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.allergyclinic.me www.growupclinic.com
Widodo Judarwanto Pediatrician Sites:  http://clinicforchild.wordpress.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

INTEREST :

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

SPECIAL INTEREST :

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


CLINICAL POSITIONS :

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)

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.

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

ALLERGY ONLINE CLINIC FOR CHILDREN, TEEN AND ADULT Yudhasmara Foundation htpp://www.allergyclinic.wordpress.com/ htpp://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 – 97730777 http://growupclinic.com  http://www.facebook.com/GrowUpClinic Creating-hashtag-on-twitter@growupclinic WORKING TOGETHER SUPPORT TO THE HEALTH OF ALL BY CLINICAL, 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 email : judarwanto@gmail.com curriculum vitaeCreating-hashtag-on-twitter: @WidoJudarwanto  www.facebook.com/widodo.judarwanto Mobile Phone O8567805533 PIN BB 25AF7035

We are guilty of many errors and many faults. But our worst crime is abandoning the children, neglecting the fountain of life.
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

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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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

Prevalence of attention deficit/hyperactivity disorder in pediatric allergic rhinitis: a nationwide population-based study.

Prevalence of attention deficit/hyperactivity disorder in pediatric allergic rhinitis: a nationwide population-based study.

Tsai MC, et al.

Allergy Asthma Proc. 2011 Nov-Dec;32(6):41-6.

Abstract

Allergic rhinitis (AR) is the most common chronic condition in pediatric populations. Characteristic symptoms in AR may bother daily activities and disturb sleep, leading to daytime inattention, irritability, and hyperactivity, which are also components of attention deficit/hyperactivity disorder (ADHD). Conflicting data exist in the literature regarding the relationship between ADHD and AR. The aim of this nationwide population-based study was to examine the prevalence and risk of ADHD among AR patients in a pediatric group. Data from a total of 226,550 pediatric patients <18 years old were collected from Taiwan's National Health Insurance Research
Database from January 1 to December 31, 2005 and analyzed. We calculated the prevalence of allergic diseases based on various demographic variables, as well as in ADHD patients. We also used multivariable logistic regression to analyze the risk factors of ADHD. In 2005, the period prevalence rates of atopy and ADHD in patients <18 years of age were 15.35 and 0.6%, respectively. Pediatric patients with AR had a substantially increased rate of ADHD (p < 0.001) in terms of period prevalence and odds ratio.

This significance existed across various demographic groups regardless of age, gender, area, or degree of urbanization. Neither comorbidity of atopic dermatitis nor bronchial asthma carried high risk for ADHD in AR patients.

The present study revealed an increased rate of ADHD among AR patients. Therefore, evaluation of ADHD is advised for treatment of AR children.

Source: Department of Pediatrics, Taichung Veterans General Hospital, Taiwan.

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Clinical – Editor in Chief :

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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

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

The prevalence of allergic diseases and asthma is increasing worldwide, particularly in low and middle-income countries. Moreover, the complexity and severity of allergic diseases, including asthma, continue to increase especially in children and young adults, who are bearing the greatest burden of these trends. In order to address this major global challenge that threatens health and economies alike, it is important to have a global action plan that includes partnerships involving different stakeholders from low-income, middle-income, and high-income countries.

Allergic diseases include life-threatening anaphylaxis, food allergies, certain forms of asthma, rhinitis, conjunctivitis, angioedema, urticaria, eczema, eosinophilic disorders, including eosinophilic esophagitis, and drug and insect allergies. Globally, 300 million people suffer from asthma and about 200–250 million people suffer from food allergies. One-tenth of the population suffers from drug allergies and 400 million from rhinitis. Moreover, allergic diseases commonly occur together in the same individual, one disease with the other. This requires an integrated approach to diagnosis and treatment and greater awareness of the underlying causes among family physicians, patients as well as specialists.

A recent report from the World Allergy Organization, the WAO White Book on Allergy, summarizes the burden of allergic diseases worldwide, the risk factors, impact on quality of life of patients, morbidity, mortality, their socio-economic consequences, recommended treatment strategies, future therapies, and the cost–benefit analyses of care services. For instance, asthma prevalence is rising in several high as well as low-income and middle-income countries, and the prevalence and impact of allergic diseases continue to grow. According to the World Health Organization, the number of patients having asthma is 300 million and with the rising trends it is expected to increase to 400 million by 2025. Patients with asthma and allergic diseases have a reduced quality of life. According to the World Health Organization, asthma causes 250 000 deaths annually. Moreover, asthma in infancy often goes unrecognized and thus untreated. In the United States, 23 million people including 7 million children suffer from asthma and the prevalence is increasing. The economic costs of asthma are high both in terms of direct and indirect costs, especially in severe or uncontrolled asthma. In the United States, pediatric asthma results in 14 million missed days of school each year, which in turn result in lost workdays – and lost wages – for caregivers. As asthma continues to affect more children in lower-income countries, this will lead to long-term consequences for their education and perpetuation of their poverty. We need to find ways to control indoor and outdoor air pollution, to train healthcare professionals to diagnose and treat asthma in children, and to ensure that asthma medications are affordable for all who need them. Educational programs for self-management of asthma and national efforts to tackle asthma as a public health problem have produced remarkable benefits resulting in dramatic reductions in deaths and hospital admissions.

The upsurge in the prevalence of allergies is observed as societies become more affluent and urbanized. An increase in environmental risk factors like outdoor and indoor pollution like tobacco smoke combined with reduced biodiversity also contributes to this rise in prevalence. In many low-income and middle-income countries, including rural areas in India, people rely on solid fuel (wood, cow dung, or crop residues) that they burn in simple stoves or open fires for domestic energy. Secondhand smoke has become more common as parents become affluent enough to buy cigarettes. Together, these factors generate indoor air pollution that is estimated to be as much as five times as severe in poor countries as in rich ones. In rural Bangladesh, the prevalence of wheezing in rural children over a 12-month period was 16%The White Bookhighlights data from China that reports outdoor pollution as a cause of 300 000 deaths annually. Moreover, climate change, change in ambient temperatures, and changes in weather during pollen seasons can cause both biological and chemical changes to pollens and have direct adverse consequences on human health by inducing disease exacerbations especially in urban and polluted regions. Appropriate environmental control measures of risk factors like indoor tobacco smoke, outdoor pollution, and biomass fuel can have huge health benefits. There are also other complex, but measurable, associations between early life circumstances like maternal and childhood nutrition. Such evidences indicate early life opportunities for interventions targeted towards the prevention of allergies and asthma. (source Current Opinion in Allergy & Clinical Immunology: February 2012)

Immunology

Immunology is a branch of biomedical science that covers the study of all aspects of the immune system in all organisms.It deals with the physiological functioning of the immune system in states of both health and diseases; malfunctions of the immune system in immunological disorders (autoimmune diseases, hypersensitivities, immune deficiency, transplant rejection); the physical, chemical and physiological characteristics of the components of the immune system in vitro, in situ, and in vivo. Immunology has applications in several disciplines of science, and as such is further divided.

Classical immunology ties in with the fields of epidemiology and medicine. It studies the relationship between the body systems, pathogens, and immunity. The earliest written mention of immunity can be traced back to the plague of Athens in 430 BCE. Thucydides noted that people who had recovered from a previous bout of the disease could nurse the sick without contracting the illness a second time. Many other ancient societies have references to this phenomenon, but it was not until the 19th and 20th centuries before the concept developed into scientific theory.

The study of the molecular and cellular components that comprise the immune system, including their function and interaction, is the central science of immunology. The immune system has been divided into a more primitive innate immune system, and acquired or adaptive immune system of vertebrates, the latter of which is further divided into humoral and cellular components.

The humoral (antibody) response is defined as the interaction between antibodies and antigens. Antibodies are specific proteins released from a certain class of immune cells (B lymphocytes). Antigens are defined as anything that elicits generation of antibodies, hence they are Antibody Generators. Immunology itself rests on an understanding of the properties of these two biological entities. However, equally important is the cellular response, which can not only kill infected cells in its own right, but is also crucial in controlling the antibody response. Put simply, both systems are highly interdependent.

In the 21st century, immunology has broadened its horizons with much research being performed in the more specialized niches of immunology. This includes the immunological function of cells, organs and systems not normally associated with the immune system, as well as the function of the immune system outside classical models of immunity

Clinical immunology

Clinical immunology is the study of diseases caused by disorders of the immune system (failure, aberrant action, and malignant growth of the cellular elements of the system). It also involves diseases of other systems, where immune reactions play a part in the pathology and clinical features.

The diseases caused by disorders of the immune system fall into two broad categories: immunodeficiency, in which parts of the immune system fail to provide an adequate response (examples include chronic granulomatous disease), and autoimmunity, in which the immune system attacks its own host’s body (examples include systemic lupus erythematosus, rheumatoid arthritis, Hashimoto’s disease and myasthenia gravis). Other immune system disorders include different hypersensitivities, in which the system responds inappropriately to harmless compounds (asthma and other allergies) or responds too intensely.

Special Articles Children Allergy and Immunology

by Dr Widodo Judarwanto SpA (Pediatrician)

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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

Prahara Besar Epidemi Alergi Melanda Eropa Tahun 2015

Prahara Besar Epidemi Alergi Melanda Eropa Tahun 2015

Setengah dari penduduk Eropa mungkin menderita beberapa jenis alergi pada tahun 2015. Jika epidemi benar-benar meningkat, maka jutaan anak-anak kehilangan waktu sekolah dan dirawat di rumah sakit, Fenomena tersebut tak pelak lagi nantinya juga akan melanda seluruh belahan dunia termasuk Indonesia

Ramalan sebuah proyek penelitian terbesar yang pernah menjadi penyebab alergi dan asma akan segera diluncurkan di Eropa. Para ilmuwan dari berbagai negara akan mengkoordinasikan upaya mereka dalam upaya untuk mencari tahu mengapa persentasenya melonjak dan mengapa anak-anak di Inggris memiliki tingkat tertinggi ketiga asma di dunia.

Kenaikan tak terhindarkan dalam alergi menyebabkan keprihatinan serius. Pada tahun 2015, peneliti memprediksi bahwa setengah dari kita akan memiliki alergi yang dalam beberapa kasus, seperti sengatan lebah atau tawon, akan berakibat fatal dan orang lain serius akan membahayakan kualitas hidup kita.

Lebih dari sepertiga orang dengan alergi tidak bisa pergi ke restoran atau harus menghindari pemicu seperti parfum, cairan pembersih dan hewan. Asma sendiri bertanggung jawab untuk hari kerja diperkirakan 9 milyar hilang setiap tahun di Uni Eropa.

Alergi pada anak yang paling mengkhawatirkan, dan bertanggung jawab atas meningkatnya jumlah menderita asma. Tiga puluh tahun lalu, sekitar sepertiga kasus asma dikatakan disebabkan oleh alergi. Sekarang 80%. Asma adalah alasan utama anak-anak bolos sekolah dan merupakan penyebab utama rawat inap anak di dunia.
Anak-anak Inggris terutama terpukul. Sebuah studi oleh Studi Internasional Asma dan Alergi in Childhood menemukan bahwa Inggris memiliki kasus asma remaja lebih banyak dari negara lain di Eropa, dengan 32,2% pada anak usia 13 – 14 tahun. Irlandia dengan 29,1%, diikuti oleh Malta dan Finlandia pada 16%.

Para ilmuwan berpikir mungkin sebagian gen kita bertanggung jawab. Hanya dua negara di dunia memiliki angka asma pada usia remaja yang lebih buruk remaja yaitu Australia dan Selandia Baru. Di negara Belgia hampir 50% anak yang alergi. Hal ini telah menjadi hampir lebih normal untuk menjadi alergi daripada tidak”. Di Inggris, sekitar 40% anak memiliki alergi.

Proyek, yang disebut Alergi Global dan Jaringan Asma Eropa, akan membawa bersama informasi yang terfragmentasi dan bukti alergi yang sudah ada dan membangun di atasnya. “Saya berharap bahwa setelah dua tahun kami sudah akan memiliki beberapa jawaban dan dalam lima tahun kita akan memiliki jawaban akhir,” katanya.
Fokus utama akan berada pada hipotesis bahwa kenaikan alergi dapat langsung dihubungkan dengan cara kita hidup, dalam bebas bakteri rumah makan semi steril makanan. Anak-anak terkena infeksi yang lebih dalam kehidupan awal kurang rentan terhadap alergi dan anak-anak yang dibesarkan di pertanian cenderung kurang daripada orang lain untuk mendapatkan demam, asma dan eksim.

Para ilmuwan di Universitas Southampton akan mengkoordinasikan penelitian tentang alergi makanan, yang akan mencakup penyelidikan apakah perubahan dalam diet dapat mencegah alergi berkembang.

Peneliti lain akan menyelidiki mengapa orang yang bekerja di kantor lebih rentan. Gender juga menjadi masalah – pada masa bayi, anak laki-laki lebih mungkin menderita asma dibandingkan anak perempuan, tapi tren yang sebaliknya oleh remaja. Polusi dari partikel diesel juga terlibat. “Masyarakat yang tinggal dalam jarak 50 meter dari jalan tol memiliki lebih banyak kesempatan untuk mengembangkan alergi,” kata Prof Van Cauwenberge.
Ia berharap pengobatan yang lebih baik dan tes diagnostik sederhana, terutama untuk alergi makanan pada anak, akan muncul selama proyek.

Epidemi alergi: yang menderita paling besar adalah
remaja berusia 13 sampai 14 di Eropa dilaporkan akan mengi dalam waktu 12-bulan

  • Inggris Raya: 32,2
  • Irlandia: 29,1
  • Malta: 16
  • Finlandia: 16
  • Jerman: 13,8
  • Prancis: 13,5
  • Swedia: 12,9
  • Belgia: 12
  • Austria: 11,6
  • Estonia: 10,8
  • Spanyol: 10,3
  • Portugal: 9,5
  • Uzbekistan: 9.2
  • Italia: 8,9
  • Latvia: 8,4
  • Polandia: 8.1
  • Federasi Rusia: 4,4
  • Yunani: 3,7
  • Georgia: 3,6
  • Rumania: 3
  • Albania: 2,6

Sumber: WHO

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ALLERGY ONLINE CLINIC FOR CHILDREN, TEEN AND ADULT Yudhasmara Foundation htpp://www.allergyclinic.wordpress.com/ htpp://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 – 97730777 http://growupclinic.com  http://www.facebook.com/GrowUpClinic Creating-hashtag-on-twitter@growupclinic WORKING TOGETHER SUPPORT TO THE HEALTH OF ALL BY CLINICAL, 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

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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 email : judarwanto@gmail.com curriculum vitaeCreating-hashtag-on-twitter: @WidoJudarwanto  www.facebook.com/widodo.judarwanto Mobile Phone O8567805533 PIN BB 25AF7035
We are guilty of many errors and many faults. But our worst crime is abandoning the children, neglecting the fountain of life.
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

Neonatal Autoimmune Diseases: Neonatal Lupus

Neonatal autoimmune diseases are distinctly rare. Most neonatal autoimmune diseases result from the transplacental transfer of maternal antibodies directed against fetal or neonatal antigens in various tissues. These results are consistent with a crude estimate based upon the 0.5 percent prevalence of anti-SSA/Ro antibodies in asymptomatic pregnant women and the rate of congenital heart block (1 in 15,000 to 1 in 22,000 live births)

Neonatal lupus erythematosus (NLE) is an autoimmune disease affecting the fetus as a result of transplacental transfer of anti-Ro autoantibodies. Neonatal lupus erythematosus (NLE) is an autoimmune disease characterized primarily by transient skin lesions and/or permanent congenital heart block. Other clinical findings include self-limited cytopenias, hematologic and hepatic abnormalities and liver disease. The syndrome results from the passive transfer of maternal anti-SSA, anti-SSB, or anti-U1RNP autoantibodies to the fetus across the placenta. The cutaneous manifestations are generally analogous to those of subacute cutaneous lupus erythematosus (SCLE) and consist of small, erythematous macules that progress to annular plaques with delicate scaling. The skin lesions usually resolve within the first 6 months of life as maternal autoantibodies are cleared from the infant’s circulation

Typically, it presents in the first few months of life with an annular form of subacute cutaneous lupus erythematosus. The most common clinical manifestations are cardiac, dermatologic, and hepatic. Some infants may also have hematologic abnormalities. The majority of infants with NLE exhibit isolated congenital heart block, cutaneous lesions analogous to those of adult subacute cutaneous lupus erythematosus, or both.

Neonatal lupus (NL) is a passively transferred autoimmune disease. It occurs in about 1 to 2 percent of babies born to mothers with autoimmune disease, primarily systemic lupus erythematosus (SLE) and Sjogren’s syndrome, and antibodies to SSA/Ro and/or SSB/La. However, many cases occur in children of mothers who have the same autoantibodies, but who do not have symptoms of lupus or other autoimmune disease at the time of the baby’s birth. About half of these mothers go on to develop autoimmune disease (more commonly Sjogren syndrome than SLE). The most serious complication of NL is complete heart block (about 10 percent have an associated cardiomyopathy at the initial diagnosis or develop it later).

While autoantibodies have been detected in patients with neonatal autoimmune disease, the pathogenic role of autoantibodies has not been well defined. Other mechanisms may play a role in the development of neonatal autoimmunity, including fetal/maternal microchimerism and aberrant apoptosis of fetal cells.

The pathophysiologic basis for the development of neonatal autoimmunity is not entirely clear, but differences in the neonatal immune system compared with the adult immune system, as well as unique characteristics of target antigens in the newborn period may be important factors.

Neonatal lupus (NL) is presumed to result from transplacental passage of maternal anti-SSA/Ro and/or anti-SSB/La antibodies. Ro and La molecules are thought to form a single particle that is present in all cells. The precise mechanism of injury to specific tissues, such as the skin and heart, is not known. The pathogenesis of disease probably involves more than simple transplacental passage of antibodies, since the disease is rare, even in mothers who have these antibodies, and there can be discordance of disease even in monozygotic twins [4,5]. Anti-Ro/SSA and anti-La/SSB antibodies are associated with a variety of clinical syndromes in adults. (See “Clinical significance of anti-Ro/SSA and anti-La/SSB antibodies”.)

Autoantibodies — Several studies have established the association between anti-SSA/Ro and anti-SSB/La antibodies and NL by prospectively monitoring offspring of women with anti-Ro/SSA and anti-La/SSB antibodies as follows:

In a report of 100 women with anti-Ro/SSA antibodies and an autoimmune disease who were prospectively monitored, beginning prior to conception, only two of the mothers had pregnancies that were complicated by congenital complete heart block (detected by fetal echocardiography at 20 and 22 weeks) [6]. The incidence of complete heart block was 2 percent (95% CI 0.5-7 percent) in first-observed pregnancies, 1.8 percent of live births, and 1.7 percent of all pregnancies.

A similar risk was noted in two other reports. In one series of 124 pregnancies in 112 women with anti-Ro/SSA antibodies, with or without anti-La/SSB antibodies, the risk was 1.6 percent. In another series of women with anti-SSA/Ro, 1 of 99 first-observed pregnancies was complicated by complete heart block. In another prospective study of 98 anti-SSA/Ro exposed pregnancies, three offspring had first degree block, three had third degree block, and four had cutaneous neonatal lupus .

Neonatal autoimmune diseases involving the interaction between maternal antibodies and fetal/neonatal antigens include neonatal lupus, neonatal anti-phospholipid syndrome, Behcet’s disease, neonatal autoimmune thyroid disease, neonatal polymyositis and dermatomyositis, neonatal scleroderma and neonatal type I diabetes mellitus.

The autoinflammatory syndromes include :

1. The cryopyrin associated periodic syndromes (CAPS)
2, Familial cold autoinflammatory syndrome (FCAS)
3. Neonatal onset multisystem inflammatory disease (NOMID)
4. Muckle-Wells syndrome, which all share a common pathophysiologic mechanism.

Neonatal lupus

In neonatal lupus, the heart seems to be particularly susceptible. Primary autoimmunity in newborns, with the exception of familial autoinflammatory diseases, is virtually non-existent. Neonatal lupus is the most common presentation of autoimmunity in the newborn. But the characteristics defining neonatal lupus are not well defined and the presentation of neonatal lupus differs from that of classical lupus.

Unusual Manifestation

There is an unusual case of NLE presenting at birth with scaly erythematous telangiectatic patches and macules with skin atrophy involving the face, head, and upper trunk. Thrombocytopenia was discovered on laboratory investigations. Histopathology of skin biopsy was consistent with subacute cutaneous lupus. The mother was clinically free of disease and had no family history of autoimmune disease. Serology (extra-nuclear antigens) was positive in both the baby and the mother.

Other caseof NLE in a 3-month-old male infant, born to a clinically asymptomatic mother, presenting small, annular, erythematous plaques with sharp, hyperkeratotic borders and central clearing localized at the eyebrow region. Both the infant and the mother were positive for anti-Ro(SS-A).

A case of neonatal lupus erythematosus (NLE) in a black infant presenting with symmetrical depigmented macules on the face resembling vitiligo. NLE is a rare condition affecting newborn infants of mothers who have connective tissue disease, with or without autoantibodies to extractable nuclear antigens Ro (SS-A), La (SS-B) or ribonucleoproteins. Infants present with cutaneous lesions or congenital heart block or both. The skin lesions are usually annular and erythematous and transient and resemble those of subacute cutaneous lupus erythematosus. The presentation of this patient was therefore striking.

Another patient with cutaneous NLE with hepatic and hematologic manifestations. The clinical presentation was atypical, with splenomegaly and petechiae at birth followed by a crusting, papulosquamous skin eruption of the scalp and face mimicking Langerhans cell histiocytosis (LCH).

Wang repeort a male neonate, born to a mother with Sjögren’s syndrome, who experienced cutaneous lupus lesions and 2 episodes of pancytopenia. Both anti-Ro and anti-La antibodies were positive in infant and mother.

Sahlan report a 5-day-old male neonate, born to a clinically asymptomatic mother, presenting with conjugated hyperbilirubinemia, cutaneous lupus lesions, congenital heart block, and thrombocytopenia. Both the neonate and his mother had high titers of antinuclear antibodies (1:640), anti-Ro (SSA), and anti-La (SSB) antibodies. The thrombocytopenia improved with prednisolone (2 mg/kg/day) for 14 days. The skin lupus rashes and bilirubin resolved 2 months later, and liver enzymes were completely normal by 6 months.

References:

  • Chang C. Neonatal autoimmune diseases: A critical review. J Autoimmun. 2012 May;38(2-3):J223-38.
  • Brucato A, Cimaz R, Caporali R, et al. Pregnancy outcomes in patients with autoimmune diseases and anti-Ro/SSA antibodies. Clin Rev Allergy Immunol 2011; 40:27.
  • Buyon JP. Updates on lupus and pregnancy. Bull NYU Hosp Jt Dis 2009; 67:271.
  • Rivera TL, Izmirly PM, Birnbaum BK, et al. Disease progression in mothers of children enrolled in the Research Registry for Neonatal Lupus. Ann Rheum Dis 2009; 68:828.
  • Wang LJ, et al. Neonatal lupus erythematosus with recurrent pancytopenia: a case report. J Microbiol Immunol Infect. 2002 Dec;35(4):262-4.

 

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Current Allergy Immunology by Widodo Judarwanto

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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 www.allergyclinic.me

CHILDREN ALLERGY ONLINE CLINIC

Yudhasmara Foundation  www.allergyclinic.me

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

World Allergy Week 2012, Children Allergy Clinic Online

FOOD ALLERGY AWARE

CHILDREN ALLERGY CLINIC ONLINE
WORKING TOGETHER AGAINST ALLERGY

Assessing the incidence of food allergies is easier said than done. Societal and scientific definitions differ, and diagnosis can be problematic. Without firm figures on the number of people affected, it is difficult to track the changes in prevalence over time, and to trace the underlying causes of food allergy. In this era of globalization, it is not only populations that migrate but also foods, as people adopt foreign diets and import exotic products

The  prevalence of food allergies varies by country and by food. Many studies have  been completed over the past few years in an attempt to determine how many  children, in particular, have food allergies. According to the Center for  Disease Control (CDC) in 2007, approximately 3 million children under age 18  (3.9% of the population or almost 4 out of every 100) were reported to have a  food or digestive allergy in the previous 12 months. From 1997 to 2007, the prevalence  of reported food allergy increase 18% among children under age 18. Children  with food allergy are two to four times more likely to have other related  conditions such as asthma and other allergies, compared with children without  food allergies.

Further  statistics from the CDC show that in 2007, 29% of children with food allergy  also had reported asthma compared with 12% of children without food allergy.  And approximately 27% of children with food allergy had reported eczema or skin  allergy, compared with 8% of children without food allergy.

In The World Allergy Week 2012, will be hard pressed to  remember any child in our elementary school who had food allergies. We must remember  the occasional child having asthma, but food allergies were unheard of 30+ years  ago.

Today, you’d be hard pressed to find someone who didn’t know  a child who suffers from food allergies. Almost every preschool has dealt with  a food allergic child! And as children age, high schools and colleges are  becoming more aware also.

The Asthma & Allergy Foundation of America (AAFA) states  that asthma and allergies affect 1 out of 4 Americans, or 60 million people.  Further, they report that allergies have a genetic component. If only one  parent has allergies of any type, chances are 1 in 3 that each child will have  an allergy. If both parents have allergies, the chances increase to 7 in 10  that their children will have allergies. There is a 7 percent risk,  or about ten times higher risk than normal, for developing a peanut allergy if  one sibling has a peanut allergy.”

Research reported in the April 1999 JACI (Journal of Allergy  & Clinical Immunology) estimated that 1% of the population, or close to 3  million Americans, is allergic to peanuts or tree nuts. The JACI is the  peer-reviewed scientific journal of the American Academy of Allergy, Asthma and  Immunology (AAAAI). The prevalence of peanut allergies has doubled in the 5  years from 1997 to 2002 according to research reported in the December 2003  JACI, and researchers don’t really know why.

There is the thought that roasting peanuts, as we do in the  USA makes them more highly allergenic versus boiling them as China does.  There’s also the possibility that pregnant and nursing women who eat peanuts  are passing the proteins on to their infants which increases the likelihood of  the child developing a peanut allergy. Lastly, there is the supposition that  our too clean houses don’t challenge our immune systems to fight off parasites,  and instead they turn on themselves viewing a food protein as the enemy.
According to the Allergy & Asthma Foundation of America, milk is one of the  most common food allergens in children. Studies in several countries around the  world show a prevalence of milk allergy in children in the first year of life  of around 2% to 5%.

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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

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

Current Allergy Immunology by Widodo Judarwanto

The prevalence of allergic diseases and asthma is increasing worldwide, particularly in low and middle-income countries. Moreover, the complexity and severity of allergic diseases, including asthma, continue to increase especially in children and young adults, who are bearing the greatest burden of these trends. In order to address this major global challenge that threatens health and economies alike, it is important to have a global action plan that includes partnerships involving different stakeholders from low-income, middle-income, and high-income countries. Immunology is a branch of biomedical science that covers the study of all aspects of the immune system in all organisms.It deals with the physiological functioning of the immune system in states of both health and diseases; malfunctions of the immune system in immunological disorders (autoimmune diseases, hypersensitivities, immune deficiency, transplant rejection); the physical, chemical and physiological characteristics of the components of the immune system in vitro, in situ, and in vivo. Immunology has applications in several disciplines of science, and as such is further divided

Special Articles Children Allergy and Immunology

by Dr Widodo Judarwanto SpA (Pediatrician)

INDONESIA

ALERGI PADA BAYI

PERMASALAHAN ALERGI PADA ANAK

FOR PROFESSIONAL

MEDIKAMENTOSA ALERGI

CLINICAL IMMUNOLOGY

BASIC IMMUNOLOGY

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The Future Concept and New Insight

PARENTING FOOD ALLERGY AND ASSOCIATED DISEASES

KUMPULAN ARTIKEL PENTING TENTANG ALERGI MAKANAN

Allergy Immunology Care

Allergic diseases include life-threatening anaphylaxis, food allergies, certain forms of asthma, rhinitis, conjunctivitis, angioedema, urticaria, eczema, eosinophilic disorders, including eosinophilic esophagitis, and drug and insect allergies. Globally, 300 million people suffer from asthma and about 200–250 million people suffer from food allergies. One-tenth of the population suffers from drug allergies and 400 million from rhinitis. Moreover, allergic diseases commonly occur together in the same individual, one disease with the other. This requires an integrated approach to diagnosis and treatment and greater awareness of the underlying causes among family physicians, patients as well as specialists.

A recent report from the World Allergy Organization, the WAO White Book on Allergy, summarizes the burden of allergic diseases worldwide, the risk factors, impact on quality of life of patients, morbidity, mortality, their socio-economic consequences, recommended treatment strategies, future therapies, and the cost–benefit analyses of care services. For instance, asthma prevalence is rising in several high as well as low-income and middle-income countries, and the prevalence and impact of allergic diseases continue to grow. According to the World Health Organization, the number of patients having asthma is 300 million and with the rising trends it is expected to increase to 400 million by 2025. Patients with asthma and allergic diseases have a reduced quality of life. According to the World Health Organization, asthma causes 250 000 deaths annually. Moreover, asthma in infancy often goes unrecognized and thus untreated. In the United States, 23 million people including 7 million children suffer from asthma and the prevalence is increasing. The economic costs of asthma are high both in terms of direct and indirect costs, especially in severe or uncontrolled asthma. In the United States, pediatric asthma results in 14 million missed days of school each year, which in turn result in lost workdays – and lost wages – for caregivers. As asthma continues to affect more children in lower-income countries, this will lead to long-term consequences for their education and perpetuation of their poverty. The ways to control indoor and outdoor air pollution, to train healthcare professionals to diagnose and treat asthma in children, and to ensure that asthma medications are affordable for all who need them. Educational programs for self-management of asthma and national efforts to tackle asthma as a public health problem have produced remarkable benefits resulting in dramatic reductions in deaths and hospital admissions.

The upsurge in the prevalence of allergies is observed as societies become more affluent and urbanized. An increase in environmental risk factors like outdoor and indoor pollution like tobacco smoke combined with reduced biodiversity also contributes to this rise in prevalence. In many low-income and middle-income countries, including rural areas in India, people rely on solid fuel (wood, cow dung, or crop residues) that they burn in simple stoves or open fires for domestic energy. Secondhand smoke has become more common as parents become affluent enough to buy cigarettes. Together, these factors generate indoor air pollution that is estimated to be as much as five times as severe in poor countries as in rich ones. In rural Bangladesh, the prevalence of wheezing in rural children over a 12-month period was 16%The White Bookhighlights data from China that reports outdoor pollution as a cause of 300 000 deaths annually. Moreover, climate change, change in ambient temperatures, and changes in weather during pollen seasons can cause both biological and chemical changes to pollens and have direct adverse consequences on human health by inducing disease exacerbations especially in urban and polluted regions. Appropriate environmental control measures of risk factors like indoor tobacco smoke, outdoor pollution, and biomass fuel can have huge health benefits. There are also other complex, but measurable, associations between early life circumstances like maternal and childhood nutrition. Such evidences indicate early life opportunities for interventions targeted towards the prevention of allergies and asthma. (source Current Opinion in Allergy & Clinical Immunology: February 2012)

Immunology

Immunology is a branch of biomedical science that covers the study of all aspects of the immune system in all organisms.It deals with the physiological functioning of the immune system in states of both health and diseases; malfunctions of the immune system in immunological disorders (autoimmune diseases, hypersensitivities, immune deficiency, transplant rejection); the physical, chemical and physiological characteristics of the components of the immune system in vitro, in situ, and in vivo. Immunology has applications in several disciplines of science, and as such is further divided.

Classical immunology ties in with the fields of epidemiology and medicine. It studies the relationship between the body systems, pathogens, and immunity. The earliest written mention of immunity can be traced back to the plague of Athens in 430 BCE. Thucydides noted that people who had recovered from a previous bout of the disease could nurse the sick without contracting the illness a second time. Many other ancient societies have references to this phenomenon, but it was not until the 19th and 20th centuries before the concept developed into scientific theory.

The study of the molecular and cellular components that comprise the immune system, including their function and interaction, is the central science of immunology. The immune system has been divided into a more primitive innate immune system, and acquired or adaptive immune system of vertebrates, the latter of which is further divided into humoral and cellular components.

The humoral (antibody) response is defined as the interaction between antibodies and antigens. Antibodies are specific proteins released from a certain class of immune cells (B lymphocytes). Antigens are defined as anything that elicits generation of antibodies, hence they are Antibody Generators. Immunology itself rests on an understanding of the properties of these two biological entities. However, equally important is the cellular response, which can not only kill infected cells in its own right, but is also crucial in controlling the antibody response. Put simply, both systems are highly interdependent.

In the 21st century, immunology has broadened its horizons with much research being performed in the more specialized niches of immunology. This includes the immunological function of cells, organs and systems not normally associated with the immune system, as well as the function of the immune system outside classical models of immunity

Clinical immunology

Clinical immunology is the study of diseases caused by disorders of the immune system (failure, aberrant action, and malignant growth of the cellular elements of the system). It also involves diseases of other systems, where immune reactions play a part in the pathology and clinical features.

The diseases caused by disorders of the immune system fall into two broad categories: immunodeficiency, in which parts of the immune system fail to provide an adequate response (examples include chronic granulomatous disease), and autoimmunity, in which the immune system attacks its own host’s body (examples include systemic lupus erythematosus, rheumatoid arthritis, Hashimoto’s disease and myasthenia gravis). Other immune system disorders include different hypersensitivities, in which the system responds inappropriately to harmless compounds (asthma and other allergies) or responds too intensely.

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.

Jangan Remehkan Alergi Pada Bayi. Alergi pada bayi adalah awal perjalanan panjang gangguan alergi di masa depan

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ARTIKEL TEREKOMENDASI:

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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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 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 ***
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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

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

Adverse immune responses to foods affect approximately 5% of young children and 3% to 4% of adults in westernized countries and appear to have increased in prevalence. Food-induced allergic reactions are responsible for a variety of symptoms and disorders involving the skin and gastrointestinal and respiratory tracts and can be attributed to IgE-mediated and non–IgE-mediated (cellular) mechanisms. Genetic disposition and environmental factors might abrogate oral tolerance, leading to food allergy.

The term food allergy is used to describe an adverse immune response to foods. Considering allergy to milk, egg, peanut, and seafood in a meta-analysis of 51 studies, self-reported allergy ranged from 3% to 35%, whereas estimates from 6 studies using oral food challenges (OFCs) estimated rates of 1% to 10.8%.  In a meta-analysis including 36 population-based studies focusing on allergy to fruits and vegetables (excluding peanut), only 6 included OFCs, and estimates of allergy varied widely from 0.1% to 4.3% for fruits and tree nuts to 0.1% to 1.4% for vegetables and less than 1% for wheat, soy, and sesame. Although an allergy could be triggered by virtually any food, “major allergens” responsible for most significant reactions include milk, egg, peanut, tree nuts, shellfish, fish, wheat, and soy. Allergy to additives and preservatives is generally uncommon.

Food allergy rates vary by age, local diet, and many other factors. Studies in the United Kingdom and North America focusing on peanut indicate that prevalence rates in children have increased, essentially doubling, and exceed 1% in school-aged children. A 2008 Centers for Disease Control and Prevention report indicated an 18% increase in childhood food allergy from 1997 to 2007, with an estimated 3.9% of children currently affected. Extrapolation from US studies indicates approximately 125,000 emergency department visits and 53,700 episodes of anaphylaxis from foods each year. Fatalities are primarily reported from allergic reactions to peanuts and tree nuts, appear to be associated with delayed treatment with epinephrine, and occur more often in teenagers and young adults with asthma and a previously diagnosed food allergy. The determination of accurate food allergy prevalence rates is hampered by the lack of studies applying reliable diagnostic methodologies, such as supervised OFCs, to large unselected populations

Update References : Food Allergy, Plant food allergies, Food Intolerance and Anaphylaxis

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  2. Zuidmeer L, Goldhahn K, Rona RJ, Gislason D, Madsen C, Summers C, et al. The prevalence of plant food allergies: a systematic review. J Allergy Clin Immunol. 2008;121:1210–1218
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  32. Osterballe M, Hansen TK, Mortz CG, Host A, Bindslev-Jensen C. The prevalence of food hypersensitivity in an unselected population of children and adults. Pediatr Allergy Immunol. 2005;16:567–573
  33. Roehr CC, Edenharter G, Reimann S, Ehlers I, Worm M, Zuberbier T, et al. Food allergy and non-allergic food hypersensitivity in children and adolescents. Clin Exp Allergy. 2004;34:1534–1541
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  41. Rona RJ, Keil T, Summers C, Gislason D, Zuidmeer L, Sodergren E, et al. The prevalence of food allergy: a meta-analysis. J Allergy Clin Immunol. 2007;120:638–646
  42. Pierkes M, Bellinghausen I, Hultsch T, Metz G, Knop J, Saloga J. Decreased release of histamine and sulfidoleukotrienes by human peripheral blood leukocytes after wasp venom immunotherapy is partially due to induction of IL-10 and IFN-gamma production of T cells. J Allergy Clin Immunol. 1999;103:326–332. [PubMed]
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Prevalence rates food allergy in children and adult

Food allergy rates vary by age, local diet, and many other factors. Studies in the United Kingdom and North America focusing on peanut indicate that prevalence rates in children have increased, essentially doubling, and exceed 1% in school-aged children.  A 2008 Centers for Disease Control and Prevention report indicated an 18% increase in childhood food allergy from 1997 to 2007, with an estimated 3.9% of children currently affected. Extrapolation from US studies indicates approximately 125,000 emergency department visits and 53,700 episodes of anaphylaxis  from foods each year. Fatalities are primarily reported from allergic reactions to peanuts and tree nuts, appear to be associated with delayed treatment with epinephrine, and occur more often in teenagers and young adults with asthma and a previously diagnosed food allergy. The determination of accurate food allergy prevalence rates is hampered by the lack of studies applying reliable diagnostic methodologies, such as supervised OFCs, to large unselected populations.

  Prevalence rates food allergy in children and adult

Prevalence Infant/child Adult
Milk 2.5% 0.3%
Egg 1.5% 0.2%
Peanut 1% 0.6%
Tree nuts 0.5% 0.6%
Fish 0.1% 0.4%
Shellfish 0.1% 2%
Wheat, soy 0.4% 0.3%
Sesame 0.1% 0.1%
Overall 5% 3% to 4%

source : Scott H. Sicherer, MD , Hugh A. Sampson, MD. Food allergy. The Journal of Allergy and Clinical Immunology Volume 125, Issue 2, Supplement 2 , Pages S116-S125, February 2010.

 

 

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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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Prevalence of Food Hypersensitivity And Food Allergy

About one fourth of American households alter their dietary habits because at least one member of the family is perceived to have food allergies.9 True food allergy is much less frequent and more prevalent in young children and individuals with atopic disease. In a prospective study of 480 consecutive newborns followed through their third birthday, 28% were reported to have experienced adverse food reactions, most during the first year of life.10 About one fourth of the reactions reported (or 8% of the cohort) could be confirmed by oral food challenge. Prospective studies from several countries indicate that about 2.5% of newborn infants experience hypersensitivity reactions to cow’s milk in the first year of life. IgE-mediated reactions account for about 60% of milk-induced allergic disorders. Although most infants with non-IgE-mediated cow’s milk allergy “outgrow” their sensitivity by the third year of life,11 15% of infants with IgE-mediated cow’s milk allergy retain their sensitivity into the second decade, and 35% have allergic reactions to other foods. Hypersensitivity reactions to egg occur in about 1.3% of young children (based on data from Nickel et al15) and to peanut in 0.5% of children in the UK16 and US. Children with atopic disorders tend to have a higher prevalence of food allergy. About 35% of children with moderate-to-severe atopic dermatitis have skin symptoms provoked by food hypersensitivity, and about 6% of asthmatic children attending a general pulmonary clinic will have food-induced wheezing. Adverse reactions to food additives have been demonstrated in children and affect less than 1% of children.

The prevalence of food hypersensitivity in adults is reportedly less common. However, a recent national survey in the US suggested that peanut and tree nut allergy together affect 1.3% of adultsSurveys from the United Kingdom indicated that 1.4% to 1.8% of adults experience adverse food reactions, and 0.01% to 0.23% of adults are affected by adverse reactions to food additives. Similarly, a study in the Netherlands concluded that about 2% of the adult Dutch population are affected by adverse food reactions. Given the estimated frequency of shellfish allergy (approximately 0.5%24) and sensitivities to a variety of other foods, it is likely that about 2% of the adult population in the US is affected by food allergies.