Nitin Verma

Paediatrician with a special interest in Allergy and Respiratory diseases.

[National Eczema Society @eczemasociety]

🤛Clench fists & count to 10
❄️Apply an ice pack wrapped in a thin towel to itchy areas
💧Splash itchy areas with cool water & then apply emollient
🖐️Grip strengthening devices can help keep hands occupied

👉 https://t.co/IXv1WSqzkZ #eczema

[World Allergy Organization @worldallergy]

#WAO #Journal: World Allergy Organization (WAO) Diagnosis and Rationale for Action against #Cow's #Milk #Allergy (DRACMA) Guideline update – VII – Milk elimination and reintroduction in the diagnostic process of cow's milk allergy. Open Access. https://t.co/6607Km0Xxb

[Tushar Banerjee @bnrjt07]

Egg ladder - #WAOBSACI2022

[DrLauri van der Poel @laurivdp]

@goldfingerprint @IntolerantG @foodallergyuk @DrAdamFox @GoAllergy @NatashasLegacy @Anaphylaxiscoms @LondonAllergy First time eating a food does not mean first exposure, as much work shows. See the useful 2020 paper by @broughallergy et al which summarises what we know to date. https://t.co/tDfDFWotzT

[HouseDustMite @housedustmite]

Simple instructions on - How to keep house dust mites out of beds. Click on https://t.co/A2T6RVo7Oy OK! @RespNprang @HealthyLDN @datt_colette @LSHTM

[HouseDustMite @housedustmite]

A breakthrough in HDM research! The new allergen Der p37 may signify reactions to multiple HDM allergens (possibly 13) and severe asthma. Read https://t.co/B3tInhN36U Article in Press @IgECPD
@VenterCarina @susanprescott88 @roomcmoo @IlesDr

[Natasha's Foundation @NatashasLegacy]

Natasha's Law - full ingredient labelling on all prepacked foods. It is "... enshrined in legislation in England, Wales and Northern Ireland, will come into effect from 1 October 2021"

[Dr Lisa Waddell @lis_wad]

Great research on #skinbarrier integrity & food allergy prevention. 1) Protect skin barrier early with emollients-trilipid (Epiceram) more effective than petroleum based 2) ⬇️skin inflammation early (<4mths) with topical steroids 3) Early oral ingestion allergens #EAACI2020

[Dr Lisa Waddell @lis_wad]

Azad: Fascinating concept; 'Triple exposure for #foodallergy #prevention ' i.e maternal consumption + breastfeeding + early introduction food allergen to infant promotes tolerance. Signif ⬇️in late onset peanut sensitisation & ⬆️odds PN resolution if PN intro.<12mths #EAACI2020

[Florin-Dan Popescu @FlorinDanPopesc]

Clare Mills: Prolamin superfamily: 2S albumins [Brazil nut Ber e 1, peanut Ara h 2 and Ara h 6], LTPs [hazelnut Cor a 8, peach Pru p 3, apple Mal d 3] #TweetsAfter #eaaci2020 #MolecularAllergology

[Rosan Meyer (RD) @PaedDietitian]

If you are confused about food elimination and EOE see lecture from #EAACI2020 from Dr. Antonella Cianferoni

[Dr Lisa Waddell @lis_wad]

Besednjak-Kocijancic: Lactobacillus reuteri given to breast fed infants from 4-12wks age asso. with signif ⬇️in prevalence of #allergicrhinitis at 9yrs age (4.3% cmf 13.9% in controls) & ⬇️frequency/ duration of exacerbations. But not for allergic rhinoconjuctivitis #EAACI2020

[Carina Venter PhD RD @VenterCarina]

Mike Ardern-Jones: IgE mediated FA in approx 30% of children with AD. Non-IgE FA relatively rare (but shows fascinating data on casein/b-lactogoblin and IL-4 response)...if suspect non-IgE FA in individual with AD; eliminate and reintro food but TREAT the skin first #EAACI2020

[Tushar Banerjee @bnrjt07]

Infant heeks more exposed to environment irritant and have low fillagrin expression: no wonder cheeks are most effected part : hard water is often ignored particularly in fillagrin mutation in Hx for eczema Prof Irvin #EAACI2020

[DrLauri van der Poel @laurivdp]

Strongest effect of microbial orders implicated in FA and related allergic disease, clostridiae & lactobacillales found to be mostly beneficial but enterobacteriales mostly harmful. Anne Singh on #microbiota #EAACI2020

[Dr Lisa Waddell @lis_wad]

Good to hear extensive discussions occurring in relation to overuse of gastric acid inhibitors in infants, especially PPIs in relation to adverse effects on #microbiome, allergy development & other side effects #EAACI2020

[Tushar Banerjee @bnrjt07]

Urticaria Vs Urticarial : how to think "Urticarial" which is pointing to systemic conditions

Urticaria is a clinical DX

How often we get this wrong !! #EAACI2020

[Dr O. Tsilochristou @OlympiaTsilo]

A wonderful summary by @broughallergy on #AD and efficacy of preventative emollient Tx: petrolatum based ones had no effect in AD development/severity while trlipid ones have shown some positive results reg AD (and SPT) #eaaci2020

[Carina Venter PhD RD @VenterCarina]

I have to end EAACI 2020 with this tweet: More SFCA in fecal samples at 1 yr ass with less food sens; more fish, yogurt fruit and veg ass with increased SCFA. Butyrate in particular important @liam_OMahony1 #EAACI2020 (well done for keeping a straight face as Zulu said hello)

[Dr Lisa Waddell @lis_wad]

Khaleva: Risk factors for #cowsmilkallergy in infancy in EuroPrevall cohort show #eczema severity to be only independent risk factor for IgE mediated CMA. In non-IgE, 50% on antireflux meds cmf 6% in controls & CM introduced later ?IgE vs non-IgE CMA different disease #EAACI2020