Acute hemorrhagic edema of infancy.
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Anti-Bacterial Agents↗
Biomedical subjects
R R Lantner
Publications and source records attributed to R R Lantner.
Ciprofloxacin desensitization in a patient with cystic fibrosis.
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Administration, Oral↗
Emergency management of asthma in children: impact of NIH guidelines.
BACKGROUND: Asthma is the most common chronic disease of childhood. In 1991 the National Institutes of Health (NIH) published guidelines for the diagnosis and management of asthma, yet little is known about their impact on clinical practice. OBJECTIVE: To examine the impact of the NIH guidelines on the emergency management of asthmatic children in the United States. METHODS: A short anonymous survey concerning the emergency management of childhood asthma was mailed to 234 Directors of Pediatric Emergency Medicine in all Pediatric Residency Training Programs in the United States. The survey consisted of questions originally used in a similar study conducted in 1988 and an additional question relating to the impact of the NIH guidelines. RESULTS: One hundred and thirty-seven (59%) completed surveys were returned. Compared with the results of the 1988 survey, more physicians routinely use pulmonary function testing (73% versus 47% in 1988, P < .001), inhaled beta-agonists as the initial drug of choice (98% versus 17%, P < .001), and early corticosteroid administration (82% vs 21%, P < .001) in their emergency management of asthmatic children. Fifty percent of survey participants believe that NIH guidelines changed their emergency management of childhood asthma. CONCLUSIONS: Significant changes in the emergency management of asthmatic children have occurred since the publication of the NIH guidelines.
Asthma↗
Anaphylaxis following ingestion of a psyllium-containing cereal.
Recently, psyllium hydrophilic mucilloid, a bulk-forming laxative, has been added to breakfast cereals for cholesterol-lowering effects. We report a case of a 60-year-old woman with no prior history of psyllium ingestion who developed anaphylactic symptoms after eating a psyllium-containing cereal. Her only previous exposure was dispensing a psyllium-containing laxative as a nurse. Immunoglobulin E-mediated sensitization was documented by skin testing and basophil histamine release. The literature is reviewed regarding allergic reactions to psyllium. Health care workers and pharmaceutical workers handling psyllium may be at increased risk due to sensitization from inhalation. Physicians and consumers should be aware of potential serious reactions from eating psyllium-containing cereals even without prior history of ingestion of psyllium.
Anaphylaxis↗