segunda-feira, 17 de junho de 2019

Aler gias


ALERGIAS

mjhalpern1932@gmail.com





Informação geral



Directorios













Texts









Ilustrações






ALERGENOS



Alergenos  alimentares






             -

Sintomas






Symptoms

Red eyes, itchy rash, runny nose, shortness of breath, swelling, sneezing[1]

Types

Hay fever, food allergies, atopic dermatitis, allergic asthma, anaphylaxis[2]

Causes

Genetic and environmental factors[3]

Diagnostic method

Basd on symptoms, skin prick test, blood test[4]

Differential diagnosis

Food intolerances, food poisoning[5]

Prevention

Early exposure to potential allergens[6]

Treatment

Avoiding known allergens, medications, allergen immunotherapy[7]

Medication

Steroids, antihistamines, epinephrine, mast cell stabilizers, antileukotrienes[7][8][9][10]















ALERGENOS







Alergenos interiores

As casas podem esconder alérgenos que não se podem evitar. São eles:

Idadedacasa

Humidade e temperatura ambientes

Ocupantes da casa - homens, animais ,plantas

Mesmocomacasalimpaficasemprealgumpó

Os principais alérgenos caseiros são acaros no pó, caspa dos caes, baratas e fungos

Polen

Plantas caseiras






House dust

Mold spores

Pollen

Fabrics

Dust mites

Cockroaches

Cat dander

Dog dander

Pet rodents

Horsehair



Alergenostransportadospeloar



Lista

Polen

Fungos

Acaros

Animais

Quimicos





ALERGIASALIMENTARES






Some Conditions Related to Food Intolerance*

Gastrointestinal disorders

Structural abnormalities: hiatal hernia, pyloric stenosis, Hirschsprung's disease, tracheoesophageal fistula

Disaccharidase deficiencies: lactase, sucrase-isomaltase complex, glucose-galactose complex

Pancreatic insufficiency: cystic fibrosis

Gallbladder disease

Peptic ulcer disease

Malignancy

Metabolic disorders

Galactosemia

Phenylketonuria

Pharmacologic-related conditions

Jitteriness (caffeine)

Pruritus (histamine)

Headache (tyramine)

Disorientation (alcohol)

Psychologic disorders

Neurologic disorders

Gustatory rhinitis

Auriculotemporal syndrome (facial flush from tart food)



Target organ

IgE-mediated disorder

Non–IgE-mediated disorder

Skin

Urticaria and angioedema

Atopic dermatitis

Atopic dermatitis

Dermatitis herpetiformis

Gastrointestinal tract

Oral allergy syndrome

Proctocolitis

Gastrointestinal “anaphylaxis”

Enterocolitis

Allergic eosinophilic gastroenteritis

Allergic eosinophilic gastroenteritis



Enteropathy syndrome



Celiac disease

Respiratory tract

Asthma

Heiner syndrome

Allergic rhinitis



Multisystem

Food-induced anaphylaxis

Food-associated, exercise-induced anaphylaxis















ALERGIASNAAMAMENTAÇAO










Look for the following words on food labels and avoid any of these foods:

Artificial butter flavor

Butter, butterfat, butter oil

Buttermilk

Casein

Caseinates

Cheese

Cottage cheese

Cream

Curds

Custard

Dry milk solids

Ghee

Half & half

Lactalbumin

Lactoglobulin

Lactoferrin

Lactulose

Milk

Nougat

Pudding

Recaldenet

Rennet casein

Sour cream

Sour milk solids

Whey

Yogurt

Other ingredients that may be clues to the presence of milk protein include:

Caramel candies

Chocolate

Flavorings

High protein flour

Lactic acid starter

Lactose

Lunch meat, hot dogs, sausages

Margarine

Non-dairy products

You can have a well-balanced diet even without eating any dairy. You can get plenty of protein from fish, beef, chicken, eggs, nuts and beans. You can use calcium-fortified soy milk, rice milk, almond

milk, coconut milk, hemp milk, or fortified orange juice to supply you with 1,000 mg of calcium each day, or you can take a calcium supplement.











ALERGIAAANALGESICOS











ALERGIANAANESTESIA










http://www.dentalfearcentral.org/fears/allergy-novacaine/


ALERGIAAANIMAISDEESTIMAÇAO













ALERGIAAOANISAKIS



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Object name is kjim-24-160-g001.jpg



https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2698627/










ALERGIAAOSBOLORES

















ALERGIAÀBORRACHAOUAOLATEX



Risk Groups for Latex Allergy*

Health care workers

Rubber industry workers

Persons witih spina bifida or urogenital abnormalities

Persons who have undergone repeated or prolonged surgeries or mucous membrane exposure to latex devices, especially early in life

Persons with an atopic history or history of food allergy (cross-reacting proteins, especially in banana, avocado, passion fruit, chestnut, kiwi fruit, melon, tomato, celery)





Symptoms of Latex Allergy

Irritant contact dermatitis (nonimmune)

Gradual onset, over days, caused by hand washing, occlusion, antiseptics and glove chemicals; symptoms include redness, cracks, fissures, scaling

Allergic contact dermatitis, or type IV (delayed hypersensitivity)

Onset six to 48 hours after contact, caused by chemicals; symptoms include erythema, vesicles, papules, pruritus, blisters, crusting

Immediate hypersensitivity, or type I

Onset within minutes, very rarely longer than two hours, caused by latex; symptoms include local and generalized urticaria, feeling of faintness, feeling of impending doom, angioedema, nausea, vomiting, abdominal cramps, rhinoconjunctivitis, bronchospasm, anaphylactic shock



Sources of Possible Latex Exposure

Medical

Gloves

Urinary catheters

Face masks

Tourniquets

Adhesive tape

Bandages

Wound drains

Injection ports

Electrode pads

Rubber syringe stoppers and medication vial stoppers

Bulb syringes





Latex Allergy Management Guidelines for the Hospital Setting

Ask all patients about latex sensitivity, using a screening questionnaire if relevant.

Include latex allergy information on patient's identification bracelet.

Label room “latex safe” and enter in all relevant areas of signage, notes and databases.

Disseminate latex allergy protocol and lists of nonlatex substitutes for latex-containing materials that may contact the patient.

Remove all latex products, including gloves, that may contact the patient.

Use tubing made of polyvinyl chloride (PVC) or, if using latex cuffs and tubing or tourniquets, wrap cotton gauze over patient's extremities.

Check adhesives and tapes, including electrocardiography electrodes and dressing supplies, for latex content.

Have a crash cart with latex-free supplies available to follow the patient through his or her stay.

Notify the pharmacy and central supply that the patient is sensitive to latex so that latex contact can be eliminated when materials or drugs are prepared for the patient.

Notify dietary staff of relevant food allergies and avoid handling food with powdered latex gloves.



https://www.aafp.org/afp/1998/0101/p93.html
























ALERGIA Á CANELA








ALERGIA A CEREAIS











ALERGIA A CONTRASTES RADIOLOGICOS










ALERGIAAOENXOFRE






ALERGIA À HERA






ALERGIA ÀS LACTAMAS











ALERGIA AO LEITE









ALERGIA A MARISCOS



https://home.allergicchild.com/top-8-dairy/



ALERGIANIQUEL





Apr

7





ALERGIAS

Mjhalpern1932@gmail.com





Informação geral



Directorios















Texts













Ilustrações






ALERGENOS



Alergenos escondidos




Alergenos escondidos nos alimentos




Alergenos interiores








Alergenos exterio.res





Alergenos transportados pelo ar








Alergias a aditivos alimentares




Alergias alimentares












Alergias alimentares nas viagens de avião






Alergias na amamentação







Alergias a analgésicos




Alergias na anestesia





Alergias a animais de estimação








Alergia ao anisakis




Alergias a bolores
















Alergias à borracha ou ao latex











Alergia à canela




Alergia a cereais






Alergias a contrastes radiologicos









Alergias ao enxofre




Alergias à hera




Alergia às lactamas





Alergia ao leite






Alergia a mariscos




Alergia ao níquel


















ALERGIA  A  OLEAGINOSAS













ALERGIA AOS OVOS









ALERGIA AO PEIXE








ALERGIA À PENICILINA






ALERGIA À PENICILINA, CEFALOSPORINA E  AMOXACICLINA






   ALERGIA A PICADAS DE INSECTOS











  ALERGIA AO PÓ






ALERGIAS AO POLEN








ALERGIAS A SULFONAMIDAS










ALERGIASMEDICAMENTOS~

Directorios






Anticonvulsivantes








Patologia



ANAFILAXIA






Symptoms

Itchy rash, throat swelling, shortness of breath, lightheadedness[1]

Usual onset

Over minutes to hours[1]

Causes

Insect bites, foods, medications[1]

Diagnostic method

Based on symptoms[2]

Differential diagnosis

Allergic reaction, angioedema, asthma exacerbation, carcinoid syndrome[2]

Treatment

Epinephrine, intravenous fluids[1]

Frequency

0.05–2%[3]




Mediators of Inflammation Implicated in Anaphylaxis and Their Effects

Possible mediators

Physiologic effects

Clinical manifestations

Platelet activating factor

Prostaglandins

Leukotrienes

Tryptase

Kinins

Heparin

Chymase

Tumor necrosis factor alpha

Interleukin-1 (IL-1)

Nitric oxide

Histamine

Increased vascular permeability

Peripheral vasodilation

Coronary vasoconstriction

Smooth muscle contraction

Irritation of sensory nerves

Activation of other inflammatory pathways

Recruitment of inflammatory cells

Activation of vagal pathways

Angioedema



Urticaria

Laryngeal edema

Hypotension

Flush

Myocardial ischemia

Wheezing

Nausea, vomiting, diarrhea, abdominal pain

Pruritus

Some Causes of Anaphylaxis and Anaphylactoid Reactions

Foods

Bananas, beets, buckwheat, Chamomile tea, citrus fruits, cow's milk,* egg whites,* fish,* kiwis, mustard, pinto beans, potatoes, rice, seeds and nuts (peanuts, Brazil nuts, almonds, hazelnuts, pistachios, pine nuts, cashews, sesame seeds, cottonseeds, sunflower seeds, millet seeds),* shellfish*

Venoms and saliva

Deer flies, fire ants, Hymenoptera (bees, wasps, yellow jackets, sawflies),* jellyfish, kissing bug (Triatoma), rattlesnakes

Antibiotics

Amphotericin B (Fungizone), cephalosporins, chloramphenicol (Chloroptic), ciprofloxacin (Cipro), nitrofurantoin (Furadantin), penicillins,* streptomycin, tetracycline, vancomycin (Vancocin)

Aspirin and nonsteroidal anti-inflammatory drugs*

Miscellaneous other medications

Allergy extracts, antilymphocyte and antithymocyte globulins, antitoxins, carboplatin (Paraplatin), corticotropin (H.P. Acthar), dextran, folic acid, insulin, iron dextran, mannitol (Osmitrol), methotrexate, methylprednisolone (Depo-Medrol), opiates, parathormone, progesterone (Progestasert), protamine sulfate, streptokinase (Streptase), succinylcholine



~

Protocol for Treatment of Anaphylaxis



Diagnose the presence or likely presence of anaphylaxis.

Place patient in recumbent position and elevate lower extremities.

Monitor vital signs frequently (every two to five minutes) and stay with the patient.

Administer epinephrine 1:1,000 (weight-based) (adults: 0.01 mL per kg, up to a maximum of 0.2 to 0.5 mL every 10 to 15 minutes as needed; children: 0.01 mL per kg, up to a maximum dose of 0.2 to 0.5 mL) by SC or IM route and, if necessary, repeat every 15 minutes, up to two doses).

Administer oxygen, usually 8 to 10 L per minute; lower concentrations may be appropriate for patients with chronic obstructive pulmonary disease.

Maintain airway with an oropharyngeal airway device.

Administer the antihistamine diphenhydramine (Benadryl, adults: 25 to 50 mg; children: 1 to 2 mg per kg), usually given parenterally.

If anaphylaxis is caused by an injection, administer aqueous epinephrine, 0.15 to 0.3 mL, into injection site to inhibit further absorption of the injected substance.

If hypotension is present, or bronchospasm persists in an ambulatory setting, transfer to hospital emergency department in an ambulance is appropriate.

Treat hypotension with IV fluids or colloid replacement, and consider use of a vasopressor such as dopamine (Intropin).

Treat bronchospasm, preferably with a beta II agonist given intermittently or continuously; consider the use of aminophylline, 5.6 mg per kg, as an IV loading dose, given over 20 minutes, or to maintain a blood level of 8 to 15 mcg per mL.

Give hydrocortisone, 5 mg per kg, or approximately 250 mg intravenously (prednisone, 20 mg orally, can be given in mild cases). The rationale is to reduce the risk of recurring or protracted anaphylaxis. These doses can be repeated every six hours, as required.

In refractory cases not responding to epinephrine because a beta-adrenergic blocker is complicating management, glucagon, 1 mg intravenously as a bolus, may be useful. A continuous infusion of glucagon, 1 to 5 mg per hour, may be given if required.

In patients receiving a beta-adrenergic blocker who do not respond to epinephrine, glucagon, IV fluids, and other therapy, a risk/benefit assessment rarely may include the use of isoproterenol (Isuprel, a beta agonist with no alpha-agonist properties). Although isoproterenol may be able to overcome depression of myocardial contractility caused by beta blockers, it also may aggravate hypotension by inducing peripheral vasodilation and may induce cardiac arrhythmias and myocardial necrosis. If a decision is made to administer isoproterenol intravenously, the proper dose is 1 mg in 500 mL D5W titrated at 0.1 mg per kg per minute; this can be doubled every 15 minutes. Adults should be given approximately 50 percent of this dose initially. Cardiac monitoring is necessary and isoproterenol should be given cautiously when the heart rate exceeds 150 to 189 beats per minute.

Medical offices in which the occurrence of anaphylaxis is likely should consider periodic anaphylaxis drills.

Protocols for use in schools to manage children at risk of anaphylaxis are available through the Food Allergy Network. These protocols include materials for educating teachers, office workers, and kitchen staff in the prevention and treatment of anaphylaxis. Furthermore, patients should be given written information with suggested strategies for their own care.



IM = intramuscular; IV = intravenous; SC = subcutaneous.





Prevention and Early Treatment of Future Episodes of Anaphylaxis



Advise patient to wear or carry a medical alert bracelet, necklace, or keychain to warn emergency personnel of anaphylaxis risk.

Advise patient to keep epinephrine self-injection kit and oral diphenhydramine (Benadryl) for future exposures.

Avoid prescribing beta blockers, angiotensin-converting enzyme inhibitors, angiotensin-II receptor blockers, monoamine oxidase inhibitors, and some tricyclic antidepressants.

Avoid administering cross-reactive agents.

Refer to allergist if causative agent or diagnosis is unclear, if in-depth patient education is needed, or if reactions are recurrent.

If re-exposure to an offending medicine is necessary, administer the questionable medicine orally and observe the patient for the following 20 to 30 minutes; consider pretreatment with steroids and antihistamines. Consider desensitization if available.



https://www.aafp.org/afp/2003/1001/p1325.html




ALERGIASCUTANEAS












ASMA       



 http://webpatologia.blogspot.pt/2014/06/asma.html

                      



ALERGIASOCULARES






ALERGIAS RESPIRATORIAS







ALERGIAS SAZONAIS






ANAFILAXIAPRODUZIDAPELOEXERCICJIO






FEBREDOSFENOS







RINITEALERGICA






SENSIBILIDADE QUIMICA MULTIPLA





SINDROMA DO RESTAURANTE CHINES






STEVENS-JOHNSON









URTICARIA











VASCULITE ALERGICA





VIAGENS DE AVIAO









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