in Spain are highlighted, and target vitamins considered have been: folic acid, vitamin A, vitamin E, vitamin D and vitamin B12 (particularly in the elderly). A beverage fortified with vitamins C, A, B1 and B6 may contribute to improving the intake of all of these vitamins with the exception of vitamin A, since the Recommended Nutrient Intake is already covered with current consumption. CONCLUSIONS A detailed knowledge of nutritional status helps to ensure the rationale and follow up of nutrient supplementation and fortification.
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Affiliation(s)
- L Serra-Majem
- Department of Clinical Sciences, University of Las Palmas de Gran Canaria, Spain.
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Gómez-Coronado D, Entrala A, Ortega H, Álvarez J, Olmos J, Castro M, Sastre A, Herrera E, Lasunción M. Influence of apolipoprotein E polymorphism on vitamin A and vitamin E levels in a Spanish adult population. Atherosclerosis 2000. [DOI: 10.1016/s0021-9150(00)80586-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Gómez-Coronado D, Alvarez JJ, Entrala A, Olmos JM, Herrera E, Lasunción MA. Apolipoprotein E polymorphism in men and women from a Spanish population: allele frequencies and influence on plasma lipids and apolipoproteins. Atherosclerosis 1999; 147:167-76. [PMID: 10525138 DOI: 10.1016/s0021-9150(99)00168-9] [Citation(s) in RCA: 59] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
UNLABELLED The apolipoprotein (apo) E phenotype and its influence on plasma lipid and apolipoprotein levels were determined in men and women from a working population of Madrid, Spain. The relative frequencies of alleles epsilon(2), epsilon(3) and epsilon(4) for the study population (n=614) were 0.080, 0.842 and 0.078, respectively. In men, apo E polymorphism was associated with variations in plasma triglyceride and very low-density lipoprotein (VLDL) lipid levels. It was associated with the proportion of apo C-II in VLDL, and explained 5.5% of the variability in the latter parameter. In women apo E polymorphism was associated with the concentrations of plasma cholesterol and low-density lipoprotein (LDL) and high-density lipoprotein (HDL) related variables. The allelic effects were examined taking allele epsilon(3) homozygosity as reference. In men, allele epsilon(2) significantly increased VLDL triglyceride and VLDL cholesterol concentrations, and this was accompanied by an increase of the apo C-II content in these particles. Allele epsilon(4) did not show any significant influence on men's lipoproteins. In women, allele epsilon(2) lowered LDL cholesterol and apo B levels, while allele epsilon(4) increased LDL cholesterol and decreased the concentrations of HDL cholesterol, HDL phospholipid and apo A-I. These effects were essentially maintained after excluding postmenopausal women and oral contraceptive users from the analysis. IN CONCLUSION (1) the population of Madrid, similar to other Mediterranean populations, exhibits an underexpression of apo E4 compared to the average prevalence in Caucasians, (2) gender interacts with the effects of apo E polymorphism: in women, it influenced LDL and HDL levels, whereas in men it preferentially affected VLDL, and (3) allele epsilon(2) decreased LDL levels in women, while it increased both VLDL lipid levels and apo C-II content in men, but, in contrast to allele epsilon(4), it did not show an impact on HDL in either sex.
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Affiliation(s)
- D Gómez-Coronado
- Servicio de Bioquímica-Investigación, Hospital Ramón y Cajal, Ctra. de Colmenar, km 9, 28034, Madrid, Spain.
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Iglesias A, Contreras JA, Martínez-Pardo M, Entrala A, Herrera E, Lasunción MA. Cholesteryl ester transfer activity in lipoprotein lipase deficiency and other primary hypertriglyceridemias. Clin Chim Acta 1993; 221:73-89. [PMID: 8149644 DOI: 10.1016/0009-8981(93)90023-w] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Cholesteryl ester transfer protein (CETP) activity was measured in d > 1.21 g/ml plasma from hypertriglyceridemic patients and compared with normolipidemic subjects. The assay consisted in measuring the specific transfer of [3H]cholesteryl oleate from a prelabelled, apo E-poor HDL fraction to VLDL after incubation at 37 degrees C in the presence of the d > 1.21 g/ml plasma sample: the lipoproteins were then separated by precipitation with dextran sulfate/Mg2+ solution. Increasing the volume of d > 1.21 g/ml plasma or purified human CETP in the assay produced linear responses in measured activity, whereas, either during incubation at 4 degrees C or in the presence of rat plasma instead of human plasma, the transfer of [3H]cholesteryl oleate to VLDL was not stimulated. Thus, the assay reflects changes in CETP in the sample and appears to be suitable for measuring CETP activity in d > 1.21 g/ml plasma. CETP activity was very similar in the two groups of normolipidemic subjects considered: adolescents (203 +/- 11 nmol esterified cholesterol transferred per 8 h/ml plasma) and adults (215 +/- 5). Patients were grouped into lipoprotein-lipase (LPL)-deficient and non-LPL-deficient according to their enzyme activity in postheparin plasma. CETP activity was highly increased in LPL-deficient, severe hyperchylomicronemic patients (430 +/- 42) and was directly correlated with VLDL levels in the non-LPL-deficient individuals. Marked differences were observed in the lipid composition of HDL and apolipoprotein A-I levels among patients and controls. In the control group, CETP activity was correlated only with HDL-triglyceride and HDL-triglyceride/apo A-I mass ratio, which is compatible with the physiological role of CETP in transferring triglyceride to HDL from other lipoprotein particles. When all hypertriglyceridemic patients were considered together, CETP activity was inversely correlated with apo A-I and HDL-cholesterol, whereas it was directly correlated with HDL-triglyceride/HDL-cholesterol and HDL-triglyceride/apo A-I mass ratios. The results indicate that the enhanced CETP activity associated with hypertriglyceridemia contributes to the compositional change of HDL, which in turn may be responsible for the reduction of HDL levels in this condition.
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Affiliation(s)
- A Iglesias
- Service of Bioquímica-Investigación, Hospital Ramón y Cajal, Madrid, Spain
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