Background:
There are infrequent
or unspecific
diseases that occupy
an important part of
time in the job of
the allergists.
Objective: We
sought to evaluate
the frequency and to
determine the
characteristics of
uncommon or
unspecifi c diseases
seen by allergists
in Spain, and to
compare these data
with findings
obtained in a
similar study
undertaken in 1992.
Material and
Methods: An
observational,
prospective and
cross-sectional
study named
Alergológica 2005
was carried out in
Spain. A part of
this study analyzed
the demographic,
healthcare and
clinical aspects of
infrequent or
unspecific diseases
categorized as
Other allergic
diseases (OAD) or
Other non-allergic
diseases (ONAD).
Results: The
survey comprised
4991 patients. In
OAD, 45 patients
were included. In
ONAD, 290 patients
were included.
Significant
diagnoses were
gastroallergic
anisakiasis (10
patients),
idiopathic
anaphylaxis (7
patients), and
hypersensitivity
pneumonitis (2
patients). In the
ONAD group, non
allergic respiratory
diseases were the
most frequent
diagnosis. Mean time
spent to reach a
diagnosis was 14.2
days. However, the
median of this time
was only 1 day. Main
diagnostic methods
employed were a
clinical
history/physical
examination in 86%
of patients and skin
tests in 73.7%.
Conclusion:
Several unspecific
diseases affected
more than 60% of
patients in the two
groups together.
Findings show the
current knowledge of
allergic disorders
due to Anisakis
simplex. Diagnoses
of hypersensitivity
pneumonitis seem to
be as frequent as
previously
published.
Idiopathic
anaphylaxis seems to
be less frequent.
The wide-range of
times needed to
reach a diagnosis
was in agreement
with the mixture of
diseases included in
both groups.
Key words:
Allergy.
Epidemiology.
Cross-sectional
study. Other
allergic diseases.
Other non-allergic
diseases.
Gastroallergic
anisakiasis.
Hypersensitivity
pneumonitis.
Anaphylaxis.
Alergologica.
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