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              <text>264–268</text>
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                <text>Contact urticaria: present scenario.</text>
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                <text>Dermatitis; Congresses and Conferences; Contact – Etiology; Urticaria – Classification; Urticaria – Diagnosis; Urticaria – Immunology; Urticaria – Physiopathology; Urticaria – Therapy; Urticaria – Trends</text>
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                <text>Bhatia R; Alikhan A; Maibach HI</text>
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                <text>Immunological contact urticaria is a hypersensitivity reaction that appears on the skin following contact with an eliciting substance. Recent advances in our understanding of the molecular mechanism and pathogenesis of this reaction have altered its classification, diagnosis, and treatment. We discuss classification, epidemiology, diagnosis, testing, and treatment options that are available to patients with contact urticaria.</text>
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                <text>Exercise-Induced Dyspnea in Children and Adolescents: Differential Diagnosis</text>
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                <text>Bhatia R; Abu-Hasan M; Weinberger M</text>
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                <text>Exercise-induced dyspnea in children and adolescents can occur for many reasons. Although asthma is the common cause, failure to prevent exercise-induced asthma by pretreatment with a bronchodilator, such as albuterol, indicates that other etiologies should be considered. Other causes of exercise-induced dyspnea include exercise-induced vocal cord dysfunction, exercise-induced laryngomalacia, exercise-induced hyperventilation, chest wall restrictive abnormalities, cardiac causes, and normal physiologic limitation. When exercise-induced dyspnea is not from asthma, cardiopulmonary exercise testing with reproduction of the patient's dyspnea is the means to identify the other causes. Cardiopulmonary exercise testing monitors oxygen use, carbon-dioxide production, end-tidal pCO(2) (partial pressure of carbon dioxide), and electrocardiogram. Additional components to testing are measurement of blood pH and pCO(2) when symptoms are reproduced, and selective flexible laryngoscopy when upper airway obstruction is observed to specifically identify vocal cord dysfunction or laryngomalacia. This approach is a highly effective means to identify exercise-induced dyspnea that is not caused by asthma.</text>
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