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2013 Volume 62 Issue 6 Pages
Cover13-
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Article type: Index
2013 Volume 62 Issue 6 Pages
Toc6-
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
App18-
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Jun Shoji
Article type: Article
2013 Volume 62 Issue 6 Pages
641-651
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Shoichiro Ohta, Kenji Izuhara
Article type: Article
2013 Volume 62 Issue 6 Pages
652-664
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
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Yuhei Hamasaki
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2013 Volume 62 Issue 6 Pages
666-672
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Yoichi Nakamura
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2013 Volume 62 Issue 6 Pages
673-680
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Takanori Imai, Motohiro Ebisawa
Article type: Article
2013 Volume 62 Issue 6 Pages
681-688
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Background: Oral Food Challenge (OFC) has been covered by medical insurance and has been acknowledged as a standardized method for diagnosis of food allergies. After 5 years have passed, we would clarify the state of achievement for OFC, list up the problems, and produce the basic information for the policies in our future. Method: The investigation had been done toward allergic specialists for Japanese Society of Allergology and the members of Japanese Society of Pediatric Allergy and Clinical Immunology. Results: 1353 doctors answered the questionnaires. It consists of Practitioners for 49.9%, doctors working for hospitals with more than 100 beds for 43.9%, and their specialized fields are Pediatrics for 65%, Internal medicine for 18.8%. The examination shows OFC was not done for 60% of the total population. Out of 541 facilities, 47.5% for 1 to 10 OFC per year, 22% for 11 to 30 OFC per year, 11.3% for 31-50 OFC per year, 8.7% for 51-100 OFC per year, and 10.5% for more than 100 OFC per year. Based on the population with the age under 9, the national OFC fill-rate average is 6.4% considering ratio of patient population. Conclusions: OFC has been examined widely by allergic specialists in Japan. However, the fill-rate is not enough and we need to test more OFC strategically.
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Hirokuni Otsuka, Masao Takanashi, Kimihiro Okubo
Article type: Article
2013 Volume 62 Issue 6 Pages
689-697
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Background: Previously, we reported that nasal symptom appeared in some patients of Japanese cedar pollinosis (JCP) before season. Over than 50% of them had neutrophils (no eosinophil) in their nasal smear (less than 10%; eosinophils), and Staphylococcus aureus or epidermis by culture were detected in more than 90% of them. We thought the attack caused from rhinitis by Staphylococcus. Method: For more details of these bacterium in JCP, we enforced bacterial culture in the nose and cytology in the nasal smear in asymptomatic (PreAs), symptomatic in pre-season (PreSy), and symptomatic in season (InSy) of JCP in 2011. Results: Positive rates of Staphylococcus aureus were 79%, 75%, 53%, Staphylococcus epidermis; 15%, 10%, 16%, Moraxella catarrhalis; 9%, 25%, 19%, and Streptococcus Pneumonia; 7%, 12%, 16% in PreAs (n=53), PreSy (60), and InSy (70) respectively. Cytology showed that 45% of PreAs (n=53), 65% of PreSy (60) with statistical higher in latter group, and 8% of InSy (72) were only neutrophils in nasal smear. Six% of PreAs, 2% of PreSy, and 51% of InSy were eosinophils. Forty-three % of PreAs with statistical higher than 22% of PreSy and 7% of InSy were nasal cell free. Conclusion: These results mean the inflammation by Staphylococcus species or Moraxella catarrhalis might involve symptom appearance in pre-season.
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Mari Kaneko, Hisako Yagi, Harumi Koyama, Naoki Nakajima, Reiko Muramat ...
Article type: Article
2013 Volume 62 Issue 6 Pages
698-703
Published: June 30, 2013
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A 13-year-old boy with two episodes of anaphylaxis after exercise was suspected as food-dependent exercise-induced anaphylaxis (FEIAn). The exercise challenge test after ingestion of an apple was performed, because apple was commonly contained in meals before the both episodes and a prick test for apple was positive. The exercise test was positive accompanied with nasal discharge, sneezing, throat discomfort, swelling of the uvula. The patient was instructed to refrain from exercise for 4 hours after ingestion of apple. In five months, he developed allergic symptoms only by an intake of foods containing heated apple without exercise and showed a slight increase in apple-specific IgE from negative to 0.511U/ml. The prognosis of FEIAn has not been well described. Cases with FEIAn to apples like this case require a close follow-up in consideration of development of allergic reactions without exercise.
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[in Japanese]
Article type: Article
2013 Volume 62 Issue 6 Pages
704-708
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[in Japanese]
Article type: Article
2013 Volume 62 Issue 6 Pages
709-711
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
712-713
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
714-715
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
716-
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
719-720
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
721-722
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
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2013 Volume 62 Issue 6 Pages
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
726-731
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
732-735
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
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2013 Volume 62 Issue 6 Pages
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
738-743
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
744-748
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Article type: Appendix
2013 Volume 62 Issue 6 Pages
749-760
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2013 Volume 62 Issue 6 Pages
761-763
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2013 Volume 62 Issue 6 Pages
764-765
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2013 Volume 62 Issue 6 Pages
766-771
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2013 Volume 62 Issue 6 Pages
772-777
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2013 Volume 62 Issue 6 Pages
778-779
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2013 Volume 62 Issue 6 Pages
780-781
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2013 Volume 62 Issue 6 Pages
782-783
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2013 Volume 62 Issue 6 Pages
784-786
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2013 Volume 62 Issue 6 Pages
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Article type: Cover
2013 Volume 62 Issue 6 Pages
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