AchTU

Tulane Allergy/Immunology/Rheumatology Course May 2020

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Think you've beaten immunodeficiencies? Think again. While most primary immunodeficiencies present early in life, common variable immunodeficiency syndrome presents as late as the 4th decade of life.

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Friendly reminder to probe a little deeper when a patient comes in with sneezing, complaining of allergies as rhinitis has a wide range of etiologies from pollen to foods to pregnancy! #KnowWhatIHistamean

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You may know Beck's triad, Virchow's triad, or the Unhappy triad. But do you know Samter's Triad? The combination of asthma, nasal polyps, and aspirin hypersensitivity. We now call it AERD: aspirin exacerbated respiratory disease. #samterstriad #AERD

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About 5% of people across the nation have suffered from anaphylactic reactions. There continues to be a supply shortage of epi-pens nationwide.
https://t.co/QjDIjlO8iF

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If heading outside for socially distant recreation, limit risks of insect stings by also exercising caution! Avoid drinking outdoors from cans or straw (stinging insects may be hiding inside). Always wear shoes outdoors. #beecareful https://t.co/XHKMyYsoHL

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It's better to BEE safe than sorry! As warm weather takes us outdoors, make sure you have your Epi-Pen on-hand for your stinging insect (or any other) serious allergy. #safetyfirst #safesummer2020

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Beware of Rituximab. While it is an effective drug used against certain types of autoimmune disease and cancer, its main side effect can wipe of your CD20+ B cells and cause secondary humoral immunodeficiency.

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Are you one of the roughly 5% of the population that can "write" on your skin? You may have dermatographia, the most common form of physical urticaria. Read More: https://t.co/qz6Pi3sm9c

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Did you and some friends eat seafood and have an “Allergic” reaction? Probably not! Read more about Scombroid poisoning here: https://t.co/9kLbNSIaek

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Unlike previously thought, ARBs are a safe alternative hypertension treatment after ACE-I therapy induced angioedema! https://t.co/y6N3u4elWd

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Think you might be insensitive to a specific food? Consider that commercial tests for food insensitivity which assess levels of IgG4 have not been shown to predict true food allergy before you spend your money. https://t.co/b21r4sZ38t

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Since the @US_FDA approved the first generic form of EpiPen in 2018, Medicaid has saved hundreds of millions of dollars, and auto-injector prices have gone down. Still, shortages have persisted. https://t.co/d0gJ8cFxLn

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Allergic to penicillin or amoxicillin? Chances are you've been misdiagnosed. 1 in 10 people affirm they are penicillin sensitive, but studies show only less than 1 in 100 are truly allergic. Don't deny yourself an important medicine! https://t.co/1Vz5FQKDbM

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I didn’t believe the base of my great phalanx could give me so much trouble. I’m full of gout now!

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Did you know that more than 60% of children with atopic dermatitis, or atopic eczema, are at risk to develop asthma or allergic rhinitis? This phenomenon is called the atopic march!
Learn more about eczema: https://t.co/83UeQxHjI7

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True drug allergies are rare. A drug allergy is an immune mediated reaction. Most adverse drug reactions are not allergic responses but are due to the pharmacological effects of the drug. It is important for physicians to differentiate between allergy and other adverse reactions.

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Food allergies aren't just for kids! According to a recent survey of over 40,000 US adults, 10.8% were food allergic at the time of the survey, and nearly half of those food allergic adults had at least one adult onset food allergy! https://t.co/a5RwdQvLdp

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This is just a handful of the interesting things you'll learn by reading this paper! Perfect Sunday morning reading :) #tgif https://t.co/73ciq6B7vm

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We've known for a long time that asthma and anxiety are deeply intertwined, but there is still much that we need to elucidate about this relationship! Here are a few facts about neuropsychiatry and asthma for you to ponder this weekend. From this review: https://t.co/D7nnNwyxnb

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An interesting paradox: endogenous production of stress hormones such as glucocorticoids leads to exacerbation of asthma. But exogenous glucocorticoids are, of course, widely used to treat asthma.