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Sunday 21 July 2019
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Topic: Paediatrics

July 8, 2019
Carefully designed, integrated multi-'omic' studies could accelerate the use of precision medicine for asthma patients, according to researchers from the Icahn School of Medicine at Mount Sinai, USA
In an invited review article published in the Journal of Allergy and Clinical Immunology, Scott Tyler, PhD, and Supinda Bunyavanich, MD, MPH, report that numerous studies have shown the value of applying transcriptomics and other 'omic' approaches for defining asthma subtypes - but they also cite the need for more studies aimed at pulling together these disparate data streams for a more comprehensive view of the disease.
 
July 2, 2019
'Back to school asthma' - a seasonal peak in cases associated with the start of the school year in September - is linked to a tripling in the rate of GP appointments across England

'Back to school asthma’- a seasonal peak in cases associated with the start of the school year in September - is linked to a tripling in the rate of general practitioner (GP) appointments across England, reveals research published online in the Journal of Epidemiology & Community Health.1

July 1, 2019
Even when rhinitis is mild, it is important to accurately diagnose its pathology, understand which allergens trigger it, and follow the prescribed therapy to avoid the condition deteriorating and becoming worse
Allergic rhinitis is one of the most frequently neglected and underappreciated diseases. When the symptoms are limited to sneezing and itchy eyes, many sufferers decide to treat themselves with do-it-yourself remedies or remedies recommended by friends and relatives; however, this is a mistake.
 
July 1, 2019
Research suggests that fats can help to aggravate the T-cell activated inflammation in the lungs that is seen in asthma
Researchers at Karolinska Institutet in Sweden have studied which genes are expressed in overactive immune cells in mice with asthma-like inflammation of the airways. Their results, which are published in the journal Immunity, suggest that the synthesis and breakdown of fats plays an important part in the process.
 
Th2 cells plays a vital part in asthma-related inflammation, but the rarity of these cells and a lack of sensitivity technology has made these cells hard to study in any detail.
 
July 1, 2019
New Danish research may help direct focus towards the serious complications that on average every fifth haematological cancer patient suffers
New Danish research may help direct focus towards the serious complications that on average every fifth haematological cancer patient suffers. 
 
This is according to medical doctor and PhD Kasper Adelborg from Aarhus University and Aarhus University Hospital, who has studied the cases of 32,000 haematological cancer patients between the years 2000-2013. Haematological cancer includes leukaemia, bone marrow cancer and cancers of the lymph nodes.
 
June 20, 2019
The purpose of the study was to assess the drug’s pharmacokinetics, efficacy and safety for treatment of MAS and to confirm the proposed dose regimen
SOBI has announced that new research demonstrating the effects of emapalumab in patients with macrophage activation syndrome (MAS), a form of secondary haemophagocytic lymphohistiocytosis (HLH) complicating systemic juvenile idiopathic arthritis (sJIA), was presented at the EULAR/Paediatric Rheumatology European Society (PReS) Scientific Congress in Madrid.  
 
June 13, 2019
Study reports no vaccine infections in children given live-attenuated booster vaccine while on immune suppressing therapies
A study presented at EULAR 2019, jointly organised with the Paediatric Rheumatology Society (PReS), demonstrate no vaccine infections, and no disease flare, in the 234 rheumatic patients who received live-attenuated booster vaccination while taking immune suppressing therapies.1
 
June 7, 2019
Experts from Norway found that the risk of paediatric coeliac disease was 8% lower per 10g increase in fibre intake during pregnancy
High fibre intake during pregnancy is linked with a decreased risk of coeliac disease in children, research presented at the 52nd Annual Meeting of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) has shown.1 
 
June 6, 2019
Scientists have found that young children with severe eczema infected with Staphylococcus aureus are at a higher risk of developing a food allergy
In a study published in the Journal of Allergy and Clinical Immunology, scientists from King's College London have found that young children with severe eczema infected with Staphylococcus aureus (SA) bacterium, are at a higher risk of developing a food allergy.1
 
Staphylococcus aureus (SA) is found in the nose and the skin of healthy individuals; however, SA is more common in sufferers of eczema, especially severe eczema.
 
May 29, 2019
Among 20 children with EoE who wore the Viaskin Milk patch, nine saw an improvement in their symptoms and normalisation of their biopsies after 11 months

A study from Children's Hospital of Philadelphia (CHOP) finds that a skin patch may be useful in treating children with a painful, chronic condition called eosinophilic oesophagitis (EoE) triggered by milk.1

May 20, 2019
Over 870,000 people have taken part in clinical trials in 2018/2019 and this number marks a significant step towards the NHS Long Term Plan’s goal of reaching one million participants by 2023/24
The past 12 months has shown a positive rise in people benefiting from clinical research in England, as numbers have reached record highs with over 870,000 participants involved in clinical research studies supported by the National Institute for Health Research (NIHR) over the last year.
 
May 17, 2019
Faecal microbiota transplant, or the transfer of stool from a healthy donor to a patient, has been found highly effective in reversing severe Clostridiodes difficile diarrheal infections in adults
A new study in the journal Clinical Gastroenterology and Hepatology, the largest faecal microbiota transplant (FMT) study in children to date, found it both safe and effective and also identifies predictors of success.
 
April 29, 2019
The diagnosis of the causes of urticaria is very challenging, because very many physiological or pathological conditions are associated with the appearance of hives
Urticaria is a clinical condition characterised by the presence of skin lesions, called wheals. Typically, these are intensely itchy and surrounded by an area of erythema. Wheals can have a diameter from a few millimetres or appear as confluent lesions with a diameter of several centimetres. In some cases, urticaria is associated with angioedema, which appears as a swelling of soft tissues from fluid accumulation due to dermal oedema.
 
April 25, 2019
A report describes how a new battery of tests enables researchers to distinguish patients with IBS from healthy children and identifies correlations between certain microbes and metabolites with abdominal pain
To improve the treatment of children with IBS, investigators have developed a sophisticated way to analyse the microbial and metabolic contents of the gut. 
 
April 24, 2019
Research illuminates the relationship between eczema and food allergy

Scratching the skin triggers a series of immune responses culminating in an increased number of activated mast cells in the small intestine, according to research conducted in mice.

This newly identified skin-gut communication helps illuminate the relationship between food allergy and atopic dermatitis. The study was supported by the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, and led by researchers at Boston Children's Hospital.1

April 15, 2019
Identification of the allergic triggers of rhinitis is crucial in order to implement adequate avoidance measures in both atopic and non-atopic patients; moreover, this identification can help administer specific therapies, such as allergen immunotherapy
Rhinitis is an inflammatory disorder of the nasal mucosa clinically defined by two or more symptoms of nasal itching, sneezing, anterior or posterior rhinorrhoea, and nasal blockage.1
 
April 12, 2019
An eight-year hunt for the cells that drive the extreme childhood food allergy eosinophilic oesophagitis has identified a potential new way to treat the disease while also raising questions about a dietary supplement taken to reduce bowel inflammation
An eight-year hunt for the cells that drive the extreme childhood food allergy eosinophilic esophagitis (EoE) has identified a potential new way to treat the disease while also raising questions about a dietary supplement often taken to reduce bowel inflammation.
 
The study, led by experts at Cincinnati Children's Hospital Medical Center, is posted online in the Journal of Clinical Investigation1 and will be published in print in May. 
 
April 12, 2019
Researchers have effectively prevented the binding of peanut allergens with IgE to suppress the allergic reaction to peanuts using a first-in-class design of allergen-specific inhibitors
In a study published in the Proceedings of the National Academy of Sciences, researchers at the University of Notre Dame in the US have effectively prevented the binding of peanut allergens with IgE to suppress the allergic reaction to peanuts using a first-in-class design of allergen-specific inhibitors.
 
April 4, 2019
Different models should be evaluated to overcome specific transition items such as barriers to successful outcomes, and poor compliance and complications, in order to improve quality of life for the future adult
Transition is defined as the purposeful, planned movement of adolescents and young adults from a child-centred to adult-oriented health care system.1
 
March 21, 2019
Scientists at the University of Surrey and University College London have revealed an innovative in vitro method that can help to develop easy to swallow medicine for children and older people
In an article published by the European Journal of Pharmaceutical Sciences, scientists compared traditional sensory tests and a new in vitro method that was able to explain why smaller multiparticulates eased the travel of medicine from the mouth into the throat and body, reducing mouth residue.
 
The test let scientists easily screen different compositions of the carrier liquid and concentration of the particulates, in order to make swallowing as easy as possible.
 
March 18, 2019
The role of the allergy specialist is critical in risk identification, diagnosis and management of potentially severe allergic reactions in both children and adults
Allergies are a major ongoing problem, especially in Western countries. Currently, it is estimated that about a quarter of the world's population suffers from some type of allergy, mainly due to allergic rhinitis or allergic bronchial asthma.
 
However, the most dangerous reactions (anaphylaxis) usually occur through allergic reactions to foods, drugs and Hymenoptera (for example, wasps, bees, ants, etc) bites.
 
The Big Eight
March 4, 2019
CHMP recommends Dupixent® (dupilumab) for use in adults and adolescents 12 years and older as add on maintenance treatment for certain forms of severe asthma
The European Medicines Agency’s
Committee for
February 28, 2019
After completing up to four years of egg oral immunotherapy treatment, certain study participants were able to safely incorporate egg into their diet for five years
New research regarding egg oral immunotherapy (eOIT) has been presented at the annual American Academy of Allergy, Asthma and Immunology conference in San Francisco.
 
February 11, 2019
A study in identical twin toddlers has helped scientists to identify the first gene mutation that can single-handedly cause juvenile idiopathic arthritis
Identical twin toddlers who presented with severe arthritis helped scientists to identify the first gene mutation that can single-handedly cause a juvenile form of this inflammatory joint disease.
 
By investigating the DNA of individual blood cells of both children and then modelling the genetic defect in a mouse model, the research team led by Adrian Liston (VIB-KU Leuven) was able to unravel the disease mechanism. The findings may help to develop an appropriate treatment as well.