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1. Proceedings of the 2017 WAO Symposium on Hot Topics in Allergy: Pediatric & Regulatory Aspects

Author

Giovanni Traina, Rocco Luigi Valluzzi, Vincenzo Fierro, Carla Riccardi, Maria Cristina Artesani, Andrea De Vuono, Alessandro Fiocchi, Alberto G. Martelli, Luis Alberto Ríos, Christian R. Alcocer, Elsy Navarrete, Blanca Estela Del Rio Navarro, Victor Gonzalez, Berenice Velasco, Herberth J. Perez Aviles, Roberto Jose Fernandez, F. Cesar Pozo, Abdal Jabbar Farhan, Hasan Arshad, Ahmed Hussain, Olena Sharikadze, Olena Okhotnikova, Javier Alcover, Diego Rodriguez, Fernando Pineda, Ilan Dalal, Jenny Weinbrand-Goichberg, Shira Benor, Menachem Rottem, Shmuel Kivity, Sakura Sato, Noriyuki Yanagida, Motohiro Ebisawa, Tetiana Umanets, Youriy Antipkin, Vladyslava Barzylovich, Volodymyr Lapshyn, Mykola Umanets, Sergey Yuriev, Suzan Bekir, Tobias Pincock, Alberto Vieira Hernandez, Arnaldo Capriles Hulett, Mario Sánchez Borges, Fabiola Fabiano, Carlos Albarran, Rohit Goyal, Shilpa Gupta, Garg Gaurav, Allan T. Luskin, Noelle M. Griffin, Amy Wagelie-Steffen, Benjamin L. Trzaskoma, Susan L. Limb, William W. Busse, Robert S. Zeiger, Erika Gonzalez-Reyes, Thomas B. Casale, Bradley E. Chipps, Chizuko Sugizaki, Fumiko Goto, Akiko Yamaide, Kanako Mitsunaga, Minako Tomiita, Akira Hoshioka, Naoki Shimojo, Liviu L. Pop, Ioana-Mihaela Ciucǎ, Liviu Tǎmaş, Marilena Lazarescu, Corina Pienar, Fumiya Yamaide, Bahrul Fikri, Hironori Sato, Naoko Okishima, Miyabi Kobayashi, Mizuki Takai, Kotarou Nishigata, Ryou Yoda, Yu-ta Oana, Chifu Kajiwara, Moe Shimodaira, Tomoka Suzuki, Hiromi Iizawa, Koji Kamijo, Bijoya Karmakar, Swati Gupta Bhattacharya, Simona Blohlávková, Eliška Kopelentová, Petr Víšek, Jakub Štádler, Ivana Šetinová, Jana Novobílská, Krisa Lundelin, Seppo Salminen, Erika Isolauri, Tracy Pitt, Tamar Flanders, Marcos Peñalver, Patricia Martínez, Magdalena Lluch, Alfonso Malet, Young-Hee Nam, Hyun Jung Jin, Soo-Keol Lee, Prapasri Kulalert, Paskorn Sritipsukho, Jayanton Pathumanond, Krasimira Baynova, Marina Labella, Teresa De Aramburu, Manuel Prados, Leena Haanpää, Jasmin Aarnio, Merja Nermes, Piia af Ursin, Anne Kaljonen, Nandana Bala, Ketaki Bhagwat, James Hindley, Martin Chapman, Sivasankar Baalasubramanian, Lilijana Besednjak-Kocijančič, Koyel SenGupta, Evgeniya Antonova, Amanda M. Kong, Ahmar Iqbal, W. Gerald Teague, Benjamin Trzaskoma, Benjamin Ortiz, Brandee Paknis, Amar Iqbal, Karin Rosen, Stanley Szefler, Afaf Alblooshi, Suleiman Al-Hammadi, Arantza Vega, Raquel Gutiérrez-Rivas, Ana Maria Alonso, Juan Maria Beitia, Maria Belén Mateo, Remedios Cárdenas, Juan Jesús García-Domínguez, Raquel Pitchon dos Reis, Cristina Gonçalves Alvim, Claudia Andrade, Adriana Reis, Henrique Ribeiro, Carmen Panaitescu Bunu, Laura Marusciac, Sorin Paralescu, Paul Tamas, Carmen Panitescu Bunu, Enrique Martí Guadaño, Carolina Escobar Bolaños, Natalia Martí José, Pol Pau Casanovas, Gemma Biarnés Rib, Mariana Castells, Talía de Vicente Jiménez, Maurizio Mennini, Papola De Angelis, Francesca Rea, Monica Malamisura, Renato Tambucci, Luigi Dall’Oglio, Federica Del Chierico, Tania Napolitano, Silvia Reddel, Pamela Vernocchi, Angelo D’Ambrosio, Lorenza Putignani, Lamia Dahdah, Claudia Banzato, Luís Angel Echeverría Zudaire, Ana María Plaza, Montserrat Bosque García, Marcel Íbero, Oscar Mazzina, Valeria Marzano, Valeria Pecora, Pierluigi Koch, Valentina Pecora, Diletta Valentini, Francesca Santamaria, Rocco Valluzzi, Anwesha Mukherjee, Amit Kandhare, and Subhash Bodhankar

Subjects
Immunologic diseases. Allergy, RC581-607
Published
2017
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2. Case 2: A very pale three-year-old

Author

Tamar Flanders

Subjects
Pediatrics, medicine.medical_specialty, medicine.diagnostic_test, business.industry, Complete blood count, Physical examination, Emergency department, Rash, Pallor, Organomegaly, medicine.anatomical_structure, White blood cell, Pediatrics, Perinatology and Child Health, medicine, medicine.symptom, business, Mean corpuscular volume, Clinician’s Corner
Abstract

A three-year-old previously healthy girl was sent to the emergency department by her family physician with severe anemia. Ten days prior, she had been unwell with a fever, pallor and fatigue lasting three days. She had been seen by her family physician once during the episode and her parents were reassured that she had a viral illness. During the ensuing days, she remained afebrile but continued to be pale and tired. She was seen again on the day of presentation by her family physician, who sent her to the emergency department, where a complete blood count (CBC) revealed a hemoglobin of 45 g/L (normal 110 g/L to140 g/L). Review of symptoms was negative. Diet history revealed that she was a picky eater who did not drink excessive amounts of milk and she appeared to have a generally balanced diet. Physical examination revealed a pale, irritable but consolable girl with mild tachycardia but otherwise normal vital signs. She had no evidence of heart failure, lym-phadenopathy or organomegaly, and there was no rash, bruising, or petechiae. A repeat CBC confirmed the low hemoglobin of 44 g/L with a mean corpuscular volume (MCV) of 86 fL (normal 80 fL to 94 fL) and normal white blood cell and platelet counts. The reticulocyte count was 0.98% (28.7×109). The remainder of her bloodwork, including electrolytes, bilirubin, urate and lactate dehydrogenase was normal. She was admitted to hospital for observation and further investigations.

Published
2009

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