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Qatar Medical Journal - Volume 2022, Issue 2 - First allergy conference in Qatar
Volume 2022, Issue 2 - First allergy conference in Qatar
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Off-label use of omalizumab in a 6-year-old child with severe atopic dermatitis
By Raed AlzyoudBackground: Atopic dermatitis (AD) is a common chronic inflammatory skin disorder that affects up to 3% of adults and 15%-20% of children across the world. Although the mainstay of treatment is topical corticosteroids and/or calcineurin inhibitors, a majority of patients will not achieve a control of their condition and will need systemic treatment with steroids and immunosuppressants (1). Omalizumab is a humanized anti-IgE antibody license Read More
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Non-invasive diagnostic test for cow's milk allergy: A cross-sectional, descriptive study
Authors: Yosra Raziani, Brwa Othman, Asuda Ahmad and Sozyar QadirBackground: Cow's milk allergy is a common type of allergy in infants that is caused by the immune response to proteins in cow's milk. Digestive manifestations, atopic dermatitis, and respiratory discomfort are some of the clinical manifestations that appear; however, none of them are objective criteria to confirm the diagnosis, which may result in misdiagnosis, treatment hindrance, and parental concerns. Therefore, new methodologi Read More
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Foreign body aspiration in an adult: An endobronchial “Melon-oma”
Authors: Irfan Ul Haq, Mansoor Hameed, Shakeel Ahmed and Mousa HusseinBackground: Foreign body (FB) aspirations in adults are relatively uncommon. The most commonly aspirated FBs in adults are organic, especially vegetable matter, peanuts, and fragments of bones. We report a rare case of a FB discovered in the left main bronchus of an adult male admitted to the intensive care unit. Case report: A 52-year-old male smoker with COPD presented to the emergency department with a two-day history of inc Read More
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Chronic upper airway inflammation related to high Th2 cytokines in Mendelian susceptibility to mycobacterial disease case
In this report, we have described a child suffering from Mendelian susceptibility to mycobacterial disease (MSMD) owing to an autosomal recessive, complete T-bet deficiency, which impairs IFN-γ production by innate and innate-like adaptive, but not mycobacterial-reactive purely adaptive lymphocytes. In this study, we explored the persistent upper airway inflammation (UAI) and blood eosinophilia in this patient. Unlike the wild-t Read More
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Labeling of penicillin allergy in patients admitted to a tertiary hospital in Qatar: A retrospective audit
Authors: Reem Hasan Elajez, Dana Bakdach, Rana Al-Adawi, Dina Elgaily, Ahmed Karawia and Asmaa MohamedBackground: Penicillin (PNC) allergy is a major healthcare concern that necessitates antibiotic substitution which is associated with increased costs, worse clinical outcomes, and increased risks of antimicrobial resistance. Many patients are labeled as PNC allergic; however, this has been rarely confirmed. In this audit, we aimed to determine the characteristics of PNC allergy labeling. Methods: A list of all the patients labeled with PNC Read More
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Pre-procedural SARS-CoV-2 PCR testing in the pulmonary function laboratory at a tertiary government hospital in Qatar: A clinical audit
Background: Prior to pulmonary function testing (PFT), local and international recommendations advise pre-procedural screening. Pulmonary function tests generate aerosol droplets containing millions of viruses, significantly increasing the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission not only to the individuals in and around the PFT office, but also to subsequent patients who undergo the test later in the Read More
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Anti-inflammatory properties of raw honey and its clinical applications in daily practice
More LessBackground: Honey is a natural product; and in terms of phytochemical composition, it contains a high number of flavonoids and polyphenols such as quercetin, kaempferol, chrysin, and apigenin. Flavonoids found in honey mitigate the inflammatory processes, thereby exhibiting the anti-inflammatory potential of honey. Besides their anti-oxidant activities, flavonoids have the ability to inhibit pro-inflammatory enzymes such as LOX, COX, iNO Read More
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Do we need aerobiological air monitoring in desert climates? The Qatar experience
Authors: Dorra Gharbi, Maryam A. Al-Nesf and Maria del Mar TrigoKnowledge about diurnal, seasonal, and annual fluctuations in airborne pollen and fungal spores in any geographical area is essential for effective diagnosis and treatment of allergies. Aerobiological analysis enables the detection of airborne pollen and spores, thus providing information on plant phenology, plant distribution, related diseases, and the risks for some species in terms of allergies. Although pollen and fungal spores have b Read More
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SCIG administration: A promising and patient convenient alternative for those receiving long-term IVIG
Authors: Slim Hassini, Soosan Samuel, Sibi Shibul and Maryam Al-NesfBackground: Intravenous immunoglobulin (IVIG) therapy has been used as antibody replacement therapy in primary immunodeficiency diseases (PID) for more than 50 years. In this study, we aimed to define IVIG usage and adverse reactions and complications in PID and explain how subcutaneous immunoglobulin (SCIG) replacement therapy is an alternative that improves the patient experience. In addition, the additional nursing respon Read More
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