The complexity in pediatric allergology: the polysensitized patient

Authors

DOI:

https://doi.org/10.15448/1980-6108.2019.4.33629

Keywords:

Diagnostic, allergology, pediatrics.

Abstract

AIMS: In the present study, the authors intend to demonstrate the advantages of molecular diagnosis in immunoallergology through the description of a clinical case.
CASE DESCRIPTION: We present the case of a 9-year-old male, followed by pediatric immunoallergology with the diagnoses of moderate persistent asthma, persistent rhinitis, atopic eczema and food allergy with severe manifestations (several episodes of anaphylaxis). molecular profile of allergic sensitization contributed to better knowledge of the patient, therapeutic and even prognostic adequacy.
CONCLUSIONS: The molecular allergy diagnostic tests, according to the analysis of the present case, allows the establishment and escalation in terms of severity of a more individualistic sensitization profile, which is especially important in the patient who is polysensitized and with reports of respiratory and food allergies.

Downloads

Download data is not yet available.

Author Biographies

João Virtuoso, Hospital Sousa Martins, Unidade Local de Saúde da Guarda, Serviço de Pediatria. Guarda

Interno do internato complementar de Pediatria Médica

Íris Santos Silva, Hospital Sousa Martins, Unidade Local de Saúde da Guarda, Serviço de Pediatria. Guarda

Interno do internato complementar de Pediatria Médica

Pedro Guerra, Hospital Sousa Martins, Unidade Local de Saúde da Guarda, Serviço de Pediatria. Guarda

Assistente Hospitalar de Pediatria Médica

Rita S. Oliveira, Hospital Sousa Martins, Unidade Local de Saúde da Guarda, Serviço de Pediatria. Guarda

Assistente Hospitalar de Pediatria Médica

References

van Hage M, Hamsten C, Valenta R. ImmunoCAP assays: pros and cons in allergology. J Allergy Clin Immunol. 2017;140(4):974-7. https://doi.org/10.1016/j.jaci.2017.05.008

Alessandri C, Zennaro D, Zaffiro A, Mari A. Molecular allergology approach to allergic diseases in the paediatric age. Ital J Pediatr. 2009;35(1):29. https://doi.org/10.1186/1824-7288-35-29

Melioli G, Savi E, Crivellaro MA, Passalacqua G. Potential of molecular based diagnostics and its impact on allergen immunotherapy. Asthma Res Pract. 2016;2:9. https://doi.org/10.1186/s40733-016-0024-8

Hamilton RG, Kleine-Tebbe J. Molecular allergy diagnostics: analytical features that support clinical decisions. Curr Allergy Asthma Rep. 2015;15(9):57. https://doi.org/10.1007/s11882-015-0556-7

Arruda LK, Moreno AS, Ferreira F. Diagnóstico molecular de alergia: pronto para a prática clínica? Braz J Allergy Immunol. 2013;1(4):187-94. https://doi.org/10.5935/2318-5015.20130024

Matricardi PM, Kleine-Tebbe J, Hoffmann HJ, Valenta R, Hilger C, Hofmaier S, Aalberse RC, Agache I, Asero R, Ballmer-Weber B, Barber D, Beyer K, Biedermann T, Bilò MB, Blank S, Bohle B, Bosshard PP, Breiteneder H, Brough HA, Caraballo L, Caubet JC, Crameri R, Davies JM, Douladiris N, Ebisawa M, EIgenmann PA, Fernandez- Rivas M, Ferreira F, Gadermaier G, Glatz M, Hamilton RG, Hawranek T, Hellings P, Hoffmann Sommergruber K, Jakob T, Jappe U, Jutel M, Kamath SD, Knol EF, Korosec P, Kuehn A, Lack G, Lopata AL, Mäkelä M, Morisset M, Niederberger V, Nowak-Węgrzyn AH, Papadopoulos NG, Pastorello EA, Pauli G, Platts-Mills T, Posa D, Poulsen LK, Raulf M, Sastre J, Scala E, Schmid JM, Schmid-Grendelmeier P, van Hage M, van Ree R, Vieths S, Weber R, Wickman M, Muraro A, Ollert M. EAACi molecular allergology user’s guide. Pediatr Allergy Immunol. 2016;27 Suppl 23:1-250. https://doi.org/10.1111/pai.12563

Published

2019-12-06

How to Cite

Virtuoso, J., Silva, Íris S., Guerra, P., & Oliveira, R. S. (2019). The complexity in pediatric allergology: the polysensitized patient. Scientia Medica, 29(4), e33629. https://doi.org/10.15448/1980-6108.2019.4.33629

Issue

Section

Case Reports

Most read articles by the same author(s)