Publications by authors named "J S Fok"

With technological advances in endoscopic ultrasonography, endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) was introduced as a treatment option for acute cholecystitis. Recently, new studies have emerged, suggesting that EUS-GBD has a lower adverse event rate and reintervention rate, when compared to percutaneous drainage and endoscopic transpapillary gallbladder drainage. There is growing interest in the different technical aspects of EUS-GBD, such as the puncture approach, choice of stents, and long-term management.

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Urticarial vasculitis (UV) is a rare and difficult-to-treat, small-vessel leukocytoclastic vasculitis presenting with recurrent long-lasting wheals. So far, no guidelines and treatment algorithms exist that could help clinicians with the management of UV. In this review, we describe evidence on systemic treatments used for UV and propose a clinical decision-making algorithm for UV management based on the Urticarial Vasculitis Activity Score assessed for 7 days (UVAS7).

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Background: Severe cutaneous adverse reactions (SCAR) are a group of delayed presumed T-cell mediated hypersensitivities associated with significant morbidity and mortality. Despite their shared global healthcare burden and impact, the clinical phenotypes, genomic predisposition, drug causality, and treatment outcomes may vary. We describe the establishment and results from the first Australasian registry for SCAR (AUS-SCAR), that via a collaborative network advances strategies for the prevention, diagnosis and treatment of SCAR.

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Article Synopsis
  • - The skin prick test (SPT) is a key tool in allergy clinics for diagnosing conditions like allergic rhinitis and food allergies, especially those triggered by common dust mites, although adverse reactions are rare.
  • - A clinical case is presented involving a 17-year-old girl who experienced a delayed allergic reaction (moderate symptoms like swelling and runny nose) 120 minutes after undergoing SPT, which was treated successfully.
  • - The article highlights the stages of type I hypersensitivity reactions and the importance of monitoring symptoms post-SPT, calling attention to the lack of standardized waiting time guidelines and advocating for more reporting and specialized administration of the tests.
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