■ Penicillin allergy

D J McCullagh and D K Chu

CMAJ 2019, vol 191 (8): E231

1 – Penicillin allergy is commonly reported, but 9 out of 10 times, penicillin will be tolerated if administered

2 – The label of penicillin allergy is bad for patients and the health care system

3 – Patients reporting penicillin allergy can be easily risk stratified to determine whether they require specialist evaluation

4 – Penicillin allergy is lost over time, with resolution in 80% of people over 10 years, and in 50% over 5 years

5 – Allergy referral and testing is vastly under used, but is safe, accurate, rapid and cost-effective

https://www.cmaj.ca/content/191/8/E231

 

■ Vaccine alllergy

D K Chu, Z Abdurrahman

CMAJ 2019, vol 191 (14): E395

1 – Immunoglobulin E (IgE)-mediated vaccine allergies are uncommon, manifesting within minutes as urticaria, angioedema, wheeze or anaphylaxis

2 – The most common adverse events of vacines are fever, local pain or irritation, and local redness or swelling, whic are not signs of allergy

3 – Patients with egg allergy can be safely vaccinated with several vacines without any special

4 – Vaccine allergies are typically unpredictable specific to a single vaccine

5 – Even if patients are truly allergic to a vaccine, allergists can often safely vaccinate them

https://www.cmaj.ca/content/191/14/E395

 

■ Eosinophilic esophagitis

T Jevalingam, S C Grover

CMAJ 2018, vol 190 (17): E542

1 – Eosinophilic esophagitis is becoming more common

2 – Eosinophilic esophagitis should be suspected in patients presenting with dysphagia or food bolus obstruction

3 – Endoscopic findings alone are not suficiente to make a diagnosis of eosinophilic esophagitis

4 – Proton pump inhibitors should be prescribed for a histologic finding of esophageal esosinophilia

5 – Topical steroids and elimination diets are the mainstays of therapy

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5929894/

 

■  Dr Paulo Fernando Leite

Cardiologia/Prevenção Cardiovascular

Estratificação de Risco Cardiovascular

Consultório: Rua Padre Rolim 815/sala 601

Tel: 33245518

CRMMG: 7026

Email: pfleite1873@gmail.com

Data: Fev 2020