Publications by authors named "Anna Nowak-Wegrzyn"

Background: The global prevalence of food allergy (FA) has increased markedly across recent decades, with millions of patients engaging in airline travel each year. However, air travel can pose specific challenges to FA management.

Objective: To collect global data about patients' and families' FA-related airline travel experiences, attitudes, and behaviors.

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  • - Food Protein-Induced Enterocolitis (FPIES) is a type of food allergy that occurs primarily in children and is characterized by symptoms such as delayed vomiting, lethargy, and pale skin, typically emerging 1-4 hours after consuming the allergen.
  • - Despite increasing recognition of FPIES, its exact causes remain unknown, and there are no specific tests to diagnose or track the condition's progress.
  • - A recent workshop by the National Institute of Allergy and Infectious Diseases (NIAID) focused on FPIES, discussing current understanding, research gaps, and future priorities for improving diagnosis and management.
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  • IgE-mediated food allergies are the most common type, causing quick and serious reactions that affect patients' and caregivers' lives.
  • Omalizumab is a humanized monoclonal antibody that binds to IgE, reducing allergic reactions, and has been approved by the FDA for treating these food allergies.
  • The GALEN ANACARE Consensus Statement supports omalizumab's use based on a systematic review and expert agreement, noting it is currently the only drug that can significantly reduce IgE-mediated food allergic reactions, although more evidence is needed for stronger guideline recommendations.
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  • - The article discusses how individuals with food allergies have limited "food freedom," leading to various challenges including cognitive, emotional, social, nutritional, and financial impacts.
  • - It suggests that avoiding certain foods can affect gut health and potentially contribute to neuroinflammatory issues, impacting mental health.
  • - The use of psychological counseling is highlighted as a helpful approach, while also noting that strict dietary restrictions might hinder overall dietary health benefits.
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Background: Cow's milk allergy (CMA) is the most complex and common food allergy in infants. Elimination of cow's milk from the diet and replacement with a specialized formula for infants with cow's milk allergy who cannot be breastfed is an established approach to minimize the risk of severe allergic reactions while avoiding nutritional deficiencies. Given the availability of multiple options, such as extensively hydrolyzed cow's milk-based formula (eHF-CM), aminoacid formula (AAF), hydrolyzed rice formula (HRF), and soy formula (SF), there is some uncertainty regarding which formula might represent the most suitable choice with respect to health outcomes.

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Background: Consumption of ultra-processed foods [UPFs] may be associated with negative health outcomes. Limited data exist regarding the potential role of UPFs in the occurrence of allergic diseases. The underlying mechanisms underpinning any such associations are also poorly elucidated.

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Cow's milk allergy (CMA) is one of the most common presentations of food allergy in early childhood. Management of CMA involves individualized avoidance of cow's milk and other mammalian milk and foods containing these. Optimal elimination of cow's milk avoidance includes: label reading; information about safe and nutritious substitute foods; appropriate choice of infant formula or a plant-based food; establishing tolerance to baked milk and monitoring nutritional intake and growth.

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Objective: To characterize the awareness of, adherence to, and barriers to the 2017 National Institute of Allergy and Infectious Diseases (NIAID) peanut allergy prevention guidelines among the pediatrics health care workforce.

Study Design: Pediatricians, family physicians, advanced practice providers (APPs), and dermatologists who provide care for infants were solicited for a population-based online survey, administered from June 6, 2022, through July 3, 2022. The survey collected information about NIAID guideline awareness, implementation, and barriers as well as concerns related to the guidelines.

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  • FPIES is a type of food allergy affecting about 0.51-0.9% of children and 0.22% of adults in the U.S., causing severe symptoms like projectile vomiting and diarrhea within hours of eating trigger foods.
  • The most common triggers include cow's milk, oat, rice, avocado, and in some cases, fruits like banana and apple; it can present in various forms, such as acute or chronic, with a generally favorable outcome for infants.
  • Diagnosis is challenging due to a lack of specific biomarkers, and management involves avoiding trigger foods, monitoring tolerance, and treating acute episodes with hydration and antiemetics.
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Background: Chronic food protein-induced enterocolitis syndrome (FPIES) is a cell-mediated gastrointestinal food hypersensitivity described almost exclusively in infants fed cow's milk or soy formula. A timely diagnosis is challenging due to a number of factors, including broad differential diagnoses, absence of specific biomarkers, and delayed symptom onset.

Objective: This report aimed to highlight how the severity of presentation can further impede a timely diagnosis in chronic FPIES.

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Wheat is a dietary staple in many cultures as well as a common food allergen. Although not as extensively studied as other forms of oral immunotherapy, the current literature suggests that wheat oral immunotherapy (WOIT) can result in successful desensitization. There has only been one multicenter, double-blind, randomized controlled trial of WOIT, along with several open-label nonrandomized trials.

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  • - Neuropsychiatric symptoms are frequently seen in individuals with allergic diseases, with factors like neuroinflammation and social implications potentially explaining this connection.
  • - The review explores how mental health relates to various allergic conditions, including allergic rhinitis, atopic dermatitis, asthma, and food allergies, but highlights that more research is needed, especially regarding how medications affect these interconnections.
  • - Clinicians are encouraged to proactively screen for mental health issues using tools like the Patient Health Questionnaire, as these can help identify patients needing psychiatric support, though they should be cautious of the limitations of these screening tools.
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  • Constipation is often seen as a common health issue in kids, but sometimes it can be linked to food allergies, especially cow's milk allergy.
  • Studies show that many kids with constipation improve when they stop eating cow's milk.
  • The Exploring Non-IgE-Mediated Allergy group is discussing how food allergies could be causing constipation in children, since there isn't enough information on this topic yet.
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Patient registries are a mechanism for collecting data on allergic and immunologic diseases that provide important information on epidemiology and outcomes that can ultimately improve patient care. Key criteria for establishing effective registries include the use of a clearly defined purpose, identifying the target population and ensuring consistent data collection. Registries in allergic diseases include those for diseases such as inborn errors of immunity (IEI), food allergy, asthma and anaphylaxis, pharmacological interventions in vulnerable populations, and adverse effects of pharmacologic interventions including hypersensitivity reactions to drugs and vaccines.

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Background: Cow's milk allergy (CMA) is the most common food allergy in infants. The replacement with specialized formulas is an established clinical approach to ensure adequate growth and minimize the risk of severe allergic reactions when breastfeeding is not possible. Still, given the availability of multiple options, such as extensively hydrolyzed cow's milk protein formula (eHF-CM), amino acid formula (AAF), hydrolyzed rice formula (HRF) and soy formulas (SF), there is some uncertainty as to the most suitable choice with respect to health outcomes.

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