Aghayev E, Yen K, Sonnenschein M, Jackowski C, Thali M, Vock P, Dirnhofer  R.Pneumomediastinum and soft tissue emphysema of the neck in postmortem CT and MRI; a new vital sign in hanging? Forensic Sci Int. 2005 Oct 29;153(2-3):181-8.

Institute of Forensic Medicine, University of Bern, Buehlstrasse 20, 3012 Bern, Switzerland. emin.aghayev@irm.unibe.ch

Spontaneous pneumomediastinum commonly occurs in healthy young men or parturient women in whom an increased intra-alveolar pressure (Valsalva maneuver, asthma, cough, emesis) leads to the rupture of the marginal pulmonary alveoli. The air ascends along the bronchi to the mediastinum and the subcutaneous space of the neck, causing cervico-fascial subcutaneous emphysema in 70-90% of cases. Ninety-five forensic cases, including five cases of hanging, were examined using postmortem multi-slice computed tomography (MSCT) and magnetic resonance imaging (MRI) prior to autopsy until December 2003. This paper describes the findings of pneumomediastinum and cervical emphysema in three of five cases of hanging. The mechanism of its formation is discussed based on these results and a review of the literature. In conclusion, when putrefaction gas can be excluded the findings of pneumomediastinum  and cervical soft tissue emphysema serve as evidence of vitality of a hanged person. Postmortem cross-sectional imaging is considered a useful visualization tool for emphysema, with a great potential for examination and documentation.

Arora R, Gal TJ, Hagan LL. An unusual case of laryngomalacia presenting as asthma refractory to therapy. Ann Allergy Asthma Immunol. 2005 Dec;95(6):607-11.

Department of Allergy/Immunology, Wilford Hall Medical Center, Lackland AFB, Texas 78236-5300, USA. rajiv.arora@us.army.mil

BACKGROUND: Laryngomalacia is the most common cause of stridor in infants, but few reports exist of clinically relevant laryngomalacia in adults. OBJECTIVE: To present and discuss an unusual late presentation of laryngomalacia and its significance in the evaluation and management of asthma. METHODS: An 18-year-old woman presented to an academic medical center with symptoms of "wheezing" on inspiration and exertion, with relatively normal spirometric findings. She was clinically diagnosed as having asthma at the age of 13 years, but her symptoms were poorly controlled by maximal medical therapy. Further evaluation with rhinolaryngoscopy demonstrated laryngomalacia characterized by redundant soft tissue overlying the right arytenoid cartilage and aryepiglottic fold. RESULTS: The patient demonstrated positive bronchoprovocation, with a 33% decrease in forced expiratory volume in 1 second after the administration of histamine, 1 mg/mL. However, with the otolaryngology evaluation, it was determined that her laryngeal findings were clinically significant. She subsequently underwent operative laryngoscopy with carbon dioxide laser excision of the laryngeal abnormality, resulting in improvement in her symptoms and a marked decrease in her need for asthma medication. CONCLUSIONS: We report an unusual case of laryngomalacia presenting as asthma that was successfully treated with laser surgical excision. This case emphasizes the necessity of differentiating classic wheezing from stridor and upper airway obstruction.

Chu KA, Wu YC, Lin MH, Wang HC. Acupuncture resulting in immediate bronchodilating response in asthma patients. J Chin Med Assoc. 2005 Dec;68(12):591-4.

Division of Chest Medicine, Department of Internal Medicine, Kaohsiung Veterans General Hospital, 386, Ta-Chung 1st Road, Kaohsiung 813, Taiwan, ROC. kachu@vghks.gov.tw

There are some encouraging results in the English literature that show acupuncture resulting in an immediate improvement in pulmonary function, but there are also studies that have not demonstrated any benefit. We present 3 patients with persistent asthma who experienced immediate bronchodilatation after acupuncture without the use of any short-acting bronchodilator. After needle stimulation on selected acupoints, clinical symptoms such as dyspnea and wheezing improved. Pulmonary function test showed immediate improvement in forced expiratory volume in 1 second (FEV1), more than 20% as compared with baseline FEV1. Pulmonary function returned to baseline within 4 hours after acupuncture in 2 patients. From our observations of these 3 asthma patients, acupuncture may improve clinical dyspnea symptoms and performance on pulmonary function tests. Further large-scale controlled studies should be conducted to determine the effectiveness of acupuncture in the treatment of asthma.  

Goodnight WH, Soper DE. Pneumonia in pregnancy. Crit Care Med. 2005 Oct;33   (10 Suppl): S390-7.

Division of Maternal-Fetal Medicine, Medical University of South Carolina, Charleston, SC, USA.

OBJECTIVE: Historically, pneumonia during pregnancy has been associated with increased morbidity and mortality compared with nonpregnant women. The goal of this article is to review current literature describing pneumonia in pregnancy. This review will identify maternal risk factors, potential complications, and prenatal outcomes associated with pneumonia and describe the contemporary management of the varied causes of pneumonia in pregnancy. RESULTS: Coexisting maternal disease, including asthma and anemia, increase the risk of contracting pneumonia in pregnancy. Neonatal effects of pneumonia in pregnancy include low birth weight and increased risk of preterm birth, and serious maternal complications include respiratory failure. Community-acquired pneumonia is the most common form of pneumonia in pregnancy, with Streptococcus pneumoniae, Haemophilus influenzae, and Mycoplasma pneumoniae accounting for most identified bacterial organisms. Beta-lactam and macrolide antibiotics are considered safe in pregnancy and are effective for most community-acquired pneumonia in pregnancy. Viral respiratory infections, including varicella, influenza, and severe acute respiratory syndrome, can be associated with maternal pneumonia. Current antiviral and respiratory therapies can reduce maternal morbidity and mortality from viral pneumonia. Influenza vaccination can reduce the prevalence of respiratory hospitalizations among pregnant women during influenza season. Pneumocystis pneumonia continues to carry significant maternal risk to an immunocompromised population. Prevention and treatment of Pneumocystis pneumonia with trimethoprim / sulfamethoxazole is effective in reducing this risk. CONCLUSIONS: Prompt diagnosis and treatment with contemporary antimicrobial therapy and intensive care unit management of respiratory compromise has reduced the maternal morbidity and mortality due to pneumonia in pregnancy. Prevention with vaccination in at-risk populations may reduce the prevalence and severity of pneumonia in pregnant women.

Levin ME, Motala C, Lopata AL. Anaphylaxis in a milk-allergic child after ingestion of soy formula cross-contaminated with cow's milk protein. Pediatrics. 2005 Nov;116(5):1223-5.

Allergy Clinic, School of Child and Adolescent Health, Red Cross War Memorial Children's Hospital, Cape Town, South Africa. mlevin@ich.uct.ac.za

In this report we describe a 9-month-old boy with severe persistent asthma and documented cow's milk allergy (presented with eczema and severe systemic reactions) who had an anaphylactic reaction to a soy formula contaminated with cow's milk protein. Quantitative  enzyme-linked immunosorbent assay analysis revealed trace quantities of beta-lactoglobulin in the offending soy formula as well as the dry powder. The patient did not demonstrate clinical reactivity to soy protein (negative challenge, tolerated pure soy formula well). Cross-contamination of the offending soy formula was presumed to have occurred during food manufacturing. This case demonstrates that trace quantities of cow's milk protein can elicit severe systemic reactions in highly milk-allergic individuals. This infant ingested the equivalent of 0.4 mL of cow's milk from the soy formula as documented by an immunoassay for beta-lactoglobulin. This highlights the ease with which cross-contamination can occur during food processing and reinforces the need for better quality control.  

Meltzer DI. Complications of body piercing. Am Fam Physician. 2005 Nov 15;72(10):2029-34. Summary for patients in: Am Fam Physician. 2005 Nov 15;72(10):2035-6.

State University of New York at Stony Brook School of Medicine, Stony Brook, New York, USA. donna.meltzer@stonybrook.edu

The trend of body piercing at sites other than the earlobe has grown in popularity in the past decade. The tongue, lips, nose, eyebrows, nipples, navel, and genitals may be pierced. Complications of body piercing include local and systemic infections, poor cosmesis, and foreign body rejection. Swelling and tooth fracture are common problems after tongue piercing. Minor infections, allergic contact dermatitis, keloid formation, and traumatic tearing may occur after piercing of the earlobe. "High" ear piercing through the ear cartilage is associated with more serious infections and disfigurement. Fluoroquinolone antibiotics are advised for treatment of auricular perichondritis because of their antipseudomonal activity. Many complications from piercing are body-site-specific or related to the piercing technique used. Navel, nipple, and genital piercings often have prolonged healing times. Family physicians should be prepared to address complications of body piercing and provide accurate information to patients.  

Reid G, Kirjaivanen P. Taking probiotics during pregnancy. Are they useful therapy for mothers and  newborns?  Can Fam Physician. 2005 Nov;51:1477-9.

Canadian Research and Development Centre for Probiotics, Lawson Health Research Institute.

QUESTION: Recently, several of my pregnant patients have asked me about using probiotics during pregnancy. Is there any evidence that these innocuous bacteria work effectively? ANSWER: An increasing body of evidence suggests that probiotics are effective for treating bacterial vaginosis and allergic reactions. Most probiotics available in Canada, however, are of dubious quality, and, for many claimed indications, there is no proof of effectiveness yet.  

Restrepo RD, Pettignano R, DeMeuse P. Halothane, an effective infrequently used drug, in the treatment of pediatric status asthmaticus: a case report. J Asthma. 2005 Oct;42(8):649-51.

Department of Cardiopulmonary Care Sciences, Georgia State University, and Division of Critical Care, Hughes Spalding Children's Hospital, Atlanta, Georgia, USA. restrepor@uthscsa.edu

Asthma is the most common chronic disease of childhood. Despite a better understanding of the disease process and its management, status asthmaticus continues to be a life-threatening event. The use of volatile inhaled anesthetics is infrequently reported as adjunctive therapy to conventional treatment of this condition. We report the use of halothane in a mechanically ventilated pediatric patient with life-threatening status asthmaticus who was admitted to the pediatric intensive care unit (PICU) after failing to respond to standard medical therapy and noninvasive positive pressure ventilation. A 12-year-old African American male was seen in the emergency department and treated with intravenous corticosteroids, beta-agonist therapy. He deteriorated rapidly and required endotracheal intubation and mechanical ventilation. Two hours later, the patient developed an acute, severe respiratory acidosis (pH=6.97, PaCO2=171, PaO2=162, BE=1.7). Halothane was started at 2% by using the Siemens Servo 900C anesthesia ventilator. Improvement in both arterial blood gases and exhaled tidal volume were noted 30 minutes after initiation of the anesthetic gas. The patient remained on halothane for a total of 36 hours. No adverse effects associated with the use of halothane were noted. The patient was extubated to BiPAP 16/6, FiO2=0.30 at 68 hours and was discharged home 5 days later.  

Vegunta RK, Raso M, Pollock J, Misra S, Wallace LJ, Torres A Jr, Pearl RH. Biliary dyskinesia: the most common indication for cholecystectomy in children. Surgery. 2005 Oct;138(4):  726-31; discussion 731-3.

University of Illinois College of Medicine at Peoria, USA. vegunta@uic.edu

BACKGROUND: The purpose of this study is to examine the current indications for cholecystectomy in children and to evaluate the results after such surgery. METHODS: Retrospective analysis of 107 consecutive cholecystectomies performed in children at the Children's Hospital of Illinois between October 1998 and September 2003. Hospital medical charts and outpatient clinic charts were reviewed. Patients' families were contacted by telephone to obtain longer-term follow-up. Results were analyzed with SPSS 12.0 for Windows (SPSS Inc, Chicago, Ill). RESULTS: Biliary dyskinesia (BD) was the indication for surgery for 62 (58%) of the 107 children who underwent cholecystectomy during the study period. Gallbladder calculus (GC) disease was the next most common indication with 29 (27%) children. The duration of symptoms was longer for BD. The most common presenting symptom in both groups was abdominal pain. Food intolerance was reported by 45% of patients with BD, significantly higher than patients with GC. Mean length of stay after cholecystectomy was 17 hours and 45 hours for BD and GC, respectively. Short-term follow-up showed relief or improvement of symptoms in 85% of children with BD and in 97% with GC. There were no deaths. Two (1.9%) children of the total of 107 developed complications; both had intra-abdominal abscesses. Most patients had complete or considerable long-term improvement in symptoms. CONCLUSIONS: Biliary dyskinesia was the most common indication for cholecystectomy in children in our study. More than half of the surgeries were performed on an outpatient basis. Morbidity was minimal and mortality was zero. We had satisfactory short- and long-term symptom resolution with long-term patient satisfaction reaching 95%.

 13661.  Armstrong PA, Pazona JF, Schaeffer AJ. Anaphylactoid reaction after retrograde pyelography   despite        

             preoperative steroid preparation. Urology. 2005 Oct;66(4):880.

13662.   Bangash SA, Bahna SL. Pediatric food allergy update. Curr Allergy Asthma Rep. 2005 Nov;5(6):437-44.

13663.   Becklake MR. Wheeze, asthma diagnosis and medication use in developing countries. Thorax. 2005 Nov;60(11):885-7.

13664.     Bernstein JA. Chronic urticaria: an evolving story. Isr Med Assoc J. 2005 Dec;7(12):774-7.

13665.     Berstad A, Arslan G, Lind R, Florvaag E. Food hypersensitivity-immunologic (peripheral) or cognitive (central) sensitisation? Psychoneuroendocrinology. 2005 Nov;30(10):983-9.

13666.     Buchvald F, Hermansen MN, Nielsen KG, Bisgaard H. Exhaled nitric oxide predicts exercise-induced bronchoconstriction in asthmatic school children. Chest. 2005 Oct;128(4):1964-7.

13667.     Dauer EH, Freese DK, El-Youssef M, Thompson DM. Clinical characteristics of eosinophilic esophagitis in children. Ann Otol Rhinol Laryngol. 2005 Nov;114(11):827-33.

13668.     David GL, Koh WP, Lee HP, Yu MC, London SJ. Childhood exposure to environmental tobacco smoke and chronic respiratory symptoms in non-smoking adults: the Singapore Chinese Health Study. Thorax. 2005 Dec;60(12):1052-8. 

13669.     Ferrario F, Rastaldi MP. Henoch-Schonlein nephritis. J Nephrol. 2005 Nov-Dec;18(6):637-41.

13670.     Fruhauf J, Weinke R, Pilger U, Kerl H, Mullegger RR. Soft tissue cervicofacial emphysema after dental treatment: report of 2 cases with emphasis on the differential diagnosis of angioedema. Arch Dermatol. 2005 Nov;141(11):1437-40.

13671.     Garcia-Careaga M Jr, Kerner JA Jr. Gastrointestinal manifestations of food allergies in pediatric patients. Nutr Clin Pract. 2005 Oct;20(5):526-35. Review.

13672.     Gomez Real F, Svanes C, Bjornsson EH, Franklin K, Gislason D, Gislason T, Gulsvik A, Janson C, Jogi R, Kiserud T, Norback D, Nystrom L, Toren K, Wentzel-Larsen T, Omenaas E. Hormone replacement therapy, body mass index and asthma in perimenopausal women: a cross sectional survey. Thorax. 2006 Jan;61(1):34-40. 

13673.     Hendeles L, Marshik PL, Ahrens R, Kifle Y, Shuster J. Response to nonprescription epinephrine inhaler during nocturnal asthma. Ann Allergy Asthma Immunol. 2005 Dec;95(6):530-4.

13674.     Jani M, Ogston S, Mukhopadhyay S. Annual increase in body mass index in children with asthma on higher doses of inhaled steroids. J Pediatr. 2005 Oct;147(4):549-51.

13675.     Jindal SK, Gupta D, Aggarwal AN, Agarwal R; World Health Organization; Government of India. Guidelines for management of asthma at primary and secondary levels of health care in India (2005). Indian J Chest Dis Allied Sci. 2005 Oct-Dec;47(4):309-43. Review.

13676.     Karatzios C, Bratu I, Flageole H, McDonald J. Chest pain and pulmonary lesion in a child with asthma. Pediatr Infect Dis J. 2005 Nov;24(11):1026, 1031.

13677.     Kawai M, Nakashima M, Takaori S, Nakamura Y, Akamatsu K, Nakashima M, Miyamoto T. Pharmacodynamic equivalence study of CFC-free and CFC-containing procaterol hydrochloride metered-dose inhalers. Methods Find Exp Clin Pharmacol. 2005 Oct;27(8):555-8. 

13678.     Khan J. Eye know it's red. Lancet. 2005 Oct 29-Nov 4;366(9496):1583.

13679.     Kim CJ, Chung HY, Kim SY, Kim YO, Ryu SY, Kim JC, Chung JH. Acute appendicitis in Henoch-Schonlein purpura: a case report. J Korean Med Sci. 2005 Oct;20(5):899-900.

13680.     Kim IK, Phrampus E, Venkataraman S, Pitetti R, Saville A, Corcoran T, Gracely E, Funt N, Thompson A. Helium/oxygen-driven albuterol nebulization in the treatment of children with moderate to severe asthma exacerbations: a randomized, controlled trial. Pediatrics. 2005 Nov;116(5):1127-33.

13681.     Kristjansson S, Bjarnarson SP, Wennergren G, Palsdottir AH, Arnadottir T, Haraldsson A, Jonsdottir I. Respirtory syncytial virus and other respiratory viruses during the first 3 months of life promote a local TH2-like response. J Allergy Clin Immunol. 2005 Oct;116(4):805-11.

13682.     Kroigaard M, Garvey LH, Menne T, Husum B. Allergic reactions in anaesthesia: are suspected causes confirmed on subsequent testing? Br J Anaesth. 2005 Oct;95(4):468-71. 

13683.     Lang DM.  Blocking aspirin-induced bronchospasm. Ann Allergy Asthma Immunol. 2005 Oct;95(4):307-8. Review.

13684.     Mandell D, Curtis R, Gold M, Hardie S.  Anaphylaxis: how do you live with it? Health Soc Work. 2005 Nov;30(4):325-35.

13685.     McClelland VM, Brookfield DS.  Palpation reveals the diagnosis. Arch Dis Child. 2005 Dec;90(12):1278.

13686.     McIntyre CL, Sheetz AH, Carroll CR, Young MC. Administration of epinephrine for life-threatening allergic reactions in school settings. Pediatrics. 2005 Nov;116(5):1134-40.

13687.     Moss JR, Zanation AM, Shores CG. ACE inhibitor associated recurrent intermittent parotid gland swelling. Otolaryngol Head Neck Surg. 2005 Dec;133(6):992-4.

13688.     Nadarajah K, Green GR, Naglak M.   Clinical outcomes of penicillin skin testing.Ann Allergy Asthma Immunol. 2005 Dec;95(6):541-5. 

13689.     Neri I, Savoia F, Guareschi E, Medri M, Patrizi A.  Purpura after application of EMLA cream in two children. Pediatr Dermatol. 2005 Nov-Dec;22(6):566-8. 

13690.     Newcomb AE, Clarke CP. Spontaneous pneumomediastinum: a benign curiosity or a significant problem? Chest. 2005 Nov;128(5):3298-302.

13691.     Nicol AA. Understanding peanut allergy: an overview of medical and lifestyle concerns. Adv Nurse Pract. 2005 Oct;13(10):63-8. Review.

13692.     Opstelten W, van Essen GA, Moons KG, van Wijck AJ, Schellevis FG, Kalkman CJ, Verheij TJ.   Do herpes zoster patients receive antivirals? A Dutch National Survey in General Practice. Fam Pract. 2005 Oct;22(5):523-8. 

13693.     Paajanen L, Korpela R, Tuure T, Honkanen J, Jarvela I, Ilonen J, Knip M,Vaarala O, Kokkonen J.   Cow milk is not responsible for most gastrointestinal immune-like syndromes--evidence from a population-based study. Am J Clin Nutr. 2005 Dec;82(6):1327-35.

13694.     Saarinen KM, Pelkonen AS, Makela MJ, Savilahti E. Clinical course and prognosis of cow's milk allergy are dependent on milk-specific IgE status. J Allergy Clin Immunol. 2005 Oct;116(4):869-75. 

13695.     Schreck DM, Babin S.  Comparison of racemic albuterol and levalbuterol in the treatment of acute asthma in the ED. Am J Emerg Med. 2005 Nov;23(7):842-7.

13696.     Sevar R. Audit of outcome in 455 consecutive patients treated with homeopathic medicines. Homeopathy. 2005 Oct;94(4):215-21. 

13697.     Soylu A, Kavukcu S, Erdur B, Demir K, Turkmen MA. Multisystemic leukocytoclastic vasculitis affecting the central nervous system. Pediatr Neurol. 2005 Oct;33(4):289-91.

13698.     Stover DE, Mangino D. Macrolides: a treatment alternative for bronchiolitis obliterans organizing pneumonia? Chest. 2005 Nov;128(5):3611-7.

13699.     Wickens K, Barry D, Friezema A, Rhodius R, Bone N, Purdie G, Crane J.  Fast foods - are they a risk factor for asthma? Allergy. 2005 Dec;60(12):1537-41.

13700.     Zacharisen M, Schoenwetter W. Fatal hypersensitivity pneumonitis. Ann Allergy Asthma Immunol. 2005 Nov;95(5):484-7.

13701.     Zanconato S, Meneghelli G, Braga R, Zacchello F, Baraldi E. Office spirometry in primary care pediatrics: a pilot study. Pediatrics. 2005 Dec;116(6):e792-7.

Pathogenesis:

13702.     Allmers H. Frequent acetaminophen use and allergic diseases: is the association clear? J Allergy Clin Immunol. 2005 Oct;116(4):859-62. Review. 

13703.     Bjorksten B. Evidence of probiotics in prevention of allergy and asthma. Curr Drug Targets Inflamm Allergy. 2005 Oct;4(5):599-604. Review.

13704.     Britton J. Passive smoking and asthma exacerbation. Thorax. 2005 Oct;60(10):794-5. 

13705.     Corkins MR. Are diet and constipation related in children? Nutr Clin Pract. 2005 Oct;20(5):536-9. Review.

13706.     Davoren M, Peake J. Cashew nut allergy is associated with a high risk of anaphylaxis.Arch Dis Child. 2005 Oct;90(10):1084-5.

13707.     Demiraran Y, Kocaman B, Akman RY. A comparison of the postoperative analgesic efficacy of single-dose epidural tramadol versus morphine in children. Br J Anaesth. 2005 Oct;95(4):510-3. 

13708.     Eskinazi D.  Vaccinations: for or against. Homeopathy. 2005 Oct;94(4):252-3. 

13709.     Haroon M. Should children with Henoch-Schonlein purpura and abdominal pain be treated with steroids? Arch Dis Child. 2005 Nov;90(11):1196-8. Review. 

13710.     Holgate ST. Exacerbations: the asthma paradox. Am J Respir Crit Care Med. 2005 Oct 15;172(8):941-3. Review. 

13711.     Jolles S, Sewell WA, Misbah SA.  Clinical uses of intravenous immunoglobulin. Clin Exp Immunol. 2005 Oct;142(1):1-11. Review. Jun ZJ, Lei Y, Shimizu Y, Dobashi K, Mori M. Helicobacter pylori seroprevalence in patients with mild asthma. Tohoku J Exp Med. 2005 Dec;207(4):287-91.

13712.     King N, Helm R, Stanley JS, Vieths S, Luttkopf D, Hatahet L, Sampson H, Pons L, Burks W, Bannon GA. Allergenic characteristics of a modified peanut allergen. Mol Nutr Food Res. 2005 Oct;49(10):963-71.

13713.     Latha GS, Lakshmi VV, Rani HS, Anuradha B, Murthy KJR. Specific IgG and its subclass antibodies after immunotherapy with gynandropsis gynandra . Lung India. 2005 Jul-Sept; 22(3): 77-80

13714.     Miller MM, Miller MM.  Beta-blockers and anaphylaxis: are the risks overstated? J Allergy Clin Immunol. 2005 Oct;116(4):931-3; author reply 933-6.

13715.     Richardson L. Re: "please read the following paper and write this way!". Am J Epidemiol. 2005 Oct 1;162(7):706-7. 

13716.     Romero-Frais E, Vazquez MI, Sandez E, Blanco-Aparicio M, Otero I, Verea H.  Prescription of oral corticosteroids in near-fatal asthma patients: relationship with panic-fear, anxiety and depression. Scand J Psychol. 2005 Oct;46(5):459-65.

13717.     Su SS, Yu KH, Woung PS. Comment: esomeprazole-induced central fever with severe myalgia. Ann Pharmacother. 2005 Oct;39(10):1764; author reply 1765. 

13718.     van Rijt LS, van Kessel CH, Boogaard I, Lambrecht BN. Respiratory viral infections and asthma pathogenesis: a critical role for dendritic cells? J Clin Virol. 2005 Nov;34(3):161-9.  Review.

13719.     Ward MD, Selgrade MK. Benefits and risks in malaria control. Science. 2005 Oct 7;310(5745):49-51; author reply 49-51. 

13720.     Zanoni LZ, Palhares DB, Consolo LC. Myocardial ischemia induced by nebulized fenoterol for severe childhood asthma. Indian Pediatr. 2005 Oct;42(10):1013-8.

13721.     Zinderman CE, Wise R, Landow L. Fluid solutions in dengue shock syndrome. N Engl J Med. 2005 Dec 8;353(23):2510-1; author reply 2510-1.

Therapy:

13722.      Ahrens RC. The role of the MDI and DPI in pediatric patients: "Children are not just miniature adults". Respir Care. 2005 Oct;50(10):1323-8; discussion 1328-30. Review.

13622.    Ali R, Ali S, Saeed SA, Khan A, Mustafa M, Aleem S. Latest approaches to the diagnosis and management of food allergies in children. J Pak Med Assoc. 2005 Oct;55(10):458-62. Review.

13624.    Arroliga A, Griswold S. "Frequent fliers" do not receive a free trip in the emergency department. Chest. 2005 Dec;128(6):4051-2. 

13625.    Boogaard R, Huijsmans SH, Pijnenburg MW, Tiddens HA, de Jongste JC, Merkus PJ. Tracheomalacia and bronchomalacia in children: incidence and patient characteristics. Chest. 2005 Nov;128(5):3391-7.

13626.    Choo-Kang LR. Becoming a complete "asthmologist". Chest. 2005 Nov;128(5):3093-6. 

13627.   Currie GP, Lee DK, Srivastava P. Long-acting bronchodilator or leukotriene modifier as add-on therapy to inhaled corticosteroids in persistent asthma? Chest. 2005 Oct;128(4):2954-62. Review.

13628.    Field T. Massage therapy for skin conditions in young children. Dermatol Clin. 2005 Oct;23(4):717-21. Review.

13629.    Flores G, Abreu M, Tomany-Korman S, Meurer J. Keeping children with asthma out of hospitals: parents' and physicians'perspectives on how pediatric asthma hospitalizations can be prevented. Pediatrics. 2005 Oct;116(4):957-65.

13630.    Hanania NA, Belfort MA.  Acute asthma in pregnancy.Crit Care Med. 2005 Oct;33(10 Suppl):S319-24. Review.

13631.    Martinez FD. Safety of long-acting beta-agonists--an urgent need to clear the air. N Engl J Med. 2005 Dec 22;353(25):2637-9. 

13632.    Nardi AE. Where are the guidelines for the treatment of asthma with panic spectrum symptoms? Am J Respir Crit Care Med. 2005 Oct 15;172(8):1055-6; author reply 1056.

13633.    Nott MR. Helium-oxygen for asthma. Anaesthesia. 2005 Oct;60(10):1044-5. 

13634.    Trumpelmann P, Jordan G, Townsend M. Hydrocortisone preparations and latex. Anaesthesia. 2005 Dec;60(12):1246; discussion 1246-7. 

13635.    Yeh SH, Chang FR, Wu YC, Yang YL, Zhuo SK, Hwang TL. An anti-inflammatory ent-kaurane from the stems of Annona squamosa that inhibits various human neutrophil functions. Planta Med. 2005 Oct;71(10):904-9.