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Dubai Final-v20.indd - World Allergy Organization

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ABstrACts<br />

ABstrACts<br />

were significantly associated with eosinophilic infiltration rather than metastasis. Causes of eosinophilic infiltration were parasite<br />

infection (n=15), drug (n=1) and undetermined (n=14).<br />

Conclusion: Our results suggest that eosinophilic organ infiltration has distinguished clinical characteristics compared with<br />

cancer metastasis. moreover, physicians need to have more efforts to find the causes of organ involvement with peripheral blood<br />

eosinophilia, especially in cancer patients.<br />

2103<br />

oPPoSiTE EFFECT oF ETanErCEPT anD inFliXimaB on THE DEVEloPmEnT oF CUTanEoUS VaSCUliTiS<br />

Kim, J.<br />

Pediatrics, seoul national University College of medicine and rheumatology research institute, snU Hospital, seoul, south Korea.<br />

We report here a case that showed opposite effect of two tnF-α antagonists, etanercept and infliximab, on cutaneous vasculitis<br />

in a patient with JrA. three tnF-α antagonists, etanercept, infliximab, and adalimunmab are now available for the treatment of<br />

JrA in Korea. As JrA is a chronic condition, increase of adverse effects by long-term use is a major obstacle in tnF-α antagonists<br />

therapy. these include injection-site reaction, infusion-related reactions, infections, lymphoma, and lupus-like symptoms.<br />

recently, development of cutaneous vasculitis has been observed in patients receiving tnF-α antagonists. We experienced<br />

a JrA patient treated with etanercept(25~50mg/week) for 2 1/2 years developed cutaneous vasculitis on both of lower legs.<br />

Pathological examination of skin biopsy revealed leukocytoclastic vasculitis. thus, etanercept therapy was discontinued due to<br />

the extent and severity of vasculitis. After cessation of treatment for 4 months, the patient’s disease activity developed again and<br />

infliximab(100mg/8weeks) was administered with remission of disease activity. Unexpectedly, however, we found that cutaneous<br />

vasculitis was improved effectively by infliximab. this observation indicates that cutaneous vasculitis developed after introduction of<br />

one tnF-α antagonist(etanercept) can be improved with administration of another tnF-α antagonist(infliximab) and suggests that<br />

the opposite effect of these agents is probably associated with their ability to bind to tnF- α.<br />

2104<br />

BronCHoalVEolar laVagE anD SErUm EoSinoPHil CaTioniC ProTEin lEVElS in CHroniC aSTHma anD BronCHial<br />

CarSinoma<br />

Kose, s. 1 , Arici, m. 2 , Cavdar, g. 1 , Yavas, s. 1 and Camci, g. 1<br />

1infectious Diseases and Clinical microbiology, Clinical <strong>Allergy</strong> and immunology, tepecik Educational and research Hospital, izmir,<br />

turkey. 2Pulmonery Diseases, tepecik Educational and research Hospital, izmir, turkey.<br />

inTroDUCTion<br />

immunoglobuline E (igE) and eosinophil cationic protein (ECP) are important markers for atopy and allergic inflamation. Elevated<br />

ECP levels may be found in the serum as well as the bronchoalveolar and nasopharyngeal secretions in many diseases, including<br />

asthma, bronchiolitis and infections.<br />

mETHoDS<br />

the ECP in bronchoalveolar lavage fluid and in serum was measured in 15 patients with chronic pulmonary diseases such as<br />

bronchial carsinoma (7 of patients) and asthma (8 of patients).<br />

rESUlTS<br />

ECP levels in BAl fluids were higher in the patients with asthma (mean ECP level : 1,75 mcg/l) than in the bronchial carsinoma<br />

group (mean ECP level : 4 mcg/l). serum ECP levels ; were found 8,5 mcg/l in asthmatic group, and 3,4 mcg/l in patients with<br />

bronchial carcinoma.<br />

DiSCUSSion<br />

in conclusion we can say that serum and BAl ECP levels are useful markers for predicting eosinophilic airways inflamation, and<br />

serum ECP concentrations may be helpful noninvasive markers of atopic asthma.<br />

2105<br />

SUlFaTED moDiFiCaTion oF lYCiUm BarBarUm PolYSaCCHariDE UnDEr miCroWaVE irraDiaTion anD THEir anTi-HiV<br />

aCTiViTiES<br />

Zhu, X. and Zhang, H.<br />

Beijing University of technology, Beijing, China.<br />

the sulfated Lycium barbarum polysaccharide (lBP) were prepared by chlorosulfonic acid–pyridine (Py-sO ) method according to<br />

3<br />

orthogonal l (3) 9 4 test under microwave irradiation. Eight sulfated slBP, with various degrees of sulfate (Ds) and the number average<br />

molecular weight (M ), were obtained and their anti-HiV activities were compared by mtt and ElisA assay. the results indicated<br />

w<br />

www.worldallergy.org 120<br />

FinAl PrOgrAm

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