Japanese Journal of Allergology
Online ISSN : 1347-7935
Print ISSN : 0021-4884
ISSN-L : 0021-4884
Volume 73, Issue 4
Displaying 1-11 of 11 articles from this issue
Allergology Course For Allergy Specialists—55.Deciphering Genetic Involvement in Allergic Disease
One Point Reviews of Allergy Guideline
Review Article
Original Article
  • Katsunori Masaki, Masafumi Sakashita, Yasushi Ogawa, Takenori Inomata, ...
    2024 Volume 73 Issue 4 Pages 329-339
    Published: 2024
    Released on J-STAGE: June 15, 2024
    JOURNAL RESTRICTED ACCESS

    Background: In the enhancement of allergy care involving multidisciplinary and multiple medical departments, there is a perceived need for education that targets not only specialists but also non-specialists. However, research on the need for and methods of such education remains inadequate.

    Objective: To design a remote allergy care education program for all medical practitioners and to validate its necessity and utility.

    Methods: The Empowering Next Generation Allergist/immunologist toward Global Excellence Task Force (ENGAGE-TF), supported by the Japanese Society of Allergology, initiated a virtual educational program called ‘Outreach Lectures’ in collaboration with Keio University and Fukui University. This initiative was widely promoted through social media and various institutions, and a survey was conducted through its mailing list.

    Results: 1139 responses were obtained. More than half were physicians from non-allergy specialties, representing a diverse range of healthcare professions. Over 70% expressed being ‘very satisfied,’ and over 60% found the difficulty level ‘appropriate.’ Free-form feedback revealed differences in learning focus based on profession and learning approach based on years of experience.

    Conclusion: The high participation rate (90%) of non-specialist physicians underscores the demand for addressing allergic conditions in primary care. The effectiveness of virtual / recurrent education, particularly for healthcare professionals with over 11 years of experience, was implied. Further follow-up investigation focusing on quantitative and objective assessment of educational effectiveness is indispensable.

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  • Ikuya Sasaki, Takanori Imai, Aiko Honda, Yuki Okada, Kaori Yamaguchi, ...
    2024 Volume 73 Issue 4 Pages 340-346
    Published: 2024
    Released on J-STAGE: June 15, 2024
    JOURNAL RESTRICTED ACCESS

    Background: Although paramedics can use adrenaline autoinjectors (AAIs) during their duties, the actual conditions of their use and the challenges faced remain unclear. We investigated the actual situation and issues pertaining to creating an environment in which paramedics can operate AAIs more effectively.

    Methods: A web-based survey was conducted among paramedics who participated in a web-based training session related to their latest knowledge on food allergies and emergency responses in 2022. The survey items included practice and training environments, practices of AAI administration, and regarding AAI administration.

    Results: Seventy paramedics responded to the survey. Twenty-eight respondents (40%) had experienced cases in which they wished they had an AAI in their work to date, but only one had actually administered one. Thirty-four (49%) indicated that it would be good to have an AAI in the ambulance at all times; 48 (69%) were not concerned about the use of AAI, and the level of concern about its use was significantly related to length of service. The study also revealed that paramedics do not have an adequate training environment regarding AAI.

    Conclusion: Few paramedics have experience in administering AAI, although they are aware of the need for it. For more effective use of AAI, it is necessary to establish a training environment to familiarize paramedics with anaphylaxis and an environment that enables them to use AAI promptly in the field.

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Case Report
  • Hidemasa Sakai, Yasuhiro Motohashi, Takeyasu Igarashi
    2024 Volume 73 Issue 4 Pages 347-352
    Published: 2024
    Released on J-STAGE: June 15, 2024
    JOURNAL RESTRICTED ACCESS

    Gibberellin-regulated protein (GRP) is a newly discovered allergen in systemic fruit allergies. The kind of fruits which cause allergy is extensive as GRP is universally included in plants. Two children with GRP allergy were reported. Case 1: A 6-year-old boy experienced anaphylaxis while running after school lunch, which included canned peaches. A skin prick test (SPT) and blood examination suggested that he had peach GRP allergy. Six months and three years later, he experienced a similar episode after eating apple and citrus flesh, respectively. Case 2: An 11-year-old boy experienced anaphylaxis while running after consuming canned peaches during school lunch. A SPT implied that he had peach GRP allergy. However, a similar episode occurred after eating strawberry flesh 18 months later.

    Patients with GRP allergy often have one or more allergies to fruits other than peaches, as in these cases, and relevant fruits differ depending on the case. Particularly, clinicians should recognize that apple and citrus fruits are frequently included in school lunches as fruit flesh and as flavoring or seasoning in ready-made sauces or dressings. Therefore, an appropriate removal strategy should be considered in school lunches depending on each case of GRP allergy.

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  • Emiko Hitomi, Youichi Nishimura, Tomohiro Hitomi, Tatsunori Itabashi, ...
    2024 Volume 73 Issue 4 Pages 353-356
    Published: 2024
    Released on J-STAGE: June 15, 2024
    JOURNAL RESTRICTED ACCESS

    The patient was a 3-year-old girl whose father was employed sorting and washing soybeans. She exhibited transient respiratory distress and loss of activity on the same day or the next day after her father came home wearing work clothes with soybean dust on them. One day, she developed anaphylaxis after being lifted into her father's arms while he was wearing his work clothes. Although a blood test was positive for soybean and Gly m 4-specific IgE antibodies, the girl was able to consume soy products (not including soy milk, which she had never consumed) without any issues. The father was instructed to change clothes before leaving work and bathe immediately upon returning home, and the girl has not had any further episodes of respiratory distress, loss of activity, or anaphylaxis. Though reports of anaphylaxis from soybean antigen inhalation are extremely rare, it is very likely that inhalation of soybean dust from the father's work clothes induced anaphylaxis in this case.

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