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2013 Volume 62 Issue 11 Pages
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Article type: Index
2013 Volume 62 Issue 11 Pages
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Article type: Appendix
2013 Volume 62 Issue 11 Pages
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Article type: Appendix
2013 Volume 62 Issue 11 Pages
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Masato Kubo
Article type: Article
2013 Volume 62 Issue 11 Pages
1443-1450
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Satoko Tahara-Hanaoka, Akira Shibuya
Article type: Article
2013 Volume 62 Issue 11 Pages
1451-1457
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Kimihiro Okubo
Article type: Article
2013 Volume 62 Issue 11 Pages
1458-1463
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F. Estelle, R. Simons, Ledit R. F. Ardusso, M. Veatrice Bilo, Yehia M. ...
Article type: Article
2013 Volume 62 Issue 11 Pages
1464-1500
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Yuji Tohda
Article type: Article
2013 Volume 62 Issue 11 Pages
1501-1514
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Takanori Imai, Chizuko Sugizaki, Motohiro Ebisawa
Article type: Article
2013 Volume 62 Issue 11 Pages
1515-1521
Published: November 30, 2013
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Background: Adrenaline administration is a top priority treatment for severe anaphylaxis. A survey with regard to the timing of adrenaline administration for anaphylaxis was conducted among physicians in Japan. Methods: The survey was conducted using a questionnaire among physicians who had contributed to a nationwide survey for acute food allergy monitoring in 2011. The questionnaire comprised questions asking physicians whether they possessed registrations as an adrenaline self-injector (ASJ), and timing of adrenaline administration for anaphylaxis. Symptoms of anaphylaxis were categorized into shock or respiratory, gastrointestinal, cutaneous, or laryngeal symptoms. Results: A total of 674 replies were obtained from physicians, and 547 physicians were reported to be registered as ASJs. With regard to time, when patients injected themselves with adrenaline, it resulted in laryngeal (78.4%) and circulatory symptoms (64.4%), whereas when physicians administered adrenaline in patients, it resulted in circulatory (74.8%) and laryngeal symptoms (70.0%). Conclusion: Japanese physicians did not necessarily understand the timing of adrenaline administration. Therefore, it is important to provide appropriate education to these physicians with regard to anaphylaxis and ASJ.
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Mayumi Fujii, Kenji Okazaki, Kiyoshi Makiyama, Kenichi Hisamatsu
Article type: Article
2013 Volume 62 Issue 11 Pages
1522-1533
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Background: The authors investigated the atmospheric tree pollen dispersion in Ito City, Shizuoka Prefecture for 12 years for the purpose of the prophylaxis and treatment of pollinosis. Methods: We set up a Durham sampler on the rooftop of the three-story building in Ito City, and counted atmospheric pollen grouping first, Taxodiaceae and Cupressaceae; second, Pinaceae and Podocarpaceae; third, Betulaceae and Ulmaceae; last, Fagaceae. The counts of atmospheric tree pollen on season and the weather from January to June were treated statistically and analyzed on the computer program Microsoft Excel. Results: Each average and SD of total pollen count was, in order, 7079 ± 6503 count/cm^2, 502 ± 146 count/cm^2, 891 ± 480 count/cm^2, 906 ± 481 count/cm^2. The last summer weather correlates to the atmospheric pollen count of Taxodiaceae, Cupressaceae, Betulaceace and Ulmaceae. The atmospheric pollen count of Taxodiaceae and Cupressaceae in spring is influenced by the weather; their atmospheric pollen count is reduced by a heavy rain or a heavy snow out of season. The atmospheric pollen count of Pinaceae, Podocarpaceae and Fagaceae does not relate to the weather. Conclusion: As a result of having examined the relations between the count of the atmospheric poilen and the weather in Ito City, I recognized relations in Taxodiaceae, Cupressaceae, Pinaceae and Podocarpaceae, but there were not the relations of intentionality in Betulaceae, Ulmaceae and Fagaceae.
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Kazuyuki Kurihara, Tsuyoshi Suzuki, Atsushi Unno, Michihiro Hatano
Article type: Article
2013 Volume 62 Issue 11 Pages
1534-1540
Published: November 30, 2013
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A 5 year-old boy experienced anaphylaxis after eating a jelly product for diet supplement containing erythritol as a major component. Prick test with the jelly product was negative, but the second oral ingestion of the jelly product at home caused another allergic reaction. Prick test with erythritol was negative even at 300mg/ml, which was almost the solubility limit. Intradermal test was marginally positive at 0.1mg/ml, and clearly positive at 1mg/ml or higher concentration. We found subtle dose-response reaction utilizing basophil activation test, examined with 24 hour incubation at the concentration of 40-4000μg/ml. At the oral challenge test in the hospital, 3g of erythritol induced remarkable coughing, urticaria, edema, wheezing and hypoxemia. Erythritol is a natural sugar alcohol, with the molecular weight of 122.12, which is recently being widely used for diet supplements, beverages, or drug medicines due to its properties of calorie-free and good-tasting, with easy-to-use physical characteristics. We now have to recognize erythritol as a candidate for food allergen, and to be careful about negative result of prick test.
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Toru Watanabe, Tatsuki Fukuie, Iwao Tajima, Ichiro Nomura
Article type: Article
2013 Volume 62 Issue 11 Pages
1541-1547
Published: November 30, 2013
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We report the case of a 5-month-old female infant who had allergic enterocolitis with protein-losing enteropathy and had low birth weight. Until the age of 4 months, she was fed only breast milk and did not experience any related problems. When she was 5-months-old, she was admitted to our hospital with the chief complaints of vomiting and diarrhea. She had whole body edema, thoracic and abdominal ascites, and bloody stools. Laboratory examinations showed the presence of hypoalbuminemia, hypogammaglobulinemia, and an elevated CRP level. Subsequently, she was fed an elemental diet with enteral tube feeding, and her condition gradually improved. However, 2 weeks later, her symptoms reappeared, and therefore, she was admitted to the National Center for Child Health and Development She underwent upper and colon endoscopies and was found out to have multiple inflammatory lesions in the area extending from the cecum to the rectum. The biopsy findings showed features of eosinophilic enterocolitis and she was diagnosed with allergic eosinophilic enterocolitis. Subsequently, an elemental formula that does not include soybean was used for feeding the infant. The symptoms resolved and her condition improved; currently, she is well and is showing normal development. We have reported this case because allergic enterocolitis is becoming a topic of concern.
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Article type: Appendix
2013 Volume 62 Issue 11 Pages
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Article type: Bibliography
2013 Volume 62 Issue 11 Pages
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Article type: Appendix
2013 Volume 62 Issue 11 Pages
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Article type: Appendix
2013 Volume 62 Issue 11 Pages
1552-1553
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Article type: Appendix
2013 Volume 62 Issue 11 Pages
1554-1555
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Article type: Appendix
2013 Volume 62 Issue 11 Pages
1556-1557
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Article type: Appendix
2013 Volume 62 Issue 11 Pages
1558-1560
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Article type: Appendix
2013 Volume 62 Issue 11 Pages
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Article type: Appendix
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Article type: Appendix
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Article type: Appendix
2013 Volume 62 Issue 11 Pages
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Article type: Appendix
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2013 Volume 62 Issue 11 Pages
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Article type: Cover
2013 Volume 62 Issue 11 Pages
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