The estimated prevalence of food allergy amongst children in the west is around 6-8% but there is paucity of data in the Indian population. There is a complex interplay of environmental influences and genetic factors in the immuno-pathogenesis and manifestations of food allergy. A reliable thorough clinical history, combined with positive skin prick tests or food-specific IgE, is essential for a more precise diagnosis of food allergy. Currently there is no cure for food allergy. The management of food allergy usually includes strict avoidance, patient education and provision of emergency medication (adrenaline-autoinjectors). Emerging therapies based on evolving research are focused on a more active approach to management which includes early introduction of potentially allergenic foods, anticipatory testing and desensitisation to food allergens. Lack of food labelling policy and non availability of adrenaline auto-injectors is a huge limiting factor for effective management of food allergy among children in India. The present review focuses on IgE mediated food allergy.
Expectant management was a reasonable option for almost half of the babies, but over one third required surgery for CCAM, most becoming symptomatic in infancy. In view of the uncertainty that surrounds decisions regarding expectant or pre-emptive resection in asymptomatic infants, the authors advocate having an open and honest discussion when counselling parents (particularly antenatally) regarding surveillance or expectant management as a reasonable strategy.
Dengue encephalitis is extremely rare, with most patients showing no significant abnormality on neuroimaging (CT/MRI). We report one of the very few documented cases of dengue encephalitis, with abnormal signal intensities on all major sequences on brain MRI.
ABSTRACT:As there are only limited studies on the knowledge and perception about epilepsy, we undertook this study among school teachers with a pilot tested questainnaire 36% had no knowledge and just over half of them (56%) believed that epilepsy can be cured while 40% of them felt that children suffering from epilepsy could be allowed to play without supervision of a responsible adult. A little over a quarter of them still believed in placing a key in the child's palm when having a seizure. Most (82.5%) of the teachers have not yet performed a first aid management for a child having a seizure. A focused health education programme, including workshops for teachers which will not only sensitise them but also change their perspective towards children with epilepsy is the need of the hour.
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