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Allergy diagnosis, allergy treatment, education, healthcare, learning methods, primary care, primary care pediatricians Keywords: allergy diagnosis; allergy treatment; education; healthcare; learning methods; primary care; primary care pediatricians EN allergy diagnosis allergy treatment education healthcare learning methods primary care primary care pediatricians 1 4 4 01/31/23 20230101 NES 230101 Pediatricians are often the first point of contact for children in primary care (PC). [Extracted from the article]

The aim of this survey was to explore the specific educational needs of a cohort of European GPs with regards to allergy training so that future educational initiatives may better support the delivery of allergy services in primary care. Method: This study took the form of a cross‐sectional observational study in which a structured electronic questionnaire was distributed to primary care providers, in eight languages, across 8 European countries between September 2019 and November 2019. Data associated with demographic parameters, professional qualifications, type of employment, level of confidence regarding competencies for diagnosis and treatment of allergic diseases, referral of patients to allergist and preferred method of learning and assessment were collected. A 5‐point Likert scale was used to assess level of confidence. Exploratory analysis was carried out. Results: A total of 687 responses were available for analysis, with 99.3% of responders working within Europe. 70.1% of participants were female; and 48.0% and 48.0% of participants respectively had received some undergraduate and/or postgraduate allergy education. Confidence in dealing with different aspect of allergy management differed between countries. The main reason for specialist referral was a perceived need for tertiary assessment (54.3%), and the main barrier for referral was the consideration that the patient's condition could be appropriately diagnosed and treated in a primary care facility. Up to 44.7% and 55.3% of participants reported that they preferred e‐Learning over traditional learning. Conclusions: This study identified the specific areas of skills training and educational needs of GPs in managing allergic conditions in primary care, and provided insights into possible strategies for more feasible and cost‐effective approaches. [ABSTRACT FROM AUTHOR]

IgE specific for D1, D2, Der p 1, Der p 2, Der p 10, and Der p 23 was measured by ImmunoCAP (Thermo-Fisher Scientific, Uppsala, Sweden). Mean D1 IgE level was strictly related to the number of recombinant allergens recognized (P < 0.0001) and to the level of IgE to Der p 1 (r = 0.791), Der p 2 (r = 0.83), and Der p 23 IgE (r = 0.66; P < 0.0001 in all three cases). Further, asthma severity was associated with Der p 23 IgE levels (P < 0.0001), which were 3.9 kU/L (SD 9.5), 5.9 kU/L (10.4), 11.0 (17.1), and 17.8 (20.3) in nonasthmatic patients, and patients with slight, moderate, or severe persistent asthma, respectively. [Extracted from the article]

Infection from Toxocara species may give rise to a large array of clinical symptoms, including apparent manifestations of allergy such as asthma, urticaria/angioedema, and dermatitis. We report a case, thus far not described, of contact dermatitis attributed to nickel allergy but caused by Toxocara infection. The patient was a 53-year-old woman presenting from 10 years a dermatitis affecting head, neck, and thorax. Patch tests initially performed gave a positive result to nickel, but avoidance of contact with nickel did not result in recovery. The patient referred to our Allergy Service in 2010 because of dermatitis to feet. Patch testing confirmed the positive result for nickel, but expanding the investigation a positive result for IgG antibodies to Toxocara was detected by Western blotting and ELISA. Treatment with mebendazole achieved immediate efficacy on feet dermatitis. Then, two courses of treatment with albendazole resulted in complete regression of dermatitis accompanied by development of negative ELISA and Western blotting for Toxocara antibodies. This report adds another misleading presentation of Toxocara infection as apparent contact dermatitis caused by nickel and suggests bearing in mind, in cases of contact dermatitis not responding to avoidance of the responsible hapten and to medical treatment, the possible causative role of Toxocara. [ABSTRACT FROM AUTHOR]