Category Archives: Alergi Mata

Curriculum Vitae Widodo Judarwanto

CURRICULUM VITAE WIDODO JUDARWANTO

 

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Address: Jl Taman Bendungan Asahan 5 Bendungan Hilir Jakarta Pusat Indonesia 10210

Phone: 64-021-5703646 , mobile : 08567805533, PIN BB: 25AF7935
Email : judarwanto
@gmail.com

www.drwidodojudarwanto.com

Education:

  • Medical School : Medicine Faculty of Airlangga University, Surabaya, Indonesia (1980)
  • Postgraduate Medical Education :
    • General Pediatrician Residency, Dr Soetomo Hospital, Airlangga University,Surabaya, Indonesia
    • Fellow Allergy immunology, Department of Allergy Immunology of Ciptomangunkusumo Hospital Jakarta

www.drwidodojudarwanto.com

Interest :

  • Clinical, education and research of Children Immunology and allergy,
  • Neurobehaviour development of infant and children
  • Ultrasound Imaging

Special Interest :

  • Food Allergy
  • Food Hypersensitivity
  • Gastrointestinal Allergy and Hypersensitivities
  • Food Allergy and Food Hypersensitivity related neurobehaviour development, picky eaters and failure to thrive
  • Picky eaters and Feeding Difficulties

www.drwidodojudarwanto.com

Clinical Positions :

www.drwidodojudarwanto.com

Comunication and Social Media :

Information and Networking:

Education and Social Networking

CERTIFICATE OF CONTINUING MEDICAL COURSE :

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ALLERGY IMMUNOLOGY

  • The American Academy of Allergy, Asthma and Immunology (AAAAI), “The Suspension Is Over: New Solutions for the Treatment of Asthma.
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity Low-Dose Budesonide Improves Control of Mild Asthma, 2003, Certificate Number : 2502460
  • Medscape, the professional education subsidiary of WebMD Health, New York, NY certifies in the educational activity Proton Pump Inhibitors May Improve Asthma Control in Children, 2003,
  • Medscape, the professional education subsidiary of WebMD Health, New York, NY certifies in the educational activity Treatment of Allergic Rhinitis and Its Comorbidities, 2003
  • Medscape, the professional education subsidiary of WebMD Health, New York, NY certifies in the educational activity New Study Characterizes Idiopathic Solar Urticaria, 16 Oktober 2003,
  • The University of Miami School of Medicine certifies Masters of Pediatrics: Dermatology, 2002.
  • The University of Miami School of Medicine certifies that has participated in the educational activity titled Masters of Pediatrics: Pediatric Allergy Immunology Update on November 2002,
  • The University of Miami School of Medicine certifies in the educational activity titled Masters of Pediatrics: Pediatric Pulmonology Update,
  • Children Hospitals Clinics Minnesota, accredited by the Minnesota Medical Association to provide continuing medical education, Pediatric Grand Rounds, Program Title: Program Title: Defining and Refining the Diagnosis of Food Allergy- Who Has It and Who Had It, 2005
  • Medscape , the professional education subsidiary of WebMD Health, New York, NY certifies entitled Second International AIDS Society Conference on HIV Pathogenesis and Treatment HIV Disease in Children.
  • Children Hospitals Clinics Minnesota, accredited by the Minnesota Medical Association to provide continuing medical education, Pediatric Grand Rounds, Program Title: Pediatric Chronic Cough, 2006
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Diet as a risk factor for atopy and asthma. 2006
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Overview of the human immune response. 2006.
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Asthma: Factors underlying inception, exacerbation, and disease progression” 2006.
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Update on primary immunodeficiency diseases. 2006.
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Is there a problem with inhaled long-acting beta-adrenergic agonists? 2006.
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Atopic dermatitis 2006.
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Severe asthma: An overview. 2006.
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Mechanisms of nutrient modulation of immune response. 2006.
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Understanding the pathophysiology of severe asthma to generate new therapeutic opportunities. 2006.
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Food allergy . 2006.
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Control of allergic airway inflammation through immunomodulation. 2007.
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Cytokines and chemokines. 2007.
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Applying epidemiologic concepts of primary, secondary, and tertiary prevention to the elimination of racial disparities in asthma, 2007.
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Genetic epidemiology of health disparities in allergy and clinical immunology, 2007
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Indoor allergens: Relevance of major allergen measurements and standardization, 2007.
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity American College of Chest Physicians Updates Cough Guidelines, 2006, Certificate Number : 6428168
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity A Practical Approach to the Patient With Sinusitis 2006, Certificate Number : 6445179
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity New Guidelines Issued for Food Allergies 2006, Certificate Number : 6427535
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity Attaining Optimal Asthma Control: Practical Application of a New Practice Parameter 2006, Certificate Number : 6427641
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity Excluding Allergenic Foods From Maternal Diet May Reduce Colic in Neonates. 2006, Certificate Number : 6427641
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity ACCP, ACAAI Issue Evidence-Based Guidelines for Use of Aerosol Therapy in Asthma or COPD, Certificate Number : 6428259
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Guideline-defining asthma clinical trials of the National Heart, Lung, and Blood Institute Asthma Clinical Research Network and Childhood Asthma Research and Education Network. 2007.
  • EXCEL Continuing Education and Miami Masters of Pediatrics the Miller School of Medicine University, certifies entitled Asthma Treatment 2007, Certificate number 11849
  • EXCEL Continuing Education and Miami Masters of Pediatrics the Miller School of Medicine University, certifies entitled “Atopic Dermatitis – Treatment & Management”, 2007, Certificate number 11850
  • EXCEL Continuing Education and Miami Masters of Pediatrics the Miller School of Medicine University, certifies entitled “Whither Sinusitis”, 2007, Certificate 11851
  • EXCEL Continuing Education and Miami Masters of Pediatrics the Miller School of Medicine University, certifies entitled “Antibiotic Update”, 2007, Certificate number 11853
  • EXCEL Continuing Education and Miami Masters of Pediatrics the Miller School of Medicine University, certifies entitled “Treating the Difficult Asthmatic”, 2007Certificate 11855
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Immune dysregulation, polyendocrinopathy, enteropathy, X-linked: Forkhead box protein 3 mutations and lack of regulatory T cells.
  • The University of Pennsylvania School of Medicine accredited by the ACCME to provide continuing medical education “Asthma Drug Linked to Serious Adverse Events”, 2008,
  • The University of Pennsylvania School of Medicine accredited by the ACCME to provide continuing medical education, “ACAAI: Poverty Linked To Accidental Food Allergy Attacks , 2008,
  • The University of Pennsylvania School of Medicine accredited by the ACCME to provide continuing medical education, Acetaminophen in Infancy May Be Risk Factor for Asthma, 2008
  • The University of Pennsylvania School of Medicine accredited by the ACCME to provide continuing medical education, Genetics of Asthma Suggest It Is Umbrella Term for Multiple Diseases,2008
  • The University of Pennsylvania School of Medicine accredited by the ACCME to provide continuing medical education Babies’ Wheezing Colds Are Best Predictor of Asthma, 2008,
  • The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education certifies entitled: Chemokines and their receptors in allergic disease. 2007.
  • Medscape, the professional education subsidiary of WebMD Health, New York, NY certifies in the educational activity Recommendations for Management of Cow’s Milk Protein Allergy in Infants, 2008, Certificate Number: 12110776
  • Postgraduate Institute for Medicine (PIM) 367 Inverness Parkway, Englewood, is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical, New National Guidelines as a Tool for Managing Asthma in Clinical Practice, 2008, Certificate Number: 15385862
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity, Probiotics May Not Be Effective for Eczema in Children, 2008, Certificate Number: 15726466
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity, Tonsillectomy Improves Quality of Life in Patients With Recurrent Tonsillitis, 2008, Certificate Number: 11366391 . Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity, HIV Basic Science and Pathogenesis, 2007 Certificate Number: 10653942
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity, Options for First-line Antiretroviral Therapy of HIV Infection 2007, Certificate Number : 10654225
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity, CROI 2007 – Emerging Changes in the Clinical Management of HIV-Infected Patients: Resistance and Investigational 2007, Certificate Number : 10654313
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity, IAS 2007: Management of Pediatric HIV Infection, and Prevention of Mother-to-Child HIV Transmission, 2007,
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity, ICAAC: HIV Management, 2007, Certificate Number : 10653872
  • Medscape, the professional education subsidiary of WebMD Health, New York, NY certifies in the educational activity, AIDS 2008: Emerging Treatment Strategies for Patients With HIV Infection, 2008, Certificate Number: 15385990

PICKY EATERS

  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education Eating Disorder: Pica, 2006
  • The University of Miami School of Medicine certifies that participated in the educational activity titled Masters of Pediatrics: Growth and Nutrition Sessions on Children.
  • The University of Chicago The Division of the Biological science and the Priztker School of Medicine “Conquering the Clinical Challenges of IBD: Optimizing Anti-TNF-Alpha Therapy”.
  • NIH/FAES CME Committee: Phenylketonuria (PKU): Screening and Management The Essentials and Standards of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Society of Nuclear Medicine.
  • The University of Chicago Pritzker School of Medicine Biologic Therapies for Inflammatory Bowel Disease: Strategies for Optimal Outcomes.
  • Medical Education Collaborative` A Nonprofit Educational Organization 651 Corporate Circle, Suite 104 Golden, CO 80401, The Obesity Epidemic: Prevention and Treatment of the Metabolic Syndrome.
  • AACE (American Academy of CME Inc) 186 Tamarack Circle · Skillman, NJ is accredited to provide continuing medical, Small for Gestational Age: Issues in 2008, Certificate Number: 15386287
  • CONTINUING MEDICAL EDUCATION Postgraduate Institute for Medicine “Reality” Gastroenterology: Meeting the Challenges of GERD and Related Disorders in Clinical Practice
  • Medical Education Collaborative A Nonprofit Educational Organization 7425 Grandview Avenue Arvada, CO 80002, 154th Annual Meeting of the American Psychiatric Association – Eating Disorders and ADHD
  • Medscape , the professional education subsidiary of WebMD Health, New York, NY certifies, New Guidelines for Alpha-1 Antitrypsin Deficiency .
  • Medical Education Collaborative A Nonprofit Educational Organization Grandview Avenue Arvada . 154th Annual Meeting of the American Psychiatric Association – Eating Disorders and ADHD
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity Eating Disorders in Children and Adolescents: An Update, 2006, Certificate Number : 6428343
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity American College of Gastroenterology 2006 Annual Scientific Meeting and Postgraduate Course – Functional Gastrointestinal Disorders Certificate Number : 9153693

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NEUROBEHAVIOUR DEVELOPMENT :

  • The American Epilepsy Society certifies that participated in the educational activity titled “Innovative Epilepsy Therapies for the 21st Century – Part 2
  • Medscape the professional education subsidiary of WebMD Health, New York, NY certifies, Atropine May Be a Good Alternative to Patching for the Noncompliant Child With Amblyopia,
  • Medical Education Collaborative A Nonprofit Educational Organization 7425 Grandview Avenue Arvada, CO 80002, XII World Congress of Psychiatry – Bipolar Disorder.
  • The Autism Society of America certifies in the Online Autism Course, holistic Management in Autism., 2005
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education Sleep Disorder : Nightmares, 2006
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education Sleep Disorder : Nightterrors, 2006
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education, Sleeplessness and Circadian Rhythm Disorder, 2006
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education, REM Sleep Behavior Disorder, 2006
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education, Somnambulism (Sleep Walking), 2006
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education, Sleep Stage Scoring, 2006
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education, Sleep Dysfunction in Women, 2006
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education, Normal Sleep, Sleep Physiology, and Sleep Deprivation: General Principles, 2006
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity Basics in Clinical Practice: Recognizing and Treating Sleep Disorders, 2007 Certificate Number : 9153995
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity The Mystery Behind the Silence: Typical Presentation of Autism Spectrum Disorders Certificate Number : 6428393
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity Making the Difficult Diagnosis: Detecting Autism in a Toddler, 2007 Certificate Number : : 9153484
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity Child Behavior Screening in Primary Care, 2007 Certificate Number : 9153582
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education, Sleep Disorder: Problems Associated With Other Disorders , 2006
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity Current Perspectives in Insomnia, 2006, Certificate Number : 6445089
  • Medical Education Collaborative A Nonprofit Educational Organization 7425 Grandview Avenue Arvada, CO 80002, has participated in the educational program entitled Pharmacologic Treatment of Attention-Deficit Hyperactivity Disorder in Children. CMEC’s,
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity Lifestyle and Complementary Therapies for ADHD: How Health Professionals Can Approach Patients Certificate Number : 9153616
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education Pervasive Developmental Disorder: Asperger Syndrome, 2006
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education, Pervasive Developmental Disorder: Rett Syndrome 2006
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education, Pervasive Developmental Disorder: Childhood Disintegration Disorder, 2006
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education, Cognitive Deficits 2006
  • Medscape, the professional education subsidiary of WebMD Health, New York, certifies in the educational activity, Speech-Language Impairment: How to Identify the Most Common and Least Diagnosed Disability of Childhood, 2008 Certificate Number: 15386421
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education, Periodic Limb Movement Disorder, 2006
  • The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education, Restless Legs Syndrome, 2006

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ULTRASONOGRAPHY :

  • Hands on Clinical Course : Pediatric Ultrasonography, Harapan Kita Hospital Jakarta Indonesia
  • Society of Diagnostic Medical Sonography, Continuing Medical Education Certificate, Sonographic Evaluation of the Fetal Head, specialty area(s): Pediatric Echo Vascular Physics. SDMS CME Number: 0002-02892

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PAPERS PRESENTED IN INTERNATIONAL MEETING :

  1. Clinical Evaluation of a new device for Cutaneus Bilirubin Measurement at Bunda Jakarta Hospital, pada “13th Congress of the Federation of Asia and Ocenia Perinatal Societies”, Kuala Lumpur Malaysia. (poster)
  2. Evaluation and medical treatmant in infant with HIV-infected mothers, pada “ 13th Congress of the Federation of Asia and Ocenia Perinatal Societies”, Kuala Lumpur Malaysia. (poster)
  3. Perinatal Outcome of infants born after in vitro fertilization at Bunda Hospital Jakarta Oral presentation pada “13th Congress of the Federation of Asia and Ocenia Perinatal Societies”, Kuala Lumpur Malaysia. (oral presentation)
  4. Dietery Intervention as a Therapy in Behaviour Problem with Gastrointestinal Allergy,; pada World Congress of Gastroenterology, Hepatology and Nutrition, Paris Perancis 2 – 7 Juli 2004. (oral presentation)
  5. “Using Nutrient Dense in Children with Gastroenterointestinal Allergies”, in “24th International Congress of Pediatric Cancun Mexico”, 15-20 Agustus ,2004. (poster)
  6. “Effects on Stool Characteristics, Gastrointestinal Manifestation and Sleep Pattern of Palm Olein in Formula-fed Term Infants in ” “24th International Congress of Pediatric Cancun Mexico”, 15-20 Agustus, 2004 (poster)
  7. “Dietery Intervention as a therapy for Sleep Difficulty in Children with Gastrointestinal Allergy”; in “8th Asian & Oceanian Congress of Child Neurology, Newdelhi India”, 7 – 10 Oktober, 2004. (poster)
  8. “Dietery Intervention as a therapy for Headache in Children with Gastrointestinal Allergy”; in “8th Asian & Oceanian Congress of Child Neurology, Newdelhi India”, 7 – 10 Oktober, 2004. (poster)
  9. “Overdiagnosis tuberculosis in Children with Failure to thrive”, in The 37th Union World Conference on Lung Health of the International Union Against Tuberculosis and Lung Disease “ di Paris, Perancis, 31 October – 4 November 2006. (poster)
  10. “Overdiagnosis tuberculosis in Children with Failure to thrive”, in The 37th Union World Conference on Lung Health of the International Union Against Tuberculosis and Lung Disease “ di Paris, Perancis, 31 October – 4 November 2006. (abstract)
  11. Review for Five Years : Management Transient Tachypnea of The Newborn . In Asia Pasific Perinatology Congress, Bangkok, November 2006 (oral presentation)

www.drwidodojudarwanto.com

BOOK RELEASE

  • Severe Acute Respiratory Syndrome, Penerbit Puspaswara tahun 2002.
  • Kesulitan Makan pada Anak, penerbit Puspaswara tahun 2003
  • Problematika Gagal tumbuh dan Sulit makan pada Anak., penerbit Yudhasmara tahun 2004.
  • Kontroversi Imunisasi penyebab Autism, penerbit Yudhasmara, tahun 2004.
  • Alergi Makanan pada Anak, penerbit Yudhasmara, tahun 2004.
  • Mengoptimalkan kemampuan Bicara pada Anak, penerbit Yudhasmara, tahun 2005.
  • Pemilihan Susu Terbaik bagi Anak, Penerbit Yudhasmara, tahun 2005.
  • Deteksi dn Pnecegahan Autism, penerbit Yudhasmara, tahun 2005.
  • Gangguan tidur pada Anak, penerbit Yudhasmara, tahun 2005.

www.drwidodojudarwanto.com

AWARD :

“OUTREACH AWARD” in World Congress Pediatric Gastroenterology Hepatology and Nutrition,July 4-7 2004, Paris France. For papers with title : “Dietery Intervention as a Therapy for Behaviour Problems in Children with Gastrointestinal Allergy”.

ADDITIONAL PROFESSIONAL AFFILIATIONS:

Society of Indonesia Medicine
Society of Indonesia Perinatology
Society of Indonesia Paediatrician
EAACI, membership number : EAACI06779
APAPARI (Asia Pasific Association of Paediatric Allergy Respirology and Immunology)

 

ARTIKEL TEREKOMENDASI: Kumpulan Artikel Permasalahan Alergi Anak dan Imunologi, Dr Widodo Judarwanto, pediatrician

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ARTIKEL TEREKOMENDASI:Kumpulan Artikel Alergi Pada Bayi, Dr Widodo Judarwanto Pediatrician

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ARTIKEL FAVORIT:100 Artikel Alergi dan Imunologi Paling Favorit

Current Allergy Immunology by Widodo Judarwanto

Gejala Alergi pada bayi dan anak justru paling sering dipicu oleh adanya infeksi khususnya infeksi virus. Tetapi sebaliknya saat itu sering dianggap karena alergi susu atau alergi makanan. Gejala infeksi virus pada bayi khususnya sulit dikenali karena mirip gejala alergi. Reaksi terhadap alergi susu atau alergi makanan biasanya relatif ringan, namun begitu dipicu infeksi manifestasinya lebih berat. Pemicu alergi tidak akan berarti bila penyebab alergi dihindari. Widodo Judarwanto 2012
The doctor of the future will give no medicine, but will instruct his patient in the care of the human frame, in diet and in the cause and prevention of disease.
Supported by

www.allergycliniconline.com

ALLERGY ONLINE CLINIC FOR CHILDREN, TEEN AND ADULT Yudhasmara Foundation www.allergycliniconline.com GROW UP CLINIC I JL Taman Bendungan Asahan 5 Jakarta Pusat, Jakarta Indonesia 10210 Phone : (021) 5703646 – 44466102 GROW UP CLINIC II MENTENG SQUARE Jl Matraman 30 Jakarta Pusat 10430 phone 44466103 – 29614252 http://growupclinic.com http://www.facebook.com/GrowUpClinic Creating-hashtag-on-twitter@growupclinic Working together support to health of all by clinical practice, research and educations. Advancing of the future pediatric and future parenting to optimalized physical, mental and social health and well being for fetal, newborn, infant, children, adolescents and young adult
“GRoW UP CLINIC” Jakarta Focus and Interest on: ***Allergy Clinic Online *** Picky Eaters and Growup Clinic For Children, Teen and Adult (Klinik Khusus Gangguan Sulit Makan dan Gangguan Kenaikkan Berat Badan)*** Children Foot Clinic *** Physical Medicine and Rehabilitation Clinic *** Oral Motor Disorders and Speech Clinic *** Children Sleep Clinic *** Pain Management Clinic Jakarta *** Autism Clinic *** Children Behaviour Clinic *** Motoric & Sensory Processing Disorders Clinic *** NICU – Premature Follow up Clinic *** Lactation and Breastfeeding Clinic *** Swimming Spa Baby & Medicine Massage Therapy For Baby, Children and Teen ***
Professional Healthcare Provider “GRoW UP CLINIC” Dr Narulita Dewi SpKFR, Physical Medicine & Rehabilitation curriculum vitae HP 085777227790 PIN BB 235CF967 Clinical – Editor in Chief : Dr Widodo Judarwanto, Pediatrician Editor: Audi Yudhasmara email : judarwanto@gmail.com Mobile Phone O8567805533 PIN BBM 76211048 Komunikasi dan Konsultasi online : twitter @widojudarwanto facebook dr Widodo Judarwanto, pediatrician Komunikasi dan Konsultasi Online Alergi Anak : Allergy Clinic Online Komunikasi dan Konsultasi Online Sulit makan dan Gangguan Berat Badan : Picky Eaters Clinic Komunikasi Profesional Pediatric: Indonesia Pediatrician Online

Curriculum Vitae Widodo Judarwanto
Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. You should not use the information on this web site for diagnosing or treating a medical or health condition. You should carefully read all product packaging. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider

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100 Artikel Alergi dan Imunologi Paling Favorit

100 ARTIKEL ALERGI DAN IMUNOLOGI PALING FAVORIT

Malam Rewel, Kolik dan Alergi Pada Bayi

Mengapa Suara Napas Bayiku Bunyi “Grok-grok” atau   Hipersekresi Bronkus ?

Penanganan Terkini Bronkitis Pada Anak dan Dewasa

Kenali Tanda, Gejala Alergi dan Hipersensitifitas pada   Bayi

Cara Pemilihan Susu Formula Khusus Alergi

Toll-like receptors (TLRs) in the innate immune system.

Permasalahan Alergi Makanan Pada Anak

Berbagai Penyakit Yang Berkaitan Dengan Gangguan   Autoimun

Hipersensitif Kulit dan Dermatitis Atopik Pada Anak

Cetirizine Terapi Alergi Paling Banyak Digunakan,   Indikasi dan Farmakokinetiknya

Imunologi Dasar: Mekanisme Pertahanan Tubuh Terhadap   Bakteri

Kortikosteroid Topikal, Jenis Penggolongan dan Efek   Sampingnya

Imunologi Dasar : Radang dan Respon Inflamasi

Imunologi Dasar : Reaksi Hipersensitivitas

Imunologi Dasar : Imunologi Humoral

Obstruksi Ductus Nasolacrimalis, Gangguan Mata dan   Alergi Pada Bayi

Imunitas Non Spesifik

Gastroesepageal Refluks (GER) Muntah Pada Anak dan   Alergi- Hipersensitif Makanan

Imunologi Dasar : Imunitas seluler

Imunologi Dasar : Penyakit Auto Imunitas

Imunologi Dasar : Respons Imun

Penyakit Autoimun Miastenia Gravis, Manifestasi Klinis   dan Pengobatan

Penggunaan Obat Kortikosteroid Pada penderita Alergi,   Farmakokinetik dan Efek Samping

Pemilihan Obat Batuk Mukolitik dan Ekspektoran Pada penderita   Alergi dan Asma

Imunologi dasar : Sel darah Putih, Netrofil, Eosinofil,   Basofil

Pictures of Atopic Demartitis-Infection: Alergi Kulit   Dipicu Infeksi Virus Pada Bayi

Mekanisme Respon Tubuh Terhadap Serangan Mikroba

SINDROM STEVEN-JOHNSON, Manifestasi Klinis dan   Penanganannya

Penanganan Terkini Acute Respiratory Distress Syndrome   (ARDS)

Kolik Bayi, Nyeri Perut dan Alergi-Hipersensitifitas   Makanan

Alergi Susu Sapi, Permasalahan dan Penanganannya

Imunologi Dasar: Antigen Presenting Cell (APC)

Tes Alergi Makanan : Challenge Tes – Eliminasi Provokasi   Makanan Terbuka

Hernia dan Alergi-Hipersensitifitas Saluran Cerna Pada   Bayi atau Anak

Kenali Permasalahan Alergi Telur Pada Anak

Gangguan Kesehatan Mulut Gigi, Kesehatan Mulut dan   Alergi Makanan

Imunologi Dasar : Imunologi Mukosa

Imunologi dasar : Imunologi Vaksin

Efek Samping Dan Keracunan Obat Antihistamin, Gejala dan   Penanganannya

Cara Pemilihan Susu Alergi Pada Anak

Patofisiologi Terkini Alergi Obat

Gastrooesepageal Refluks, Muntah dan   Hipersensitif-Alergi Makanan

Respon Imun Selular dan Manifestasi Klinis

Berak Darah Pada Bayi, Infeksi atau Alergi ?

Imunologi Dasar : Sistem Fagosit dan Penyakit

Id Reaction Autoeczematization, Clinical Manifestation   and Management

Penanganan Terkini Dermatitis Numularisis

Clinical Aspect in Th1 and Th2 Balance

Anti Alergi Klasik CTM Chlorpheniramin Maleat, Indikasi dan   Penggunaannya

Pictures Atopic Dermatitis In Infant : Alergi Kulit Pada   Bayi

Imunologi Dasar : Imunitas Humoral

Imunologi Dasar : Sistem Komplemen

Scleroderma dan Discoid lupus erythematosus, Penyakit   Autoimun Kulit

Penanganan Terkini. Idiopatik trombositopenia purpura   (ITP)

Papular Urticaria, Pressure Urticaria and Solar   Urticaria

Sulitnya Penanganan Urtikaria atau Biduran ?

Sering Sakit, Daya Tahan Tubuh Buruk, Alergi dan   Hipersensitif Saluran Cerna

Berbagai Penyakit Defisiensi Imun

Rinitis Alergi dan Penanganannya

Breath Holding Spell atau Menangis Biru dan   Alergi-Hipersensitifitas Saluran Cerna

Peranan Sel Dendritik Dalam Sistem Imun

Debate and Controversies: Vitiligo, Food Allergy and   Celiac ?

Daftar Lengkap Interleukin, Aspek Klinis dan Aspek   Biologisnya

Penggunaan Teofilin Obat Jenis Metilxantin Pada   Penderita Asma

Struktur Imunoglobulin

Kumpulan Artikel Permasalahan Alergi dan Imunologi Anak,   Dr Widodo Judarwanto, pediatrician

Patogenesis dan Patofisiologi Terkini Alergi Rinitis

Susu Formula Khusus Alergi Yang Ada Di Indonesia

Mana Yang Benar : Alergi, TBC atau Bronkitis

Gangguan pada Sistem Imunitas

Tics, Tourette’s Syndrome and Food   Allergy-Hypersensitivities

Seizures, Epilepsy, Food Allergies and Food   Hypersensitivities

Imunologi Dasar: Sitokin dan Aspek Klinisnya

Antiphospholipid Antibody Syndrom, Reaksi Tubuh   Berlebihan Ancam Kesehatan

Dosis dan Jenis Antihistamin Sebagai Anti Alergi

Imunologi Dasar : Antigen

Gangguan Tidur Malam dan Alergi Pada Anak

Imunologi Dasar : Kompleks Histokompatibilitas Mayor

Imunologi Dasar : Respon Imun dan Sistem Kekebalan   Mahluk Hidup

Penanganan Rinitis Alergi dan Intervensi Alergi Makanan

Urtikaria-Biduran, Bukan Sekedar Alergi Makanan Biasa

Otitis Media Akut Infeksi telinga Pada Anak

Antihistamin Medikamentosa Alergi, Jenis dan   Farmakokinetiknya

Pityriasis Alba, Eczema in Children ?

Irritable Bowel Syndrome, Sindrom Iritasi Usus dan   Alergi Makanan

Belum Tentu Alergi Susu, Infeksi Virus Pemicu Alergi   Pada Bayi

Alergi Pada Bayi, Deteksi Dini dan Pencegahan

Sindrom Steven-Johnson, Manifestasi Klinis dan   Penanganannya

Alergi Obat Pada Anak; Gejala dan Penanganannya

Deteksi Tanda dan Gejala Alergi Pada Bayi Baru Lahir

Operasi Amandel atau Tonsilektomi : Komplikasi dan   Kontroversi Indikasi

United Airway Disease : Keterkaitan Penyakit Rinitis dan   Asma pada Anak

Lupus Eritematosus Sistemik Pada Anak

Picture Dermatitis Atopic – Allergy Skin Diseases :   Gambar Alergi Kulit Pada Anak

Imunologi Dasar : Imunitas Non Spesifik

Pemakaian Kacamata, Kelainan Refraksi dan Riwayat Alergi   Pada Anak

Alergi Lateks, Manifestasi Klinis dan Penanganan Terkini

The New Perspective Mast Cells in Gastrointestinal   Disease

The updated recommendations of the ARIA guidelines for   Rhinitis Allergy

Penggunaan Imunoterapi Pada Penderita Alergi

Genotipe dan Fenotipe

Peranan Alergi Makanan Terhadap Rinitis, Asma dan   Gangguan Pernapasan Lainnya

Sleep Problems In Children and Food Allergy-Food   Hypersensitivities

Manifestasi Klinis, Tanda dan Gejala Anafilaksis

Bayi Minta ASI Terus Belum Tentu Haus. Bayi Alergi   Hipersensitifitas Saluran Cerna ?

CURRICULUM VITAE WIDODO JUDARWANTO, pediatrician

Penderita Alergi, Dermatitis Atopik, Urtikaria, Rhinitis   dan Resiko Skizofrenia

Susu Formula Khusus Penderita Alergi

Imunologis Dasar: Reaksi Hipersensitifitas Anafilaksis

Cacar Air Lebih Berat Pada Penderita Alergi Kulit

Patofisiologi dan Patogenesis Anafilaksis

Program Intervensi Diet atau “Modifikasi Eliminasi   Provokasi Makanan Terbuka” atau Challenge test

Update Management of cow’s milk protein allergy in   infants

Dermatitis Kontak : Alergi Tato

Imunologi dasar: Adaptive Immune System, Sistem   Kekebalan Tiruan

Contact Urticaria Syndrome and Dermographism Urticaria

Neurological Manifestation, Food Allergy and Food   Hypersensitivities

Henoch-Schonlein Syndrome: Manifestasi Klinis, Penyebab   dan Penanganan

Perbedaan GM-CSF, Progenitor, Granulosit (Neutrofil,   Eosinofil, Basofil dan Makrofag)

PENGGUNAAN TERAPI HIRUPAN ATAU INHALASI PADA ASMA ANAK

Classification 100 Autoimmune Disorders

Gangguan Buang Besar Konstipasi dan   Alergi-Hipersensitifitas Makanan

Widodo   Judarwanto Articles

Imunologi Dasar : Superantigen

Susu Kambing dan Susu Hipoalergenik Parsial Bukan Untuk   Penderita Alergi

Penyebab Reaksi Anafilaksis

Aspek Klinis dan Aspek Biologis Toll-Like Receptor   (TLRs)

Dampak Antihistamin H1 Pada Sistem Organ Tubuh

Imunologi Dasar : Sel Mastosit

Penyakit Ménière dan Alergi Makanan

Online   Consultation

Alergi Debu, Alergi Dingin atau Alergi Makanan ?

Tanda dan Gejala Alergi Pada Bayi, Anak dan Dewasa

Intervensi Diet Sebagai Terapi dan Diagnosis Berbagai   Gangguan Fungsional Tubuh Manusia

Alergi Debu, Alergi Dingin atau Alergi Makanan Manakah   Yang Benar ?

Kumpulan Artikel: Segala Permasalahan Alergi pada Bayi

Waspadai Diagnosis TBC Tidak Benar Pada Penderita Alergi

The New Insight of Alfa Lactalbumin

Sulitnya Mencari Penyebab Alergi

Hypersensitivity Vasculitis and Allergy Vasculitis

Penatalaksanaan dan Pencegahan Anafilaksis Pada Anak

Alergi Hipersensitifitas Makanan, Kontroversi Terbesar   di Kalangan Awam dan Medis

Gangguan Motorik Kasar, Gangguan Oral Motor dan   Penderita Alergi

Tic, Sindrom Tourettes dan Alergi Makanan

Penyakit Kimura, Gangguan Inflamasi Hipereaktifitas   Kronis Jinak

Kesulitan Terbesar Penanganan Alergi, Sulitnya Mencari   Penyebab

Immunology

Pemberian Obat Adrenergik Pada penderita Alergi

Behaviour Problems and Food Allergies-Hypersensitivites   in Children

Wiskott–Aldrich syndrome (WAS),   Eczema-Thrombocytopenia-Immunodeficiency Syndrome

Picture Of Pityriasis Alba Atopic Dermatitis: “Panu”   Alergi Kulit

Maturation of the Immune System in Newborn and Children

Alergi Debu, Alergi Dingin atau Alergi Makanan Manakah   Yang Benar ?

Fact or Perception : Antibiotic Allergy in Children

Penanganan Autism dan Alergi Hipersensitifitas Makanan

Pictures Dermatitis Atopic In Children under 2 Years   Old: Alergi Kulit pada Anak

Deteksi Dini Alergi Sejak Kehamilan

The New Insight Immunopathophysiology of Nephrotic   Syndrome

The New Insight of Vasculitis and Allergy

Benarkah Aku Alergi Dingin ?

Reaksi hipersensitivitas Tipe Lambat

Allergy March, Perbedaan Perjalanan Alamiah Setiap Usia   dan Setiap Individu

Reaksi Simpang Makanan dan Gangguan Neurologi

The New Insight Idiopathic thrombocytopenic purpura   (ITP)

Alergi Kacang Manifestasi Klinis dan Penanganannya

Penggunaan Terapi Imunopotensiasi atau Terapi Imunomodulator

Asma, Gangguan Yang Menyertai dan Kontroversinya

Allergy March, Perbedaan Perjalanan Alamiah Alergi   Setiap Individu

Kejang, Epilepsi dan Alergi Hipersensitifitas Makanan

Dermatitis Berloque, Reaksi Kulit Akibat Parfum

Telinga Gatal, Kotoran Telinga Berlebihan Berbau dan   Alergi

Ophthalmology Problems and Autoimmune Diseases

Pityriasis Alba or Eczema ?

The New Perspective Immunopathophysiology, Future   Diagnostic and Prevention in Typhoid Fever

Dental caries, Allergy Diseases and Asthma

Bioresonansi, Tes dan Terapi Alergi Yang Tidak   Direkomendasikan

Gejala dan Penanganan Alergi Hewan Peliharaan

A Molecular Basis for Bidirectional : Communication   Between the Immune and Neuroendocrine Systems

Peranan Sel Dendritik Pada Penyakit Alergi

Penggunaan Terapi Imunosupresi

Kounis syndrome, Allergic Myocardial Infarction

All About Articles of Children Allergy and Immunology by   Dr Widodo Judarwanto, pediatrician

Pencegahan Alergi Harus Dilakukan Sejak Dini

Gangguan Kulit Pada Bayi Penderita Alergi

Update Management of Legume Allergy

Waspadai Alergi Kacang Dapat Ancam Jiwa

13 Jenis Toll-Like Receptor Dengan berbagai Aspek   Klinisnya

Sindrom Alergi Oral dan Alergi Makanan

Dr Susan Prescott, Specialist in childhood allergy and   immunology : Profile and Publication

Clinical Manifestation of Cow’s Milk Protein Allergy as   a Complex Disorders

The New Concept Pathogenesis and Pathophysiology of   Rhinitis Allergy

20 Tanda dan Gejala Alergi Makanan Sering Salah   Dipersepsikan

Waspadai Dampak Buruk Makanan Pada Otak dan Perilaku   Manusia

Sakit Kepala, Migrain dan Alergi Makanan

Berbagai Jenis Generasi Antihistamin

Headache, Migraine and Food Allergy

Summary Toll-like Receptors TLR1 to TLR13

Alergi Dewasa

Irritable Bowel Syndrome Berkaitan dengan Alergi Makanan

Penggunaan Natrium Kromolat dan Obat Antikolinergik Pada   Penderita Alergi

Gangguan Tidur dan Alergi Pada Bayi

Tes Alergi IgG4 (Dikirim Ke Amerika), Tidak   Direkomendasikan Untuk Tes Alergi

The Current Management of Hyperimmunoglobulin E syndrome   (HIES) or Job Syndrome

Pemberian Susu Untuk Penderita Alergi

BIORESONANSI, Tidak Direkomendasikan Untuk Tes dan   Pengobatan Alergi

The Future Management of Chronic urticaria

Behçet’s disease, Immune-mediated Systemic Vasculitis   Disease

Atopic Disorder, Allergic Reaction and Nephrotic   Syndrome

How to Know Related Rheumatoid Arthritis, Food Allergy   and Food Hypersensitivities

Asthma, Respiratory Disease, Food Allergy and Food   Hypersensitivities

Clinical Aspect of Type II Hypersensitivity-Like   Autoimmune Diseases

Food Allergy Update 2012: New Insights Seafood, Fish and   Shellfish Allergy in children

Makanan Penyebab Gangguan Otak dan Perilaku Pada Anak

Kounis Syndrome : Allergy Acute Myocardial Infarction

Perilaku Yang Sering Menyertai Penderita Alergi Pada   Bayi

Inilah Kontroversi Terbesar Alergi.

Inilah Perbedaan Karakter dan Tipikal Manifestasi Alergi   Setiap Orang

Allergy Reference Update 2012: Etiopathogenesis and   Future Management Dermatitis Atopy and Skin Disease

The New Perspective of Pathophysiology and Pathogenesis   Cow Milk Allergy

Penanganan Penyakit Autoimun Alzheimer

Immunology Update References: The Future Research of   Autoimmune Diseases

Allergy March. Perjalanan Alamiah Alergi Sebagai   Parameter Pencegahan

Otitis Media Akut (Infeksi telinga) Pada Anak

Epilepsi, Alergi Makanan dan Hipesensititas Makanan

Update 500 References: Probiotics, Allergy and Atopic   disease

Chinese Herbal Therapy for the Alternative Treatment of   Food Allergy.

Seminar Alergi : “Alergi Susu Sapi, Awal Perjalanan   Panjang Alergi”

Kenali Alergi Makanan Pada Dewasa

How To Know Related Autism Spectrum Disease, Food   Allergy and Food Hypersensitive

Sulit Buang Air Besar, Konstipasi dan Alergi Hipersensitif   Makanan

Sindrom Churg Strauss, Granulomatosis Alergi dan   Angiitis Alergi

The Future Research of Antihistamine

Immediate and Delayed Symptoms of Food-induced Allergic   Reactions

Alergi Debu, Alergi Dingin atau Alergi Makanan Manakah   Yang Benar ?

Kejang, Epilepsi dan Alergi-hipersensitifitas Makanan

Benarkah Aku Tidak Alergi Makanan ?

Allergy Reference Update: Management Stevens-Johnson   Syndrome

Eosinophilic cystitis: Review and report of two cases

Hipersensitif Persarafan Pada Bayi Alergi

Recommendation References of Kounis Syndrome : Allergy   Acute Myocardial Infarction

Allergic rhinitis, simple snoring and obstructive sleep   apnea syndrome

Management of Asthma in Children Under 5 Years

Keputihan Pada Anak, Gangguan Hormonal dan Alergi

Neonatal Autoimmune Diseases: Neonatal anti-phospholipid   syndrome

Impaksi Gigi, Hipersensitif Mulut Dan Gigi dan Alergi

Special Reference Cow Milk Allergy

Berbagai Gangguan THT dan Alergi Makanan

The New Insight Clinical Aspect of The Hygiene   Hypothesis

Immunology Update: The New Insight of Immunopathogenesis   of Rheumatoid Arthritis.

Allergy Abstract: Allergy against Human Seminal Plasma.

The prevalence of antibiotic skin test reactivity in a   pediatric population.

Relationship Kawazaki – Allergy: Kawazaki disease   tendency to develop allergic diseases

Arthritis References Update: The Future Research   Rheumatoid Arthritis

Rheumatoid arthritis, Chronic Polyarthritis and Food   Allergy

Sindrom Young: Bronkiektasis, Rinosinusitis dan   Infertilitas

Omenn Syndrome, Severe Combined Immunodeficiency

Immunology Update: The New Concept Immunopathogenesis of   SLE

Ankylosing spondylitis, Penyakit Autoimun Tulang   Belakang

Klasifikasi Dan Jenis Penyakit Defisiensi Imun

Neonatal Autoimmune Diseases: Neonatal Lupus

The New Insight of Neonatal Autoimmune Diseases

Penicillin allergy: updating the role of skin testing in   diagnosis

Alergi Hewan Peliharaan dan “Fobia Alergi Binatang”

Point of Interest: Patophysiology and Pathogenesis of   Food Allergy

Waspadai Dampak Buruk Makanan Pada Otak dan Perilaku   Anak

The allergic march from Staphylococcus aureus   superantigens to immunoglobulin E.

Update Pediatric Reference: Immunopathogenesis,   Prevalence and Management of Asthma

FOOD ALLERGY – CRIMINAL : Alergi Makanan Dapat   Berpengaruh Meningkatkan Perilaku kriminal Seseorang

The Future Concept in Pathophysiology of Asthma

ALLERGY UPDATE 2011 : Food allergy. Wang J, Sampson HA

Keratokonus Mata dan Alergi

Tanda dan Gejala Penyakit Defisiensi Imun

Modifikasi EliminasiProvokasi Makanan Terbuka

Hot Topic Abstract: BMI, asthma, atopy, and eNO

REFERENCES GASTROOESEPHAGEAL REFLUKS, GATROINTESTINAL   AND ALLERGY

Update References : Immunology, Pathogenesis, Management   Dermatitis Atopy

Allergy Pediatric Reference: Epidemiology,   Immunopathogenesis and Management Anaphylaxis

Pediatric Allergy References: Epidemiology,   Immunopathology and Management Asthma in Children

References Neurologic manifestations of allergic disease

Immunology Update Abstract: Autoimmune and Neurology   Diseases

The New Perspective Immunopathophysiology of Obesity

Allergy Update References: The New Concept Airway United   Disease

Reaksi Simpang Makanan dan Gangguan Neurologi

Kontroversi Asma dan Hewan Peliharaan

The Role Inhibition of Interleukin-5 in Allergy   Diseases.

Alergi Makanan dan Muntah atau Gastrooesephageal Refluks

Allergy Pediatric Reference: Epidemiology,   Immunopathogenesis and Management Dermatitis Atopy

Chemokines and Their receptors in Atopic Dermatitis

Neonatal Autoimmune Diseases: Neonatal type I diabetes   mellitus

The Natural History of Cow’s Milk Allergy

References : Drug Allergy and Drug Hypersensitivity

The New Insight Immunopathophysiology of   Antiphospholipid syndrome

Update Reference : Prevalence, Immunopathohenesis,   Management Urticaria

Hypersensitivity Pneumonitis or Extrinsic Allergic   Alveolitis,Type III-IV Hypersensitivity

Grow Up Clinic Sites

Upadate References Anaphylaxis and Allergy

Reference of Immunopathology, Prevalence and Management   Kawazaki Disease

Update References Probiotic and Allergy

Penyakit Alergi Atopi Dan IgG Anti Helicobacter Pylori

Immunology References: The Future Research Immunology of   Pregnancy

Welcome Speech : Allergy Clinic Online

Rheumatoid arthritis, food, and allergy.

The New Insight Immunopathogenesis Type 2 diabetes   mellitus

Hot Topic Abstract: Allergy and Heart Disease

100 Types of Arthritis, Rheumatic Diseases and Related   Condition

Clinical Aspect of Immunology in Pregnancy

Allergy, Dentinal hypersensitivity and Update Management

All About Allergy Ear-Nose-Throat: Berbagai Artikel   Alergi THT

Clinical Manifestation Immediate Hypersensitivity   Reactions

Allergy to antibiotics in children: Perception versus   reality

The Role Autoimmune in Neurology and Neuropsychiatric   Diseases

Gangguan Buang Air Besar Konstipasi Pada Anak dan Alergi   Makanan

The New Insight Immunological Characterization in Autism   Spectrum Disorders (ASD)

Allergy of the nervous system

Alergi Makanan dan Gangguan Buang Besar

Freedownload WAO White Book on Allergy

Dietery Intervention As A Therapy for Behaviour Problems   in Children With Gastroenterology Allergy

Irritable bowel syndrome, Neurobehaviour Functional and   and the brain-gut

The New Guidelines: Diagnosing and Treating Bacterial or   Viral Rhinosinusitis

Hypersensitivity Reaction and Clinical Aspect

DAFTAR ARTIKEL : Alergi pada Dewasa

Elective penicillin skin testing and amoxicillin   challenge: Effect on outpatient antibiotic use, cost, and clinical outcomes

Allergy Abstract Update: Intravenous immunoglobulin to   treat severe atopic dermatitis in children

Neonatal Autoimmune Diseases: Neonatal autoimmune   thyroid disease

Adenoid hypertrophy and Children With allergic diseases

Clinical Aspect of Type I Hypersensitivity

Clinical Disorders and Clinical Manifestation of Food   Allergy

Future Immunology Diagnostic: Peripheral T cell cytokine   responses for diagnosis tuberculosis.

Classification of Urticaria

Recurrent aphthous stomatitis caused by food allergy.

Sindrom Auriculotemporal atau Sindrom Frey’s dan Alergi   Makanan

Regulatory B cells, allergic diseases and Autoimmune   Diseases.

Toll-like receptors: Future Concepts in Kidney Disease

Intestinal Dendritic Cells in the Pathogenesis of the   Gut and Gastrointestinal disease

The New Concept Pathophysiogy of Anaphylaxis

World Allergy Organization (WAO) Diagnosis and Rationale   for Action against Cow’s Milk Allergy (DRACMA) Guidelines

The skin barrier, Dermatitis Atopic and Immunology   Factor

Allergy Reference Update: Immunopathigenesis and   Management of Drug Allergy and Drug Hypersensitivity

Association Lowbirth Weight, Prematurity, Asthma and   Allergy

Allergy Update Photo: Angioedema or Quincke’s Edema

The Update Evidance of Food Allergy Diagnosis

The Emerging Role of microRNAs in Human Diseases

References and Bibliography : Drug Allergy

Food allergy and seronegative arthritis: report of two   cases.

References of Otitis, Eustachian tube obstruction and   allergy

Allergy Update Photo : Urticaria In Infant

Juvenile rheumatoid arthritis and milk allergy.

Differential Considerations For Rhinitis and   Rhinosinusitis

Benarkah Aku Alergi Debu ?

The role of allergy in the pathogenesis of recurrent   otitis media and OME

Hot Topic In Allergy : Food Allergy in Asthma, Rhinitis   and Respiratory Disease

Role Interleukin-1 or Toll-like receptor in epilepsy and   seizures.

Hot Topic Allergy: Dietary therapy in eosinophilic   esophagitis

UPDATE REFERENCES: The Future Research and Management of   Transient tachypnea of the newborn

Neuroimmunoendocrinology as a future concept on new   pathogenetic aspects and clinical application.

The New Insight of Recurrent Spontaneous Abortion on   Immunological Origin

Allergy Hot Topic: Allergy, Asthma and Infertility

From atopic dermatitis to asthma: the atopic march

References of adverse drug reactions

World Allergy Week 2012, Children Allergy Clinic Online

Transient Tachypnea of the Newborn May Be an Early   Clinical Manifestation of Wheezing Symptoms

The New Concept of Treatment and Medication Rhinitis   Allergy

Autoimmune Disease of the Inner Ear

The New Perspective Antiphospohlipid syndrome

Atopiclair non steroid topical for Dermatitis

Allergy Update Photo: Atopic Dermatitis in Infant

Allergy Photo Update: Atopic Dermatitis in Children

Folic Acid May Improve Asthma, Allergies

The future concept of innate cellular immune responses   in newborns

Viral Initially Allergy and Asthma

Neonatal and Newborn Autoimmune Diseases

The New Concept Immunopathophysiology of Autism Spectrum   Diseases

The New Insight Pathophysiology Allergic Rhinitis

References : Eye, Immunology and Allergy

Neurofunctional, Behaviour Problems and The   antiphospholipid syndrome (APS)

Basic Immunology: Overview B lymphocytes and Pathology

Types of OFC Oral Food Challenges

The New Insight Differential diagnosis of Food Allergy

References of Oral Food Challenges or Double-Blind   Placebo-Controlled Food Challenges (DBPCFCs),

Cow’s milk allergy as a global challenge

The New Insight Immunopathophysiology of Dengue

Dendritic cells and Human Disease

The New Insight Pathophysiology Hipertension

Immunology and Pathogenesis Dermatitis Atopy

The new insight of immunoregulatory mechanisms of   pregnancy and fetus on systemic immunity

100 Updates Abstract of Children Atopic Dermatitis 2012

Prevention Allergy Rhinitis Recommendation BY ARIA   Allergic Rhinitis and its Impact on Asthma

Update Reference: Allergy, Intolerance and Gatrointestinal   Disease

Asthma Update References: The Future Research Asthma In   Pregnancy

EFFECTS OF DIET AND NUTRITION ON PSYCHOLOGICAL OR   PSYCHONEUROPHYSIOLOGICAL FUNCTIONING IN CHILDREN

The New Insight Role Gastroesophageal Reflux in Asthma

Time Table History of Allergy

Allergic Conjunctivitis, Rhinitis and Asthma: One   Disease?

Neonatal Autoimmune Diseases: Neonatal polymyositis and   dermatomyositis

Allergy Pediatric Reference : Food Allergy, Plant food   allergies, Food Intolerance and Anaphylaxis

Pembagian Subklasifikasi Mayor Reaksi Simpang Makanan

Anak Sulung Lebih Mudah Terkena Alergi

References : Food Allergy and Stomatitis, Oral   Lekoplakia

Update Allergy Photo: Infant Eczema Atopic Dermatitis   (3)

Kenali 20 Penyakit Defisiensi Imun Pada Anak

Allergic vasculitis caused by food allergy

Dermatitis Alergi sebagai Faktor Resiko Utama Paronikia

Allergy Photo: Teeth Discolouring In Allergies Children   with Gastrointestinal manifestation

Hot Topic Pediatric Reference: Allergy, Diet, ADHD and   Hyperkinetic Disorder

Food Allergy Update 2012: Allergic mastocytic   gastroenteritis and colitis in chronic abdominal pain and gastrointestinal   dysmotility.

Allergy update Photo: Atopic Dermatitis Trigger By Viral   Infection (URI)

Respiratory and allergic diseases: from upper   respiratory tract infections to asthma.

Aspek klinis dan Aspek Biologis CXCL10 atau IP-10

The New Perspective Immunopathophysiology of Human   Immunodeficiency Virus (HIV)

Asthma References Update: The Future Research of   Maternal-Pregnancy Asthma and Allergy

Association of allergy, infertility and abortion

Schnitzler Syndrome, Clinical Manifestation and   Management

References of Cortisol, hormone and allergy

Nail Profile in Children With Atopic Dermatitis

The Future Concept Therapies of Food Allergy

The Conection of Food Allergy and Stuttering

Sleep deprivation, allergy symptoms, and negatively   reinforced problem behavior

Pearls and Pitfalls The Diagnosis of Food Allergy

Sign and Symptom Allergy in Newborn and Neonate

Allergy Abstract: Dientamoeba fragilis masquerading as   allergic colitis.

Upadate Reference: Conjunctivitis, Allergy and Future   Management

Ocular disorders and Antiphospholipid syndrome

AUTISM ABSTRACT: Immunological characterization in   children with autism spectrum disorders (ASD)

Epicutaneous challenge of orally immunized mice   redirects antigen-specific gut-homing T cells to the skin

The Role of Dendritic Cells In Allergy Diseases

Role Neuroendocrine in Autouimmune Diseases and   Inflammantory Diseases

Update References Food Allergy 2012

Current Concept Management of Recurrent spontaneous   abortion with Immunopathological Intervention

The New Insight Immunopathophysiology of Measles

Allergy Update Photo: Atopic dermatitis in Children

Stomatitis in Children With Allergy

Update Allergy Photo: Infant Eczema Atopic Dermatitis   (2)

Neurologic manifestations of allergic disease

The New Perspective of Pathophysiology and Immunology   Profile in Chronic Rhinosinusitis.

Prevalence of IgE-Mediated Food Allergy Among Children   With Atopic Dermatitis

References : Dermatitis, Food Allergy and Pathogenesis

Celiac Disease: Fertility and Pregnancy

RECOMMENDATION ABSTRACT : Food allergy and eosinophilic   esophagitis

Update Abstract: Autoimmune, Postinfectious, Neurology   and Neuropsychiatric Disorders

Update 100 References Of Allergy 2012

Update Allergy Photo: Atopic Dermatitis In Children

The impact of Helicobacter pylori on atopic disorders in   childhood.

Update Definitions of food allergy, food, and food   allergens

ABSTRACT WATCH : The New References of Food Allergy   2011-2012

The relationship atopic dermatitis and urinary tract   infection.

Clinical Aspect of Toll-like receptors (TLRs)

The Future and Current Allergy Immunology 2012 by Widodo   Judarwanto

Allergy Update: Cow’s Milk Allergy, Acidic Reflux and   Gastroesophageal Reflux Disease

Update References and Bibliography Cow Milk Allergy

Clinical Manifestation of Gastrointestinal Food   Allergies

Caesarian Allergy Increased Risk Asthma and Allergic   Rhinitis

Allergy Hot Topic: Cytokines, Brain and Implication   Clinical Psychiatry

Allergy Update 2012: Acute rhinosinusitis and antibiotic   overusage

Paparan Elektromagnet Sebabkan Asma Pada Anak

Hot Topic Allergy Abstract : Caries is Associated with   Asthma and Epilepsy

ABSTRACT UPDATE : Allergic march in children, from   rhinitis to asthma: Management, indication of immunotherapy

The Allergic March- Children who start with Atopic   Dermatitis and go on to have Asthma and Allergic Rhinitis

Allergy Update Abstract: The new criterion of ARIA   severity classification: Allergic rhinitis and quality

The New Insight of Immune function and exercise.

Probiotic, Prevention and Management Allergy and Asthma   In Children

Allergy Update 2012: Tracheal schwannoma and bronchial   asthma.

Asthma Update 2012: Interleukin-4 in Asthma

I have food allergies : Please don’t feed me

References: Associated Allergy, Atopy, BMI and Obesity

Diagnostic Allergy Update 2011 : Molecular diagnosis of   cow’s milk allergy.

Effect of Lactobacillus paracasei ST11 on a nasal provocation   test with grass pollen in allergic rhinitis

Type and Differential diagnosis of Rhinitis

Asthma and specific cardiovascular conditions.

NEW LINK : CHILDREN ALLERGY CENTER ONLINE

Allergy References: Atopy, Rhinitis Allergy, Otitis and   Ear Diseases

Ashtma Allergy Update 2012: Risk Factors for Wheezing   Disorders in Infants

Clinical Manifestation of Legumes Allergy In Children

Lupus References Update: The Future research strategies   to manage systemic lupus erythematous

Gastroesophageal Reflux and Gastrointestinal   Manifestations of Cow’s Milk Protein Allergy

Prahara Besar Epidemi Alergi Melanda Eropa Tahun 2015

Allergy Abstract: Related Rhinosinusitis and   Bronchiectasis

Paparan binatang peliharaan sejak dini, justru   mengurangi resiko alergi ?

Hot Topic in Allergy: Allergy and Irritable Bowel   Syndrome

Hot Topic: Related Schizophrenia, Asthma and Atopic   Disorders

Immunology Update: Pathogenesis of spondyloarthritis:   autoimmune or autoinflammatory?

Update Pathogenesis Food Allergy

Update References of Immune Response

Clinical Aspect of Type IV Hypersensitivity

Free Allergy Consultation: Konsultasi Alergi Online by   Children Allergy Online Clinic

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Current Allergy Immunology by Widodo Judarwanto

Gejala Alergi pada bayi dan anak justru paling sering dipicu oleh adanya infeksi khususnya infeksi virus. Tetapi sebaliknya saat itu sering dianggap karena alergi susu atau alergi makanan. Gejala infeksi virus pada bayi khususnya sulit dikenali karena mirip gejala alergi. Reaksi terhadap alergi susu atau alergi makanan biasanya relatif ringan, namun begitu dipicu infeksi manifestasinya lebih berat. Pemicu alergi tidak akan berarti bila penyebab alergi dihindari. Widodo Judarwanto 2012
The doctor of the future will give no medicine, but will instruct his patient in the care of the human frame, in diet and in the cause and prevention of disease.

 

 

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Professional Healthcare Provider “GRoW UP CLINIC” Dr Narulita Dewi SpKFR, Physical Medicine & Rehabilitation curriculum vitae HP 085777227790 PIN BB 235CF967 Clinical – Editor in Chief : Dr Widodo Judarwanto, Pediatrician Editor: Audi Yudhasmara email : judarwanto@gmail.com Mobile Phone O8567805533 PIN BBM 76211048 Komunikasi dan Konsultasi online : twitter @widojudarwanto facebook dr Widodo Judarwanto, pediatrician Komunikasi dan Konsultasi Online Alergi Anak : Allergy Clinic Online Komunikasi dan Konsultasi Online Sulit makan dan Gangguan Berat Badan : Picky Eaters Clinic Komunikasi Profesional Pediatric: Indonesia Pediatrician Online

Curriculum Vitae Widodo Judarwanto
Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. You should not use the information on this web site for diagnosing or treating a medical or health condition. You should carefully read all product packaging. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider

Copyright © 2014, Allergy Clinic Online Information Education Network. All rights reserved

Permasalahan Umum Alergi Pada Anak

Permasalahan Umum Alergi Pada Anak

 

PERMASALAHAN ALERGI PADA ANAK Permasalahan alergi pada anak mungkin tidak sesederhana seperti yang kita bayangkan . Sering berulangnya penyakit, demikian luasnya sistem tubuh yang terganggu dan bahaya komplikasi yang terjadi  tampaknya merupakan akibat yang harus lebih diperhatikan demi terbentuknya Pertumbuhan dan Perkembangan Anak yang optimal. Permasalahan penanganan alergi pada anak yang sering kita temukan adalah :

  • ALERGI MASIH MISTERIUS Dewasa ini teknologi kedokteran telah maju demikian pesat terutama ilmu alergi dan imunologi, Namun tampaknya kasus alergi masih banyak yang belum terungkap terutama patogenesis penyakit. Manifestasi klinis yang menyerang berbagai organ tubuh belum bisa dijelaskan secara lengkap. Sehingga penatalaksanaan dan pencegahan alergi belum dapat memuaskan secara optimal.
  • PERHATIAN TERHADAP ALERGI PADA ANAK KURANG Di negara berkembang termasuk Indonesia, perhatian dokter atau klinisi lainnya terhadap kasus alergi pada anak sangat kurang dibandingkan persoalan infeksi. Sehingga sering terjadi under diagnosis dalam  penegakkan diagnosis. Alergi sering dianggap sebagai penyakit infeksi baik akut maupun kronis. Sehingga banyak keluhan atau gejala alergi sering di obati dengan antibiotika. Sering dijumpai keluhan Batuk Kronis berulang atau alergi pencernaan dengan gangguan kenaikkan berat badan karena alergi sering diobati sebagai penyakit kronis seperti Tuberkulosis (TBC), infeksi parasit cacing, infeksi saluran kemih atau infeksi kronis lainnya. Karena memang tanda dan gejala alergi memang mirip dengan gejala infeksi kronis seperti kronis tersebut. Sering terjadi orang tua penderita mengetahui kalau anaknya menderita alergi setelah sekian lama menderita, bahkan banyak juga yang baru mengetahui anaknya alergi setelah berganti banyak dokter.
  • PENATALAKSANAAN ALERGI BELUM OPTIMAL Penanganan alergi sering tidak paripurna dan menyeluruh, karena hanya mengandalkan pemberian obat-obatan tidak memperhatikan pencetus atau pemicunya. Terdapat kecenderungan pasien akan minum obat dalam jangka panjang. Padahal pemberian obat jangka sangat berbahaya, terutama obat golongan steroid. Tindakan paling ideal menghentikan gejala alergi adalah dengan menghindari pencetusnya. Dalam penatalaksanaan alergi yang paling diutamakan adalah masalah edukasi ke penderita.
  • KELUHAN BERULANG Sering kambuh dan berulangnya keluhan alergi, sehingga sering orang tua frustasi akhirnya berpindah-pindah ke beberapa dokter. Bila penatalaksanaan alergi tidak dilakukan secara baik dan benar maka keluhan alergi akan berulang dan ada kecenderungan membandel. Pemberian obat hanya bersifat sementara membaik kemudian akan timbul gejalanya berulang lagi. Bahkan kadang pemberian obat juga tidak menimbulkan perbaikkan. hal ini terjadi karena tidak mendeteksi atau m,enghindari penyebab alerginya. Berulangnya kekekambuhan tersebut akan menyebabkan meningkatnya pengeluaran  biaya kesehatan. Tetapi yang harus lebih diperhatikan adalah meningkatkannya resiko untuk terjadinya efek samping akibat pemberian obat. Tak jarang para klinisi memberikan antibiotika dan steroid dalam jangka waktu yang lama. Setelah berganti-ganti dokter biasanya orang tua pasien baru menyadari sepenuhnya kalau anaknya alergi setelah mengalami sendiri kalau keluhannya membaik setelah dilakukan penghindaran makanan tanpa harus minum obat.
  • TIMBULNYA KOMPLIKASI Komplikasi yang dapat ditimbulkan adalah terjadinya gangguan pertumbuhan : malnutrisi, berat badan sulit naik, kesulitan makan berulang dan lama.  Kadangkala juga bias terjadi sebaliknya yaitu menimbulkan kegemukan.  Sedangkan komplikasi yang cukup mengganggu adalah adanya gangguan perkembangan berupa gangguan belajar, gangguan pemusatan perhatian, gangguan emosi, agresif, keterlambatan bicara, keterlambatan bicara, bahkan dapat memicu atau memperberat gejala autisme.
  • MENGGANGGU PRESTASI SEKOLAH  Mengganggu prestasi sekolah, karena seringnya absen di pelajaran sekolah dan yang     lebih utama juga disebabkan adanya gangguan belajar, gangguan konsentrasi  atau pemusatan  perhatian  dan gangguan perilaku lainnya yang disebabkan karena terganggunya fungsi otak pada penderita alergi.
  • PENYEBAB GIZI GANDA : Penderita alergi dapat mengakibatkan gangguan gizi ganda pada anak. Gizi ganda artinya dapat menimbulkan kegemukan dan berat badan lebih atau bahkan sebaliknya terjadi  malnutrisi atau berat badan kurang. Hubungan alergi dan kegemukan  hingga saat ini belum terungkap penyebabnya. Tetapi banyak penelitian dan laporan kasus menyebut bahwa kegemukan pada anak sering terjadi pada anak alergi, terutama di bawah usia 2 tahun. Ellen WK tahun 2003 mengatakan kegemukan sering terjadi pada penderita yang mengalami alergi makanan. Penderita alergi yang terkena gangguan pencernaan sering mengakibatkan sulit makan sehingga menimbulkan komplikasi kurang gizi atau malnutrisi. Biasanya ditandai dengan berat dan tinggi badan yang sulit bertambah. Gangguan pencernaan karena alergi sering terjadi pada usia tertentu seperti 4 – 6 bulan atau di atas 1 tahun.  Karena saat usia tersebut sering mulai dikenalkan makanan baru. Apabila makanan tersebut mengakibatkan alergi dan mengganggu pencernaan maka akan terjadi  sulit makan, sering muntah, sering diare, sering kembung dan sebagainya. Kesulitan makan atau minum susu tersebut sering disalah artikan karena anak bosan makanan tertentu atau karena sedang tumbuh gigi. Secara khas biasanya gangguan tersebut disertai gangguan tidur pada malam hari, seperti bolak-balik, rewel, mengigau, berbicara dan berteriak dalam tidur atau terbangun tengah malam. Bayi yang mempunyai riwayat gejala pencernaan seperti kolik pada malam hari pada bayi usia di bawah 1 tahun, ada riwayat berak darah atau dengan riwayat diare yang berulang. Mempunyai resiko untuk terjadi gangguan pencernaan di kemudian hari, apabila tidak ditangani secara benar akan beresiko terjadinya masalah berat badan.

ARTIKEL TEREKOMENDASI: Kumpulan Artikel Permasalahan Alergi Anak dan Imunologi, Dr Widodo Judarwanto, pediatrician

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ARTIKEL TEREKOMENDASI:Kumpulan Artikel Alergi Pada Bayi, Dr Widodo Judarwanto Pediatrician

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ARTIKEL FAVORIT:100 Artikel Alergi dan Imunologi Paling Favorit

Current Allergy Immunology by Widodo Judarwanto

Gejala Alergi pada bayi dan anak justru paling sering dipicu oleh adanya infeksi khususnya infeksi virus. Tetapi sebaliknya saat itu sering dianggap karena alergi susu atau alergi makanan. Gejala infeksi virus pada bayi khususnya sulit dikenali karena mirip gejala alergi. Reaksi terhadap alergi susu atau alergi makanan biasanya relatif ringan, namun begitu dipicu infeksi manifestasinya lebih berat. Pemicu alergi tidak akan berarti bila penyebab alergi dihindari. Widodo Judarwanto 2012
The doctor of the future will give no medicine, but will instruct his patient in the care of the human frame, in diet and in the cause and prevention of disease.

Supported by

 www.allergyclinic.me

ALLERGY ONLINE CLINIC FOR CHILDREN, TEEN AND ADULT Yudhasmara Foundation www.allergyclinic.me   http://www.growupclinic.com GROW UP CLINIC I JL Taman Bendungan Asahan 5 Jakarta Pusat, Jakarta Indonesia 10210 Phone : (021)  5703646 – 44466102 GROW UP CLINIC II  MENTENG SQUARE Jl Matraman 30 Jakarta Pusat 10430 phone 44466103 www.growupclinic.com   Creating-hashtag-on-twitter@growupclinic http://www.facebook.com/GrowUpClinic

 

“GRoW UP CLINIC” Jakarta Focus and Interest on: *** Allergy Clinic Online *** Picky Eaters and Growup Clinic For Children, Teen and Adult (Klinik Khusus Gangguan Sulit Makan dan Gangguan Kenaikkan Berat Badan)*** Children Foot Clinic *** Physical Medicine and Rehabilitation Clinic *** Oral Motor Disorders and Speech Clinic *** Children Sleep Clinic *** Pain Management Clinic Jakarta *** Autism Clinic *** Children Behaviour Clinic *** Motoric & Sensory Processing Disorders Clinic *** NICU – Premature Follow up Clinic *** Lactation and Breastfeeding Clinic *** Swimming Spa Baby & Medicine Massage Therapy For Baby, Children and Teen ***
Professional Healthcare Provider “GRoW UP CLINIC” Dr Narulita Dewi SpKFR, Physical Medicine & Rehabilitation curriculum vitae HP 085777227790 PIN BB 235CF967   Dr WIDODO JUDARWANTO, pediatrician 

We are guilty of many errors and many faults. But our worst crime is abandoning the children, neglecting the fountain of life.
Clinical – Editor in Chief :
Dr WIDODO JUDARWANTO, pediatrician email : judarwanto@gmail.com Creating-hashtag-on-twitter: @WidoJudarwanto  www.facebook.com/widodo.judarwanto Mobile Phone O8567805533 PIN BB 25AF7035

Curriculum Vitae Widodo Judarwanto

Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. You should not use the information on this web site for diagnosing or treating a medical or health condition. You should carefully read all product packaging. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider

Copyright © 2013, Allergy Online Clinic Information Education Network. All rights reserved

Mata Belekan, Neonatal Optalmika dan Alergi Pada Bayi

Mata Belekan, Neonatal Optalmika dan Alergi Pada Bayi

Orangtua sering mengeluhkan gangguan mata bayinya yang tak kunjung sembuh berupa mata belekan dan air mata berlebihan yang lebih sering pada satu sisi. Bayi yang baru lahir dan bayi yang lebih muda umumnya memiliki beberapa gangguan pada mata yang sering masih belum jelas penyebabnya. Gangguan mata pada bayi tersebut adalah Sumbatan Ductus Nasolacrimalis dan Epiphora. Sampai saat ini masih banyak kontroversi yang terjadi antara beberapa dokter dalam memastikan penyebabnya. Selama ini sumbatan tersebut sering dianggap karena infeksi dan harus diberi antibiotika tetes mata. Ternyata berbagai laporan ilmiah kasus menunjukkan bahwa gangguan tersebut berkaitan dengan alergi. Saat dilakukan terapi dengan pemijatan, obat tetes antibiotika dan bahkan dengan operasi juga membaik sesaat dan kemudian timbul lagi. Tetapi saat dilakukan penanganan alergi dengan melakukan eliminasi provokasi gangguan tersebut dapat membaik dengan cepat tanpa dilakukan pengobatan atau operasi.

Neonatal optalmika atau Sumbatan Ductus Nasolacrimalis Mata bayi tampak selalu berair atau yang sering disebut belekan, karena saluran air mata dari mata ke hidung tersumbat. Meskipun sering sulit dibedakan dengan Pink Eye, lebih sering disebabkan oleh saluran air mata tersumbat atau dacryostenosis. Saluran air mata tersumbat terjadi ketika saluran nasolacrimal yang mengeluarkan air mata dari mata ke dalam hidung, tersumbat karena berbagai hal mekanisme inflamasi seperti allergi, infeksi dan trauma.

Diperkirakan hingga 30 persen bayi baru lahir dilahirkan dengan saluran air mata tersumbat. Beberapa dokter biasanya memberi obat tetes antibiotik untuk menjaga agar tidak terjadi infeksi, dan orang tua diajari memijit-mijit pangkal hidung secara rutin setiap hari untuk membantu ‘membuka’ sumbatan. Jika masih tersumbat juga, kemungkinan dilakukan operasi kecil untuk membuka sumbatan tersebut. Apabila setelah dilakukan pijatan sumbatan menetap hingga anak berusia 12-18 bulan, perlu dilakukan tindakan yang lebih invasif menggunakan selang logam untuk mendorong sumbatan, atau dengan implan saluran air mata buatan yang disebut “Jonas tube”. Ternyata gangguan mata tersebut tidak banyak perbaikan dan manfaat pemberian antibiotika tetes mata dan pemijatan tidak terlalu bermakna. Bahkan setelah pemberian antibiotika dan pemijatan tidak membaik dilakukan operasi. Tetapi setelah dilakukan operasi gangguan membaik sesaat tetapi beberapa saat kemudian gangguan tersebut timbul lagi. Tetapi setelah dilakukan pengamatan bayi dengan gangguan tersebut juga mempunyai tanda dan gejala alergi lainnya. Saat dilakukan intervensi eliminasi provokasi makanan ternyata gangguan tersebut dapat hilang tanpa operasi.

Epipora

Epiphora, dimana mata terus berair akibat air mata yang keluar berlebihan. Berkat adanya sistem lakrimal, kedua mata kita mata dipertahankan untuk selalu basah, tetapi bagaimana bila mata menjadi terlalu basah sehingga tidak henti-hentinya mengeluarkan air mata. Sistem lakrimal terdiri atas kelenjar lakrimal dan saluran lakrimal. Kelenjar lakrimal terletak di antara alis dan sudut mata bagian luar, sedangkan saluran lakrimal ditemukan di sudut mata dalam dekat hidung. Epiphora juga dapat terjadi pada 5-6% anak. Namun 60-90% nya dapat sembuh spontan dalam satu tahun kehidupan

 Alergi pada bayi

Alergi pada bayi termasuk tahapan  gangguan yang menjadi permasalahan kesehatan penting pada usia anak. Gangguan pada bayi ini ternyata dapat menyerang semua organ tanpa terkecuali. Mulai dari ujung rambut sampai ujung kaki dengan berbagai bahaya dan komplikasi yang mungkin bisa terjadi. Belakangan terungkap bahwa alergi menimbulkan komplikasi yang cukup berbahaya, karena alergi dapat mengganggu semua organ atau sistem tubuh kita termasuk gangguan fungsi otak. Gangguan fungsi otak itulah maka timbul gangguan perkembangan dan perilaku pada anak seperti gangguan konsentrasi, gangguan emosi, keterlambatan bicara, gangguan konsentrasi hingga memperberat gejala penderita Autis dan ADHD. Gejala alergi pada bayi sering dicetuskan dan disebabkan karena banyak faktor. Tetapi yang paling sering terjadi justru dipicu atau diperberat karena infeksi virus ringan yang tidak terdeteksi. Sedangkan faktor lainnya dengan manifestasi lebih ringan disebabkan karena diet ibu bila minum ASI dan makanan yang dikonsumsi termasuk susu sapi. Seringkali dokter atau orangtua sulit membedakan faktor mana yang menjadi penyebab, bahkan seringkali setiap kali timbul gejala alergi langsung divonis alergi susu sapi dan harus ganti susu khusus padahal belum tentu alergi susu sapi.

Deteksi dan pencegahan alergi sejak bayi penting karena apat mencegah atau menghilangkan perjalanan alamiah alergi jangka panjang (allergy March). Perjalanan alamiah alergi jangka panjang adalah gejala alergi setiap usia dan setiap orang akan berbeda. Pada kelmpok tertentu usia di bawah 5 tahun akan mengaklami sensitif saluran cerna dan kulit, usia 5-12 tahun asma dan sering pilek pada usia di atas 15 tahun lebih sensitif hidung atau sinusitis.

Melihat demikian luas dan banyaknya pengaruh alergi yang mungkin bisa terjadi, maka deteksi dan pencegahan alergi sejak dini sebaiknya dilakukan. Gejala serta faktor resiko alergi dapat dideteksi sejak lahir, bahkan mungkin sejak dalam kandungan. Alergi makanan tidak terjadi pada semua orang, tetapi sebagian besar orang mempunyai potensi menjadi alergi. Tampaknya sebagian besar orang bila dicermati pernah mengalami reaksi alergi. Namun sebagian lainnya tidak pernah mengalami reaksi alergi. Terdapat 3 faktor penyebab terjadinya alergi makanan, yaitu faktor genetik, imaturitas usus, pajanan alergi yang kadang memerlukan faktor pencetus.

Alergi dapat diturunkan dari orang tua atau kakek dan nenek pada penderita. Bila ada orang tua menderita alergi kita harus mewaspadai tanda alergi pada anak sejak dini. Bila ada salah satu orang tua yang menderita gejala alergi maka dapat menurunkan resiko pada anak sekitar 20 – 40%, ke dua orang tua alergi resiko meningkat menjadi 40 – 80%. Sedangtkan bila tidak ada riwayat alergi pada kedua orang tua maka resikonya adalah 5 – 15%. Pada kasus terakhir ini bisa saja terjadi bila nenek, kakek atau saudara dekat orang tuanya mengalami alergi.

Manifestasi klinis yang sering dikaitkan dengan penderita alergi pada bayi.

  • GANGGUAN SALURAN CERNA : Sering muntah/gumoh, kembung,“cegukan”, sering buang angin, sering “ngeden /mulet”, sering REWEL / GELISAH/COLIK terutama malam hari), Sering buang air besar (> 3 kali perhari), tidak BAB tiap hari, BERAK DARAH. Feses cair, hijau, bau tajam, kadang seperti biji cabe. Hernia Umbilikalis (pusar menonjol), Scrotalis, inguinalis (benjolan di selangkangan, daerah buah zakar atau pusar atau “turun berok”) karena sering ngeden sehingga tekanan di dalam perut meningkat.
  • Kulit sensitif. Sering timbul bintik atau bisul kemerahan terutama di pipi, telinga dan daerah yang tertutup popok. Kerak di daerah rambut.Timbul bekas hitam seperti tergigit nyamuk. Mata, telinga dan daerah sekitar rambut sering gatal, disertai pembesaran kelenjar di kepala belakang. Kotoran telinga berlebihan kadang sedikit berbau.
  • Kuning Timbul kuning tinggi atau kuning bayi baru lahir berkepanjangan seharusnya setelah 2 minggu menghilang sering disebut Breastfeeding Jaundice (kuning karena ASI mengandung hormon pregnandiol). Seringkali jadi pertanyaan mengapa sebagian besar bayi dengan ASI tidak mengalami kuning berkepanjangan. Setelah usia 6 telapak tangan dan kaki kadang berwarna kuning, sampai saat ini seringkali dianggap karena terlalu banyak makan wortel atau kelebihan vitamin A padahal selama ini hipotesa itu hanya sekedar dugaaan dan belum pernah dibuktikan dengan pemeriksaan darah. Kuning berkepanjangan meningkat pada bayi bisa sering terjadi pada bayi dengan gangguan saluran cerna dengan keluhan obstipasi (sering ngeden/mulet) dan konstipasi. Bila dicermati saat gangguan saluran cerna meningkat kuning semkai terlihat jelas dan sebaliknya saat saluran cerna membaik kuning menghilang.
  • Mulut hipersensitif. Lidah sering timbul putih kadang sulit dibedakan dengan jamur (candidiasis) atau memang kadang juga disertai infeksi jamur. Bibir tampak kering atau kadang pada beberapa bayi bibir bagian tengah berwarna lebih gelap atau biru. Produksi air liur meningkat, sehingga sering “ngeces (“drooling”) biasanya disertai bayi sering menjulurkan lidah keluar atau menyembur-nyemburkan ludah dari mulut.
  • Napas Berbunyi (Hipersekresi bronkus). Napas grok-grok, kadang disertai batuk sesekali terutama malam dan pagi hari siang hari hilang. Bayi seperti ini beresiko sering batuk atau bila batuk sering lama (>7hari) dan dahak berlebihan )
  • Sesak Saat Baru lahir. Sesak segera setelah lahir. Sesak bayi baru lahir hingga saat usia 3 hari, biasanya akan membaik paling lama 7-10 hari. Disertai kelenjar thimus membesar (TRDN (Transient respiratory ditress Syndrome) /TTNB). BILA BERAT SEPERTI PARU-PARU TIDAK MENGEMBANG (LIKE RDS). Bayi usia cukup bulan (9 bulan) secara teori tidak mungkin terjadi paru2 yang belum mengembang. Paru tidak mengembang hanya terjadi pada bayi usia kehamilan < 35 minggu) Bayi seperti ini menurut penelitian beresiko asma (sering batuk/bila batuk sering dahak berlebihan )sebelum usia prasekolah. Keluhan ini sering dianggap infeksi paru atau terminum air ketuban.
  • Hidung Sensitif. Sering bersin, pilek, kotoran hidung banyak, kepala sering miring ke salah satu sisi (Sehingga beresiko kepala “peyang”) karena hidung buntu, atau minum dominan hanya satu sisi bagian payudara. Karena hidung buntu dan bernapas dengan mulut waktu minum ASI sering tersedak
  • Mata Sensitif. Mata sering berair atau sering timbul kotoran mata (belekan) salah satu sisi atau kedua sisi.
  • Keringat Berlebihan. Sering berkeringat berlebihan, meski menggunakan AC keringat tetap banyak terutama di dahi
  • Berat Badan Berlebihan atau kurang. Karena minum yang berlebihan atau sering minta minum berakibat berat badan lebih dan kegemukan (umur <1tahun). Sebaliknya terjadi berat badan turun setelah usia 4-6 bulan, karena makan dan minum berkurang
  • Saluran kencing. Kencing warna merah atau oranye (orange) denagna sedikit bentukan kristal yang menempel di papok atau diapers . Hal ini sering dianggap inmfeksi saluran kencing, saat diperiksa urine seringkali normal bukan disebabkan karena darah.
  • Kepala, telapak tangan atau telapak kaki sering teraba sumer/hangat.
  • Gangguan Hormonal. Mempengaruhi gangguan hormonal berupa keputihan/keluar darah dari vagina, timbul jerawat warna putih. timbul bintil merah bernanah, pembesaran payudara, rambut rontok, timbul banyak bintil kemerahan dengan cairan putih (eritema toksikum) atau papula warna putih
  • Gangguan Sulit Makan dan Gangguan Kenaikkan Berat Badan. Pada bayi berusia di atas 6 bulan dengan keluhan sering mual, BAB ngeden atau sulit, BAB > 3 kali seringkali mengakibatkan kesulitan makan atau makan hanya sedikit yang mengakibatkan gangguan kenaikkan berat badan dan sering mengalami daya tahan tubuh menurun sejak usia 6 bulan. Pada usia sebelum 6 bulan kenaikkan pesat tetapi setelah usia 6 bulan kenaikkan relatif datar. Pada penderita hipersensitifitas non alergi (non atopi) biasa nya ghangguan berat badan dan sulit makan lebih tidak ringan dan timbul sejak usia sebelum 6 bulan tetapi setelah 6 bulan lebih buruk
  • PROBLEM MINUM ASI : minum berlebihan, berat berlebihan karena bayi sering menangis dianggap haus. Haus palsu adalah tampilan bayi sering menangis, mulutnya sering seperti mau ngempeng atau mencari puting tampak sucking refleks berlebihan dirangsang pipinya sedikit sudah seperti mencari puting. Hal itu belum tentu karena haus atau bukan karena ASI kurang. Pada bayi alergi yang sering rewel seringkali saluran cernanya sedikit sakit sehingga bila ada perasaan tidak nyaman bayi akan sering seperti ngempeng atau minta digendong. Sering menggigit puting sehingga luka. Minum ASI sering tersedak, karena hidung buntu dan napas dengan mulut. Minum ASI lebih sebentar pada satu sisi,`karena satu sisi hidung buntu, jangka panjang bisa berakibat payudara besar sebelah.

PERILAKU YANG SERING MENYERTAI PENDERITA ALERGI PADA BAYI

  • GANGGUAN NEURO ANATOMIS : Mudah kaget bila ada suara yang mengganggu. Gerakan tangan, kaki dan bibir sering gemetar. Kaki sering dijulurkan lurus dan kaku. Breath Holding spell : bila menangis napas berhenti beberapa detik kadang disertai sikter bibir biru dan tangan kaku. Mata sering juling (strabismus). Kejang tanpa disertai ganggguan EEG (EEG normal)
  • GERAKAN MOTORIK BERLEBIHAN Usia < 1 bulan sudah bisa miring atau membalikkan badan. Usia < 6 bulan: mata/kepala bayi sering melihat ke atas. Tangan dan kaki bergerak berlebihan, tidak bisa diselimuti (“dibedong”). Kepala sering digerakkan secara kaku ke belakang, sehingga posisi badan bayi “mlengkung” ke luar. Bila digendomg tidak senang dalam posisi tidur, tetapi lebih suka posisi berdiri.Usia > 6 bulan bila digendong sering minta turun atau sering bergerak/sering menggerakkan kepala dan badan atas ke belakang, memukul dan membentur benturkan kepala. Kadang timbul kepala sering bergoyang atau mengeleng-gelengkan kepala. Sering kebentur kepala atau jatuh dari tempat tidur.
  • GANGGUAN TIDUR (biasanya MALAM-PAGI) gelisah,bolak-balik ujung ke ujung; bila tidur posisi “nungging” atau tengkurap; berbicara, tertawa, berteriak dalam tidur; sulit tidur atau mata sering terbuka pada malam hari tetapi siang hari tidur terus; usia lebih 9 bulan malam sering terbangun atau tba-tiba duduk dan tidur lagi,
  • AGRESIF MENINGKAT, pada usia lebih 6 bulan sering memukul muka atau menarik rambut orang yang menggendong. Sering menarik puting susu ibu dengan gusi atau gigi, menggigit, menjilat tangan atau punggung orang yang menggendong. Sering menggigit puting susu ibu bagi bayi yang minum ASI, Setelah usia 4 bulan sering secara berlebihan memasukkan sesuatu ke mulut. Tampak anak sering memasukkan ke dua tangan atau kaki ke dalam mulut. Tampak gampang seperti gemes atau menggeram
  • GANGGUAN KONSENTRASI : cepat bosan terhadap sesuatu aktifitas bermain, memainkan mainan, bila diberi cerita bergambar sering tidak bisa lama memperhatikan. Bila minum susu sering terhenti dan teralih perhatiannya dengan sesuatu yang menarik tetapi hanya sebentar
  • EMOSI MENINGKAT, sering menangis, berteriak dan bila minta minum susu sering terburu-buru tidak sabaran. Sering berteriak dibandingkan mengiceh terutama saat usia 6 bulan
  • GANGGUAN MOTORIK KASAR, GANGGUAN KESEIMBANGAN DAN KOORDINASI : Pada POLA PERKEMBANGAN NORMAL adalah BOLAK-BALIK, DUDUK, MERANGKAK, BERDIRI DAN BERJALAN sesuai usia. Pada gangguan keterlambatan motorik biasanya bolak balik pada usia lebih 5 bulan, usia 6 – 8 bulan tidak duduk dan merangkak, setelah usia 8 bulan langsung berdiri dan berjalan.
  • GANGGUAN ORAL MOTOR: KETERLAMBATAN BICARA: Kemampuan bicara atau ngoceh-ngoceh hilang dari yang sebelumnya bisa. Bila tidak ada gangguan kontak mata, gangguan pendengaran, dan gangguan intelektual biasanya usia lebih 2 tahun membaik. GANGGUAN MENGUNYAH DAN MENELAN: Gangguan makan makanan padat, biasanya bayi pilih-pilih makanan hanya bisa makanan cair dan menolak makanan yang berserat. Pada usia di atas 9 bulan yang seharusnya dicoba makanan tanpa disaring tidak bisa harus di blender terus sampai usia di atas 2 tahun.
  • IMPULSIF : banyak tersenyum dan tertawa berlebihan, lebih dominan berteriak daripada mengoceh.
  • Memperberat ADHD dab Autis. Jangka panjang akan memperberat gangguan perilaku tertentu bila anak mengalami bakat genetik seperti ADHD (hiperaktif) dan AUTIS (hiperaktif, keterlambatan bicara, gangguan sosialisasi). Tetapi alergi bukan penyebab Autis tetapi hanya memperberat. Penderita alergi dengan otak yang normal atau tidak punya bakat Autis tidak akan pernah menjadi Autis.

Infeksi Virus Pemicu Alergi

  • Gejala alergi pada bayi selain makanan justru paling sering seringkali diperberat saat sakit atau terjadi oleh infeksi berupa infeksi virus, bakteri atau infeksi lainnya. Paling sering di antaranya adalah infeksi virus. Pada bayi tanda dan gejala infeksi virus ringan ini lebih sulit dikenali. Biasanya hanya berupa badan sumer teraba hangat hanya di kepala, telapak tangan dan badan bila diukur suhu normal. Biasanya disertai bersin, batuk sekali-sekali dan pada anak bayi tertentu nafas bunyi grok-grok
  • Flu pada bayi jarang sekali menimbulkan hidung meler biasanya hanya basah sedikit di sekitar hidung atau batuk sekali-sekali karena refleks batuk pada bayi basih belum sempurna.
  • Bahkan sebagian dokter menilai gejala infeksi virus tersebut dianggap disebabkan karena alergi susu sapi atau alergi makanan.
  • Pada keadaan sakit seperti itu biasanya ada kontak yang sakit flu, demam, batuk atau infeksi virus ringan lainnya di dalam di rumah. Sayangnya orangtua juga sering tidak menyadari bahwa selama ini sering terkena infeksi virus yang gejalanya tidak khas tersebut. Gejala infeksi virus yang ringan yang dialami oleh penderita dewasa berupa badan ngilu, terasa pegal,nyeri tenggorokan atau kadang disertai sakit kepala. Gejala ringan, tidak khas dan cepat membaik ini sering dianggap “gejala mau flu tidak jadi”, masuk angin, kurang tidur, panas dalam atau kecapekan

PENYEBAB ALERGI MAKANAN PADA BAYI

Alergi makanan lebih sering terjadi pada usia bayi atau anak dibandingkan pada usia dewasa. Hal itu terjadi karena belum sempurnanya saluran cerna pada anak. Secara mekanik integritas mukosa usus dan peristaltik merupakan pelindung masuknya alergen ke dalam tubuh. Secara kimiawi asam lambung dan enzim pencernaan menyebabkan denaturasi allergen. Secara imunologik sIgA pada permukaan mukosa dan limfosit pada lamina propia dapat menangkal allergen masuk ke dalam tubuh. Pada usus imatur sistem pertahanan tubuh tersebut masih lemah dan gagal berfungsi sehingga memudahkan alergen, virus dan bakteri masuk ke dalam tubuh. Dengan pertambahan usia, ketidakmatangan saluran cerna tersebut semakin membaik. Biasanya setelah 2 tahun saluran cerna tersebut berangsur membaik. Hal ini juga yang mengakibatkan penderita alergi sering sakit pada usia sebelum 2 tahun. Fenomena tersebut juga menunjukkan bahwa sewaktu bayi atau usia anak mengalami alergi makanan tetapi dalam pertambahan usia membaik.

Gejala dan tanda karena reaksi alergi pada anak dapat ditimbulkan oleh adanya alergen dari beberapa makanan tertentu yang dikonsumsi bayi. Penyebab alergi di dalam makanan adalah protein, glikoprotein atau polipeptida dengan berat molekul lebih dari 18.000 dalton, tahan panas dan tahan ensim proteolitik. Sebagian besar alergen pada makanan adalah glikoprotein dan berkisar antara 14.000 sampai 40.000 dalton. Molekul-molekul kecil lainnya juga dapat menimbulkan kepekaan (sensitisasi) baik secara langsung atau melalui mekanisme hapten-carrier.

Susu sapi dianggap sebagai penyebab alergi makanan pada bayi yang paling sering. Beberapa penelitian di beberapa negara di dunia prevalensi alergi susu sapi pada anak dalam tahun pertama kehidupan sekitar 2%. Alergi susu sapi adalah suatu kumpulan gejala yang mengenai banyak organ dan system tubuh yang ditimbulkan oleh alergi terhadap susu sapi. Reaksi hipersensitif terhadap protein susu sapi dengan keterlibatan mekanisme sistem imun. Reaksi simpang makanan yang tidak melibatkan mekanisme sistem imun dikenal sebagai intoleransi susu. Sekitar 1-7% bayi pada umumnya menderita alergi terhadap protein yang terdapat dalam susu sapi. Sedangkan sekitar 80% susu formula bayi yang beredar di pasaran ternyata menggunakan bahan dasar susu sapi. Alergi susu sapi adalah suatu kumpulan gejala yang mengenai banyak organ dan system tubuh yang ditimbulkan oleh alergi terhadap susu sapi. Reaksi hipersensitif terhadap protein susu sapi dengan keterlibatan mekanisme sistem imun. Alergi terhadap protein susu sapi atau alergi terhadap susu formula yang mengandung protein susu sapi merupakan suatu keadaan dimana seseorang memiliki sistem reaksi kekebalan tubuh yang abnormal terhadap protein yang terdapat dalam susu sapi. Sistem kekebalan tubuh bayi akan melawan protein yang terdapat dalam susu sapi sehingga gejala-gejala reaksi alergi pun akan muncul.

Pada bayi yang hanya mendapatkan ASI eksklusif maka diet yang dikonsumsi ibu sangat berpotensi menimbulkan gangguan alergi. Diet ibu yang sangat berpotensi menimbulkan gangguan pada bayi yang paling sering adalah ikan laut (terutama yang kecil seperti udang, kerang, cumi dan sebagainya), kacang tanah dan buah-buahan (tomat, melon, semangka).

Saat pemberian makanan tambahan usia 4-6 bulan, gejala alergi pada bayi sering timbal. Jenis makanan yang sering diberikan dan menimbulkan gangguan adalah pemberian buah-buahan (jeruk, dan pisang), bubur susu (kacang hijau), nasi tim (tomat, ayam, telor, ikan laut (udang, cumi,teri), keju, dan sebagainya. Sehingga penundaan pemberian makanan tertentu dapat mengurangi resiko gangguan alergi pada anak. Menurut beberapa penelitian pemberian multivitamin pada bayi beresiko alergi ternyata meningkatkan gangguan penyakit alergi di kemudian hari.

Penanganan

  • Penanganan terbaik neonatal optalmika atau mata belekan pada bayi yang disertai dengan manifestasi alergi lainnya adalah mengendalikan penyebab dan pemicunya.
  • Penyebab yang paling sering adalah diet ibu saat konsumsi ASI atau infeksi virus di sekitarnya.
  • Pemijatan, pemberian obat tetes mata bukan jalan terbaik karena seringkali tidak bermanfaat
  • Operasi mata sering tidak optimal karena sering disertai kekambuhan hilang timbul terus bila [penyebab alergi tidak dikenali dan dikendalikan

ARTIKEL ALERGI PADA BAYI LAINNYA

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Update 100 References Of Allergy 2012

Update 100 References Of Allergy 2012

Redefining the major peanut allergens.
Zhuang Y, Dreskin SC.
Immunol Res. 2012 Sep 5.

Anaphylactic versus Mild Reactions to Hazelnut and Apple in a Birch-Endemic Area: Different Sensitization Profiles?.
Le TM, van Hoffen E, Lebens AF, Bruijnzeel-Koomen CA, Knulst AC.
Int Arch Allergy Immunol. 2012 Aug 31;160(1):56-62.

Pathogenesis of Food Allergy in the Pediatric Patient.
Chin S, Vickery BP.
Curr Allergy Asthma Rep. 2012 Aug 30.

Immune state in lung of BALB/c mice with ovalbumin allergy and the effects of fulvotomentoside on lungs of mice].
Bai F, Li HQ.
Zhonghua Er Ke Za Zhi. 2012 Jul;50(7):531-5.

Meta-analysis of probiotics preventing allergic diseases in infants].
Tang LJ, Chen J, Shen Y.
Zhonghua Er Ke Za Zhi. 2012 Jul;50(7):504-9. Chinese.

Allergic reactions to food].
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Lijec Vjesn. 2012 May-Jun;134(5-6):168-73. Croatian.

The MCART Consortium Animal Models Series.
Macvittie TJ.
Health Phys. 2012 Oct;103(4):340-2

Influence of dietary factors, age and nickel contact dermatitis on nickel excretion.
Darsow U, Fedorov M, Schwegler U, Twardella D, Schaller KH, Habernegg R, Fromme H, Ring J, Behrendt H.
Contact Dermatitis. 2012 Aug 29.

Food-induced anaphylaxis: mast cells as modulators of anaphylactic severity.
Hogan SP, Wang YH, Strait R, Finkelman FD.
Semin Immunopathol. 2012 Aug 2.

High temperature growth induced spontaneous mutation of llmg_1816 (gdpP) results in heat resistance and salt hypersensitivity in Lactococcus lactis.
Smith WM, Pham TH, Lei L, Dou J, Soomro AH, Beatson SA, Dykes GA, Turner MS.
Appl Environ Microbiol. 2012 Aug 24.

Gene and environmental interactions of food allergy.
Pałgan K, Bartuzi Z.
Postepy Hig Med Dosw (Online). 2012 Jun 19;66:385-91.

Oral exposure to Mal d 1 affects the immune response in patients with birch pollen allergy.
Geroldinger-Simic M, Kinaciyan T, Nagl B, Baumgartner-Durchschlag U, Huber H, Ebner C, Lidholm J, Bartel D, Vieths S, Jahn-Schmid B, Bohle B.
J Allergy Clin Immunol. 2012 Aug 23.

Poor utility of atopy patch test in predicting tolerance development in food protein-induced enterocolitis syndrome.
Järvinen KM, Caubet JC, Sickles L, Ford LS, Sampson HA, Nowak-Węgrzyn A.
Ann Allergy Asthma Immunol. 2012 Sep;109(3):221-2.

Eosinophilic esophagitis-endoscopic distinguishing findings.
Caetano AC, Gonçalves R, Rolanda C.
World J Gastroenterol. 2012 Aug 21;18(31):4221-3.

Fermented milk supplemented with probiotics and prebiotics can effectively alter the intestinal microbiota and immunity of host animals.
Wang S, Zhu H, Lu C, Kang Z, Luo Y, Feng L, Lu X.
J Dairy Sci. 2012 Sep;95(9):4813-22.

Factors influencing food choices of food-allergic consumers: findings from focus groups.
Sommer I, Mackenzie H, Venter C, Dean T.
Allergy. 2012 Aug 23.

Development and construct validation of the angioedema quality of life questionnaire.
Weller K, Groffik A, Magerl M, Tohme N, Martus P, Krause K, Metz M, Staubach P, Maurer M.
Allergy. 2012 Aug 23.

Colonoscopic allergen provocation test with rBet v 1 in patients with pollen-associated food allergy.
Pickert CN, Lorentz A, Manns MP, Bischoff SC.
Allergy. 2012 Aug 23.

Preventive and therapeutic effects of rapamycin, a mammalian target of rapamycin inhibitor, on food allergy in mice.
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Eosinophilic gastroenteritis: a rare case report.
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N Am J Med Sci. 2012 Aug;4(8):367-8.

Role of Viruses in the Development of Atopic Disease in Pediatric Patients.
Cheung DS, Grayson MH.
Curr Allergy Asthma Rep. 2012 Aug 22.

A nationwide study of asthma incidence rate and its determinants in Swedish pre-school children.
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Eur J Epidemiol. 2012 Aug 22.

Recent Developments in Basophil Research: Do Basophils Initiate and Perpetuate Type 2 T-Helper Cell Responses?.
van Beek AA, Knol EF, de Vos P, Smelt MJ, Savelkoul HF, van Neerven RJ.
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Parent report of physician diagnosis in pediatric food allergy.
Gupta RS, Springston EE, Smith B, Pongracic J, Holl JL, Warrier MR.
J Allergy Clin Immunol. 2012 Sep 1.

Erwinia asparaginase in pediatric acute lymphoblastic leukemia.
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Expert Opin Biol Ther. 2012 Sep 4.

The Usefulness of the Multiple Allergen Simultaneous Test-chemiluminescent As Compared to the Phadia Immunocap IgE Test Panel System in Children and Adolescents.
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Recent Pat Inflamm Allergy Drug Discov. 2012 Aug 29.

Effects of Amine Oxidases in Allergic and Histamine-Mediated Conditions.
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Introduction to Special Issue on Food Allergy.
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Semin Immunopathol. 2012 Sep 4.

Postnatal Fish Oil Supplementation in High-Risk Infants to Prevent Allergy: Randomized Controlled Trial.
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Pediatrics. 2012 Sep 3.

Inhibition of Pim1 kinase prevents peanut allergy by enhancing Runx3 expression and suppressing T(H)2 and T(H)17 T-cell differentiation.
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J Allergy Clin Immunol. 2012 Aug 31.

Immunotoxicologic assessment of genetically modified drought-resistant wheat T349 with GmDREB1].
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Zhonghua Yu Fang Yi Xue Za Zhi. 2012 Jun;46(6):556-60. Chinese.

Intestinal malrotation with suspected cow’s milk allergy: a case report.
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BMC Res Notes. 2012 Sep 3;5(1):481.

Microbial regulation of allergic responses to food.
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Semin Immunopathol. 2012 Sep 1.

Staphylococcal enterotoxin B-derived haptens promote sensitization.
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Identification of the critical amino acid residues of immunoglobulin E and immunoglobulin G epitopes in β-lactoglobulin by alanine scanning analysis.
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J Dairy Sci. 2012 Aug 29.

Managing food allergy in childhood.
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Curr Opin Pediatr. 2012 Aug 29.

IL-7R¿ and L-selectin, but not CD103 or CD34, are required for murine peanut-induced anaphylaxis.
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Research update on the eosinophils and allergic disease.
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Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 Jun;26(11):525-8. Chinese.

Brachypodium distachyon as a model for defining the allergen potential of non-prolamin proteins.
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A New Model for Environmental Assessment and Exposure Reduction.
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Curr Allergy Asthma Rep. 2012 Aug 30.

Angioedema in progressive muscular dystrophy: a case report.
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The case for stock epinephrine in schools.
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NASN Sch Nurse. 2012 Jul;27(4):222-5.

Adrenaline autoinjectors in food allergy: In for a cent, in for a Euro?
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Pediatr Allergy Immunol. 2012 Sep;23(6):506-8.

Allergen immunotherapy: 100 years, but it does not look like.
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Eur Ann Allergy Clin Immunol. 2012 Jun;44(3):99-106.

Molecular and Immunological Characterization of Tri a 36, a Low Molecular Weight Glutenin, as a Novel Major Wheat Food Allergen.
Baar A, Pahr S, Constantin C, Scheiblhofer S, Thalhamer J, Giavi S, Papadopoulos NG, Ebner C, Mari A, Vrtala S, Valenta R.
J Immunol. 2012 Aug 17.

Research progress in causes of persistent or chronic diarrhea in children].
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Zhongguo Dang Dai Er Ke Za Zhi. 2012 Aug;14(8):639-42.

Phenol-soluble modulins in staphylococci: What are they originally for?
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Future therapies for food allergy.
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A 24-h helpline for access to expert management advice for food allergy-related anaphylaxis in children: protocol for a pragmatic randomised controlled trial.
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Analysis of major milk whey proteins by immunoaffinity capillary electrophoresis coupled with MALDI-MS.
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Innate immunostimulatory properties of allergens and their relevance to food allergy.
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Semin Immunopathol. 2012 Aug 12.

Application of scientific criteria to food allergens of public health importance.
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Regul Toxicol Pharmacol. 2012 Aug 2.

A randomized double-blinded placebo-controlled study to evaluate an effective ciclosporin dose for the treatment of feline hypersensitivity dermatitis.
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Vet Dermatol. 2012 Aug 8.

Oral food desensitization in children with IgE-mediated hen’s egg allergy: a new protocol with raw hen’s egg.
Meglio P, Giampietro PG, Carello R, Gabriele I, Avitabile S, Galli E.
Pediatr Allergy Immunol. 2012 Aug 13.

Recognising and managing allergic disease in the community.
Bostock-Cox B.
Br J Community Nurs. 2012 Jul;17(7):302, 304, 306-8.

Immune responses in dogs with cutaneous adverse food reactions.
Veenhof EZ, Knol EF, Willemse T, Rutten VP.
Vet Q. 2012 Jun;32(2):87-98.

The microbiota and its metabolites in colonic mucosal health and cancer risk.
Vipperla K, O’Keefe SJ.
Nutr Clin Pract. 2012 Oct;27(5):624-35.

Measuring parvalbumin levels in fish muscle tissue: Relevance of muscle locations and storage conditions.
Lee PW, Nordlee JA, Koppelman SJ, Baumert JL, Taylor SL.
Food Chem. 2012 Nov 15;135(2):502-7. Epub 2012 May 11.

Overall prevalence of self-reported food allergy in Canada.
Soller L, Ben-Shoshan M, Harrington DW, Fragapane J, Joseph L, St Pierre Y, Godefroy SB, La Vieille S, Elliott SJ, Clarke AE.
J Allergy Clin Immunol. 2012 Aug 3.

The Regulatory Challenge of Food Allergens.
Gendel SM.
J Agric Food Chem. 2012 Aug 17.

EuroPrevall Survey on Prevalence and Pattern of Self-Reported Adverse Reactions to Food and Food Allergies Among Primary Schoolchildren in Vilnius, Lithuania.
Kavaliūnas A, Surkienė G, Dubakienė R, Stukas R, Zagminas K, Saulytė J, Burney PG, Kummeling I, Mills C.
Medicina (Kaunas). 2012;48(5):265-71.

The Use of Complementary and Alternative Medicine by Pediatric Food-Allergic Patients in Japan.
Nakano T, Shimojo N, Okamoto Y, Ebisawa M, Kurihara K, Hoshioka A, Yamaguchi K, Ito K, Fujisawa T, Kameda M, Suehiro Y, Ogura H, Shibata R, Suzuki S, Takahashi Y, Ikeda M, Kohno Y.
Int Arch Allergy Immunol. 2012 Jul 27;159(4):410-415.

Organ-specific symptoms during oral food challenge in children with food allergy.
Ahrens B, Niggemann B, Wahn U, Beyer K.
J Allergy Clin Immunol. 2012 Aug;130(2):549-51.

Dietary baked egg accelerates resolution of egg allergy in children.
Leonard SA, Sampson HA, Sicherer SH, Noone S, Moshier EL, Godbold J, Nowak-Węgrzyn A.
J Allergy Clin Immunol. 2012 Aug;130(2):473-480.e1.

A Population-Based Study of Fish Allergy in the Philippines, Singapore and Thailand.
Connett GJ, Gerez I, Cabrera-Morales EA, Yuenyongviwat A, Ngamphaiboon J, Chatchatee P, Sangsupawanich P, Soh SE, Yap GC, Shek LP, Lee BW.
Int Arch Allergy Immunol. 2012 Jul 27;159(4):384-390.

Co-factor-enhanced food allergy.
Cardona V, Luengo O, Garriga T, Labrador-Horrillo M, Sala-Cunill A, Izquierdo A, Soto L, Guilarte M.
Allergy. 2012 Jul 30.

Thioredoxin from the Indianmeal Moth Plodia interpunctella: Cloning and Test of the Allergenic Potential in Mice.
Hoflehner E, Binder M, Hemmer W, Mahler V, Panzani RC, Jarisch R, Wiedermann U, Duchêne M.
PLoS One. 2012;7(7):e42026. Epub 2012 Jul 26.

Effect of thermal processing and γ-irradiation on allergenicity of legume proteins.
Kasera R, Singh AB, Kumar R, Lavasa S, Prasad KN, Arora N.
Food Chem Toxicol. 2012 Jul 27;50(10):3456-3461.

In vitro refolding process of bovine allergen β-lactoglobulin by Multispectroscopic method.
Wu XL, Wang WP, Xia LX, Xu H, Wu H, Liu ZG.
Biomed Environ Sci. 2012 Jun;25(3):334-9.

Allergy alerts in electronic health records for hospitalized patients.
González-Gregori R, Dolores Hernández Fernandez De Rojas M, López-Salgueiro R, Díaz-Palacios M, García AN.
Ann Allergy Asthma Immunol. 2012 Aug;109(2):137-40. Epub 2012 Jun 27.

Specific oral tolerance induction in paediatric patients with persistent egg allergy.
Fuentes-Aparicio V, Alvarez-Perea A, Infante S, Zapatero L, D’Oleo A, Alonso-Lebrero E.
Allergol Immunopathol (Madr). 2012 Jul 24.

Food protein-induced enterocolitis syndrome can occur in adults.
Fernandes BN, Boyle RJ, Gore C, Simpson A, Custovic A.
J Allergy Clin Immunol. 2012 Jul 24.

Food allergy-related quality of life after double-blind, placebo-controlled food challenges in adults, adolescents, and children.
van der Velde JL, Flokstra-de Blok BM, de Groot H, Oude-Elberink JN, Kerkhof M, Duiverman EJ, Dubois AE.
J Allergy Clin Immunol. 2012 Jul 24.

Plant Food Allergy in Patients with Pollinosis from the Mediterranean Area.
Flores E, Cervera L, Sanz ML, Diaz-Perales A, Fernández J.
Int Arch Allergy Immunol. 2012 Jul 25;159(4):346-354.

Measurement of Ara h 1-, 2-, and 3-specific IgE antibodies is useful in diagnosis of peanut allergy in Japanese children.
Ebisawa M, Movérare R, Sato S, Maruyama N, Borres MP, Komata T.
Pediatr Allergy Immunol. 2012 Sep;23(6):573-581.

A brief intervention to improve food allergy knowledge among US pediatricians: lessons learned.
Springston EE, Lau CH, Patel P, Warrier MR, Sohn MW, Pongracic J, Gupta RS.
Pediatr Allergy Immunol. 2012 Jul 26.

Peanut seed storage proteins are responsible for clinical reactivity in Spanish peanut-allergic children.
Pedrosa M, Boyano-Martínez T, García-Ara MC, Caballero T, Quirce S.
Pediatr Allergy Immunol. 2012 Jul 26.

Oral immunotherapy in hen’s egg-allergic children increases a hypo-proliferative subset of CD4+ T cells that could constitute a marker of tolerance achievement.
Fuentes-Aparicio V, Alonso-Lebrero E, Zapatero L, Infante S, Lorente R, Angeles Muñoz-Fernández M, Correa-Rocha R.
Pediatr Allergy Immunol. 2012 Jul 26.

Anaphylaxis induced by lentil inhalation.
Ayşenur K, Akan A, Mustafa E, Müge T, Kocabaş CN.
Asian Pac J Allergy Immunol. 2012 Jun;30(2):167-9.

Comparison of irritatant reactions between using lyophilized and commercial food allergen extracts in atopy patch tests in a normal population.
Boonyaviwat O, Pacharn P, Piboonpocanun O, Vichyanond P, Visitsunthorn N.
Asian Pac J Allergy Immunol. 2012 Jun;30(2):158-61.

Tolerability of a Fully Maturated Cheese in Cow’s Milk Allergic Children: Biochemical, Immunochemical, and Clinical Aspects.
Alessandri C, Sforza S, Palazzo P, Lambertini F, Paolella S, Zennaro D, Rafaiani C, Ferrara R, Bernardi ML, Santoro M, Zuzzi S, Giangrieco I, Dossena A, Mari A.
PLoS One. 2012;7(7):e40945.

Fixed drug eruption to ingested propolis.
Ramien ML, Pratt MD.
Dermatitis. 2012 Jul;23(4):173-5.

Atopic Dermatitis and Cytokines: Recent Patients in Immunoregulatory and Therapeutic Implications of Cytokines in Atopic Dermatitis – Part I: Cytokines in Atopic Dermatitis.
Lee J, Noh G, Lee S, Youn Y, Rhim J.
Recent Pat Inflamm Allergy Drug Discov. 2012 Jul 24.

Erythromycin treatment hinders the induction of oral tolerance to fed ovalbumin.
Lambert SE, Kinder JM, Then JE, Parliament KN, Bruns HA.
Front Immunol. 2012;3:203.

Non-Celiac Wheat Sensitivity Diagnosed by Double-Blind Placebo-Controlled Challenge: Exploring a New Clinical Entity.
Carroccio A, Mansueto P, Iacono G, Soresi M, D’Alcamo A, Cavataio F, Brusca I, Florena AM, Ambrosiano G, Seidita A, Pirrone G, Rini GB.
Am J Gastroenterol. 2012 Jul 24.

The immunopathogenesis of cow’s milk protein allergy (CMPA).
Vitaliti G, Cimino C, Coco A, Andrea Domenico P, Lionetti E.
Ital J Pediatr. 2012 Jul 23;38(1):35.

Parvalbumin in fish skin-derived gelatin: is there a risk for fish allergic consumers?
Koppelman SJ, Nordlee JA, Lee PW, Happe RP, Hessing M, Norland R, Manning T, Deschene R, De Jong GA, Taylor SL.
Food Addit Contam Part A Chem Anal Control Expo Risk Assess. 2012 Sep;29(9):1347-55.

Immunological mechanisms for desensitization and tolerance in food allergy.
Rachid R, Umetsu DT.
Semin Immunopathol. 2012 Jul 21.

Basophil reactivity, wheal size, and immunoglobulin levels distinguish degrees of cow’s milk tolerance.
Ford LS, Bloom KA, Nowak-Węgrzyn AH, Shreffler WG, Masilamani M, Sampson HA.
J Allergy Clin Immunol. 2012 Jul 19.

Psychological status and recurrent aphthous ulceration.
Picek P, Buljan D, Rogulj AA, Stipetić-Ovcarićek J, Catić A, Plestina S, Boras VV, Vidović-Juras D.
Coll Antropol. 2012 Mar;36(1):157-9.

Anaphylaxis in Children: Current Understanding and Key Issues in Diagnosis and Treatment.
Dinakar C.
Curr Allergy Asthma Rep. 2012 Jul 20.

Hapten Facilitates Food Allergen-Related Intestinal Hypersensitivity.
Liu ZQ, Zheng PY, Yang PC.
Am J Med Sci. 2012 Jul 17.

Guidelines for treatment of atopic eczema (atopic dermatitis) Part II.
Ring J, Alomar A, Bieber T, Deleuran M, Fink-Wagner A, Gelmetti C, Gieler U, Lipozencic J, Luger T, Oranje AP, Schäfer T, Schwennesen T, Seidenari S, Simon D, Ständer S, Stingl G, Szalai S, Szepietowski JC, Taïeb A, Werfel T, Wollenberg A, Darsow U; For the European Dermatology Forum (EDF), and the European Academy of Dermatology and Venereology (EADV), the European Task Force on Atopic Dermatitis (ETFAD), European Federation of Allergy (EFA), the European Society of Pediatric Dermatology (ESPD), and the Global Allergy and Asthma European Network (GA2LEN).
J Eur Acad Dermatol Venereol. 2012 Sep;26(9):1176-1193.

A sea urchin roe tropomyosin-like protein is recognized in vitro by shrimp-allergic individuals.
Pascal M, Grishina G, Yang A, Ayuso R.
J Investig Allergol Clin Immunol. 2012;22(4):306-7.

Allergic immune-regulatory effects of Adlay Bran on an OVA-immunized mice allergic model.
Chen HJ, Hsu HY, Chiang W.
Food Chem Toxicol. 2012 Jul 15;50(10):3808-3813.

MIP-1α, MCP-1, and desensitization in anaphylaxis from cow’s milk.
Glez PP, Franco YB, Matheu V.
N Engl J Med. 2012 Jul 19;367(3):282-4.

Oral immunotherapy for treatment of egg allergy in children.
Burks AW, Jones SM, Wood RA, Fleischer DM, Sicherer SH, Lindblad RW, Stablein D, Henning AK, Vickery BP, Liu AH, Scurlock AM, Shreffler WG, Plaut M, Sampson HA; Consortium of Food Allergy Research (CoFAR).
N Engl J Med. 2012 Jul 19;367(3):233-43.

Eosinophilic esophagitis.
Blatman KH, Ditto AM.
Allergy Asthma Proc. 2012 May-Jun;33 Suppl 1:88-90.

Food allergy.
Robison RG, Pongracic JA.
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Provided by

CHILDREN ALLERGY CLINIC ONLINE

Yudhasmara Foundation htpp://www.allergyclinic.wordpress.com/

WORKING TOGETHER FOR STRONGER, SMARTER AND HEALTHIER CHILDREN BY EDUCATION, CLINICAL INTERVENTION, RESEARCH AND INFORMATION NETWORKING. Advancing of the future pediatric and future parenting to optimalized physical, mental and social health and well being for fetal, newborn, infant, children, adolescents and young adult

CLINICAL INTERVENTION AND MEDICAL SERVICES “CHILDREN GRoW UP CLINIC”

PROFESSIONAL CLINIC “CHILDREN GRoW UP CLINIC”

  • Dr Narulita Dewi SpKFR, Physical Medicine & Rehabilitation
  • Dr Widodo Judarwanto SpA, Pediatrician
  • Fisioterapis

Clinical and Editor in Chief :

Dr Widodo Judarwanto, pediatrician email : judarwanto@gmail.com, Curiculum Vitae

Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. You should not use the information on this web site for diagnosing or treating a medical or health condition. You should carefully read all product packaging. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.

Copyright © 2012, Children Allergy Clinic Online Information Education Network. All rights reserved

Review and Meta-analysis: IgG4-related orbital disease

Acta Ophthalmol. 2012 Sep 11.

IgG4-related orbital disease: a meta-analysis and review.

Andrew N, Kearney D, Selva D.

Abstract

IgG4-related orbital disease (IgG4-ROD) is a recently described condition that may account for a significant proportion of idiopathic lymphoplasmacytic or sclerotic orbital lesions. This study is the first meta-analysis of published cases and reveals several differences between IgG4-related disease affecting the orbit and that affecting the pancreas. IgG4-ROD affects a slightly younger group of patients, affects men and women approximately equally, is commonly associated with salivary gland lesions, is associated with a relatively higher serum IgG4 and may confer an increased risk of non-Hodgkin Lymphoma. Its pathogenesis may involve an immune response to antigen exposure in the upper aerodigestive tract.

Source : South Australian Institute of Ophthalmology and Department of Ophthalmology and Visual Sciences, University of Adelaide, Adelaide, South Australia Institute of Medical and Veterinary Science, Department of Surgical Pathology, Adelaide, South Australia.

Supported by

CHILDREN ALLERGY CLINIC ONLINE

Yudhasmara Foundation htpp://www.allergyclinic.wordpress.com/

Clinical and Editor in Chief : Dr Widodo Judarwanto,pediatrician email:judarwanto@gmail.com, Curiculum Vitae HP 08567805533 PIN BB: 28839D57 Twitter: @WidoJudarwanto Facebook: http://www.facebook.com/widodo.judarwanto

WORKING TOGETHER FOR STRONGER, SMARTER AND HEALTHIER CHILDREN BY EDUCATION, CLINICAL INTERVENTION, RESEARCH AND INFORMATION NETWORKING. Advancing of the future pediatric and future parenting to optimalized physical, mental and social health and well being for fetal, newborn, infant, children, adolescents and young adult
CLINICAL INTERVENTION AND MEDICAL SERVICES “CHILDREN GRoW UP CLINIC”

PROFESSIONAL CLINIC “CHILDREN GRoW UP CLINIC”

  • Dr Narulita Dewi SpKFR, Physical Medicine & Rehabilitation
  • Dr Widodo Judarwanto SpA, Pediatrician
  • Fisioterapis
Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. You should not use the information on this web site for diagnosing or treating a medical or health condition. You should carefully read all product packaging. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.

Copyright © 2012, Children Allergy Clinic Online Information Education Network. All rights reserved

Molecular and cellular biomarkers in dry eye disease and ocular allergy.

Curr Opin Allergy Clin Immunol. 2012 Oct;12(5):523-33.

Molecular and cellular biomarkers in dry eye disease and ocular allergy.

Enríquez-de-Salamanca A, Bonini S, Calonge M.

Abstract

PURPOSE OF REVIEW:

To summarize recent studies in biomarkers in dry eye disease (DED) and ocular allergy in the last 18 months.

RECENT FINDINGS:

New significant correlations with clinical symptoms and signs have been described for some tear molecules (proteins, cytokines/chemokines, metalloproteinases, mucins and lipids). Correlation with disease severity has been shown for some of them. New proposed DED biomarkers include some proteins, such as S100A8, S100A9, lipocalin-1, secretory phospholipase A2 and some cytokines and chemokines; mucin-1 mRNA conjunctival expression levels are shown to be a very sensitive and specific DED diagnosis biomarker; metalloproteinase-9 tear level is confirmed as a good DED biomarker; cell parameters such as conjunctival cell viability and proliferative capacity have been also proposed as DED biomarkers. In ocular allergy, protein activated receptor-2, heat shock protein-70, eosinophil cationic protein and hemopexin have been pointed as potential biomarkers. Characterization of neuromediators tear levels confirmed the involvement of these molecules in both DED and ocular allergy.

SUMMARY:

Biomarkers are essential to monitor health status. Several studies have proposed different molecules and/or cellular parameters as potential biomarkers for DED and ocular allergy. The knowledge presented in these studies will further add support to the discovery and development of new drugs and the establishment of personalized medicine.

Source: aIOBA (Institute of Applied Ophthalmobiology), University of Valladolid, Valladolid bNetworking Research Center on Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Spain cDepartment of Ophthalmology. University of Rome Campus BioMedico, Rome, Italy.

Supported by

CHILDREN ALLERGY CLINIC ONLINE

Yudhasmara Foundation htpp://www.allergyclinic.wordpress.com/

Clinical and Editor in Chief : Dr Widodo Judarwanto,pediatrician email:judarwanto@gmail.com, Curiculum Vitae HP 08567805533 PIN BB: 28839D57 Twitter: @WidoJudarwanto Facebook: http://www.facebook.com/widodo.judarwanto

WORKING TOGETHER FOR STRONGER, SMARTER AND HEALTHIER CHILDREN BY EDUCATION, CLINICAL INTERVENTION, RESEARCH AND INFORMATION NETWORKING. Advancing of the future pediatric and future parenting to optimalized physical, mental and social health and well being for fetal, newborn, infant, children, adolescents and young adult
CLINICAL INTERVENTION AND MEDICAL SERVICES “CHILDREN GRoW UP CLINIC”

PROFESSIONAL CLINIC “CHILDREN GRoW UP CLINIC”

  • Dr Narulita Dewi SpKFR, Physical Medicine & Rehabilitation
  • Dr Widodo Judarwanto SpA, Pediatrician
  • Fisioterapis
Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. You should not use the information on this web site for diagnosing or treating a medical or health condition. You should carefully read all product packaging. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.

Copyright © 2012, Children Allergy Clinic Online Information Education Network. All rights reserved

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