Allergic rhinitis - top articles for August 2014

Here are my suggestions for some of the top articles about allergic rhinitis for August 2014:

Allergic airway disease in a tropical urban environment is driven by dominant mono sensitization: dust mite

Rhinitis as a risk factor for depression in pre-adolescents: risk increased from 11 to 17.7%

Is There a Need to Repeat Skin Test in Childhood Allergic Diseases? Yes, 40% had different results 4 yrs later

Impermeable dust mite covers were not helpful in primary and tertiary prevention of allergic disease (meta-analysis)

Allergic rhinitis impairs asthma control by enhancing lower airway inflammation - a striking impact found in study

Is chronic rhinosinusitis related to allergic rhinitis? Evaluate for underlying allergies any patient with CRS

Asthma and Allergen Sensitization start earlier in life than previolsy reported (age 2 for asthma, age 1 for allergy), dust mite is the culprit in 80%

Can Allergy Medicines Suddenly Stop Working? 20% of patients think so

Nonallergic rhinitis - 2014 review by Phil Lieberman

Allergens on desktop surfaces in schools: Mouse allergen found in 97% of samples, cat in 80%, dog in 77%

Aquarium fish food arthropods are potent allergens

"There's no shortcut. Everybody thinks that there ought to be a technology, but reading pollen grains takes a human eye to do it"

The articles were selected from Twitter @Allergy and RSS subscriptions. Some of the top allergy accounts on Twitter contributed links. I appreciate the curation provided by @Aller_MD @AllergyNet @IgECPD @DrAnneEllis @mrathkopf.

Please feel free to send suggestions for articles to AllergyGoAway AT gmail DOT com and you will receive an acknowledgement in the next edition of this publication.

Image source: Wikipedia, Creative Commons license.

Hay fever - 1953 documentary film about allergic rhinitis by Wellcome Library

From Wellcome Library history of medicine collection: Short documentary film (15 minutes) describing the causes and symptoms of hay fever and showing how pollen is collected and made into desensitising sets for sufferers.

Please note: Allergy shots are no longer administered at home by patients.

Here is the current approach to therapy of allergic rhinitis:

Treatment Options for 
Allergic Rhinitis (AR) and 
Non-Allergic Rhinitis (NAR) in 6 Steps (click to enlarge the image).

Pulmonary findings in common variable immunodeficiency (CVID)

It is not clear if interstitial lung disease (ILD) in common variable immunodeficiency (CVID) is a consequence of chronic infection or a manifestation of dysregulated lymphoid proliferation.

This retrospective review of electronic medical records of 61 patients with CVID evaluated clinical and laboratory correlates of bronchiectasis, ground glass opacity, and pulmonary nodules on CT scan.

Here are the correlations:

- Bronchiectasis was strongly correlated with a CD4+ T-cell count lower than 700 cells/μL and was associated with a history of pneumonia and older age.

- Pulmonary nodular disease was correlated with increased CD4+:CD8+ T-cell ratios, a history of autoimmune hemolytic anemia or immune thrombocytopenic purpura, elevated IgM, and younger age.

- Ground glass opacity had similar clinical and laboratory characteristics as those for nodular lung disease but was associated with elevated monocyte counts and the presence of liver disease.

Bronchiectasis were more strongly associated with infection and T-cell lymphopenia. ILD was more strongly linked with autoimmunity and lymphoproliferation.


Pulmonary radiologic findings in common variable immunodeficiency: clinical and immunological correlations. Maglione PJ1, Overbey JR2, Radigan L1, Bagiella E2, Cunningham-Rundles C3. Ann Allergy Asthma Immunol. 2014 May 28. pii: S1081-1206(14)00297-X. doi: 10.1016/j.anai.2014.04.024. [Epub ahead of print]

A series of "How to Use Inhalers" videos by National Jewish Health

Using a Metered-Dose Inhaler: Open-Mouth Technique.

Using a Metered-Dose Inhaler: Closed-Mouth Technique.

How to Use a Nebulizer.

How to Use a Diskus.

How to Use a Flexhaler.

How to Use a Twisthaler.

How to Use a HandiHaler.

How to Use a Respimat.

How to Use an Aerolizer.

How to Use an Aerochamber® with Mask.

How to Use an Autohaler.

How to Use a Peak Flow Meter.

Seasonal Allergy Symptoms (Watery Eyes, Sneezing, Fatigue) May Impair Driving Ability as Much as Drinking

Allergy symptoms' effect on driving was comparable to having a blood-alcohol concentration nearing impaired levels, according a study published in July 2014 edition of Annals of Allergy and Immunology. Unfortunately, allergy medications weren't wholly effective at reducing the symptoms' effects.

Allergic rhinitis, or hay fever, has been linked to car accidents in previous studies.

Impairment scores of patients with allergic rhinitis were comparable to driving with a blood-alcohol level of 0.03%, just under the legal limit of 0.05% in most countries The U.S. limit is 0.08%.) Both the antihistamine and nasal spray reduced scores to nonsignificant levels.

Here is what to do treat allergic rhinitis:

Treatment Options for 
Allergic Rhinitis (AR) and 
Non-Allergic Rhinitis (NAR) in 6 Steps (click to enlarge the image).


Seasonal Allergy Symptoms (Watery Eyes, Sneezing, Fatigue) Impair Driving Ability - WSJ
Fatal consequence of allergic rhinitis - case report
Image source:, public domain.
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