Basil M. Kahwash’s research while affiliated with Vanderbilt University and other places

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Publications (28)


Successful implementation of a multidisciplinary safety protocol in patients with alpha-gal syndrome receiving parenteral anticoagulation: A case series
  • Article

November 2024

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1 Read

Megan E. Rutherford

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Cosby A. Stone

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Basil M. Kahwash

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[...]

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Kara K. Siegrist


FIG 1. Skin testing images. A (top to bottom), Patient 1 had a positive result of intradermal testing to triamcinolone (0.1 and 1 mg/mL), penicillin G 1/10, and CMC. B, Patient 2 had a positive result of intradermal testing to CMC. C, Patient 3 had positive results of skin prick testing and intradermal testing to CMC. D, Patient 3: Positive result of intradermal testing to triamcinolone. Positive test results are circled. All images were obtained with patient consent.
Carboxymethylcellulose: A hidden culprit in immediate hypersensitivity reactions after triamcinolone injections
  • Article
  • Full-text available

September 2024

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6 Reads

Journal of Allergy and Clinical Immunology Global

We aim to bring awareness of allergies to excipients such as carboxymethylcellulose as “hidden dangers” that can be easily missed in diagnosis, leading to severe effects on patient health, and falsely limit the drug treatments that a patient can receive.

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Results From a National Survey of Asthma Provider Beliefs and Practices Regarding Exercise and Asthma: A Work Group Report of the AAAAI Committee on Sports, Exercise, and Fitness

May 2022

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7 Reads

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3 Citations

The Journal of Allergy and Clinical Immunology In Practice

Background National Heart, Lung, and Blood Institute guidelines recommend regular physical activity (PA) for patients with asthma. Health care provider (HCP) counseling represents an effective approach to optimizing patient PA. However, current exercise rates among asthma patients are suboptimal, which suggests that counseling may be improved. Objective To understand PA counseling behaviors among HCPs who manage asthma. Methods A voluntary 36-item survey assessing self-reported awareness of PA recommendations and current clinical practices was sent to 979 randomly selected HCP members of the American Academy of Allergy, Asthma & Immunology. Results The overall response rate was 9.3% (91 of 979). Respondents were physicians (100%) and allergists/immunologists (96%) who reported an average of 18.1 ± 12.3 years in independent practice. Over half (58%) reported personally engaging in 150 min/wk or more of moderate to strenuous PA. Eighty percent of participants were unaware of specific PA guidelines for patients with asthma, yet 66% acknowledged evidence for improved asthma outcomes with moderate exercise. A large majority of respondents believed that patients with asthma (97%) and severe asthma (84%) should pursue exercise. Whereas 90% of respondents support incorporating exercise counseling into asthma care, only 69% regularly counsel asthma patients about PA. Barriers cited included limited time, lack of knowledge regarding how and where to refer patients for exercise, and other medical priorities. Potential facilitators of PA included increasing practitioner education and patient-directed posters in waiting areas. Conclusions Health care providers recognized PA as an important component of asthma care but were often unaware of specific guidelines. Promoting PA counseling may require using a time-efficient approach to implement counseling at each asthma patient encounter.



Citations (14)


... Despite that, the evidence of HIIT protocol specifically for asthmatic population is still not conclusive. As HIIT can possibly cause distress to asthmatic patients, additional research is needed to develop a safe and effective HIIT prescription for the management of asthma (Kahwash & Nyenhuis, 2022) ...

Reference:

Exercise and Asthma: A Review
Exercising with Asthma: A Slow Burn or a Quick HIIT?
  • Citing Article
  • October 2022

The Journal of Allergy and Clinical Immunology In Practice

... Data from an international survey suggests that 33% of clinicians had no training on communicating exercise guidance to people with asthma, and 95% agreed that doctors require additional training in preventive care [76]. North American physicians' main barriers to physical activity counselling were limited time during consults, prioritisation of other health behaviours, and a lack of knowledge on how and where to refer patients for exercise [77]. This highlights the need for healthcare providers to be provided with the resources and education to deliver exercise and physical activity recommendations and to be aware of how to refer patients to specialists, which reinforces the importance of including this information in guidelines. ...

Results From a National Survey of Asthma Provider Beliefs and Practices Regarding Exercise and Asthma: A Work Group Report of the AAAAI Committee on Sports, Exercise, and Fitness
  • Citing Article
  • May 2022

The Journal of Allergy and Clinical Immunology In Practice

... 31,32 When allergic contact dermatitis to a suture is suspected, placing a patch test with the suture material on the epidermis has low sensitivity. The interrupted dermal stitch test is a recognized technique to aid in the diagnosis of suspected ACD to a suture material [50][51][52] , although further patch testing may be necessary to identify the specific culprit ingredient in the suture. Our case follows this pattern. ...

In Vivo Evaluation of Allergic Contact Dermatitis to Nylon Suture: A Case Report
  • Citing Article
  • March 2022

Contact Dermatitis

... Moreover, some eosinophilic disorders like the so-called "overlap HESs" (e.g., single-organ eosinophil-associated diseases, eosinophilic granulomatosis with polyangiitis (EGPA) or IgG4-related disease (IgG4RD)) were also systematically excluded from these studies. To date, no multicenter prospective study has been conducted in the field of HE/HES and there is an urgent need for the prospective collection of real-life data [16][17][18]. This is especially critical as new biologic therapies are now available (or will likely be available soon) e.g., conventional, or long-acting anti-interleukin-5 (IL-5), anti-IL-5Rα, anti-Siglec-8, or Janus kinase inhibitors (JAKi), for which good use depends on good characterization of the HES [19]. ...

An International, Retrospective Study of Off-Label Biologic Use in the Treatment of Hypereosinophilic Syndromes
  • Citing Article
  • February 2022

The Journal of Allergy and Clinical Immunology In Practice

... [20] Downloaded from http://journals.lww.com/md-journal by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCy wCX1AWnYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC4/OAVpDDa8K2+Ya6H515kE= on 11/30/2024 A qualified exercise physiologist guided the program, ensuring adherence to recommended exercise prescription guidelines. [28] The training was conducted on a motor-driven, indoor treadmill (HP Cosmos Mercury® Med, Nussdoerf-Traunstien, Germany) and was adapted to accommodate each child's capacity. Initially (i.e., over the first 2 weeks), the training lasted 25 minutes, with a walking pace set at 50% of their HR max . ...

Physical Activity and Asthma: The evidence for it and how to get my patients to do it: A Work Group Report of the AAAAI Sports, Exercise, and Fitness Committee
  • Citing Article
  • November 2021

The Journal of Allergy and Clinical Immunology In Practice

... These results rather argue against IgE-mediated allergy in most of these patients, even though an alternative hypothesis is that the amount of PEG in mRNA vaccines is much lower than in other preparations and might not reach the reaction threshold. Likewise, there are studies with patients who had a reaction to substitution therapy with PEG-asparaginase (containing PEG 5000), but had no reaction to mRNA vaccination, and some of them had previously tolerated PEG-containing laxatives [38]. ...

mRNA COVID-19 Vaccine Safety in Patients with Previous Immediate Hypersensitivity to Pegaspargase

The Journal of Allergy and Clinical Immunology In Practice

... Eosinophilic esophagitis (EoE) is a chronic type 2 inflammatory disease restricted to the esophagus, 1 and consisting in an immunemediated reaction to antigens in the esophageal lumen, predominantly from the diet. 2 EoE commonly associates with other type 2 atopies, and has been proposed as a late manifestation of the allergic march. 3 From first description of the disease, a 3-to-4 times higher prevalence of EoE has been reported in males of all ages, compared to females. 4 Suggested explanations for this range from genetic causes, 5 sex-related differences in gene expression profiles 6 and molecular signatures, 7 to anatomical and functional differences in the esophagus, 8 gender-associated differences in lifestyle and exposure to environmental factors. 9 Excepting EoE, a pronounced female predominance has been described in most immune-mediated diseases, 10 and sex-related variations in the natural course, risk for progression and response to treatment has been demonstrated. ...

Sex Differences in Blood Transcriptional Profiles and Clinical Phenotypes in Pediatric Patients with Eosinophilic Esophagitis
  • Citing Article
  • July 2021

The Journal of Allergy and Clinical Immunology In Practice

... The successful introduction of newborn screening (NBS) for phenylketonuria in dried blood spots (DBSs) by the pioneering work of Dr. Robert Guthrie in the early 1960s has been the catalyst for establishing population-based newborn screening in the United States for over 30 disorders to date [1]. There has been increasing global interest in expanding newborn screening panels to include more genetic diseases due to significant advances in screening for early-onset ADA deficiency [33], a small percentage of patients who develop symptoms later in life can be missed by this NBS method [34,35]. Enzyme replacement therapy, gene therapy or HSCT are the available treatment options [36,37]. ...

Delayed-Onset ADA1 (ADA) Deficiency Not Detected by TREC Screen
  • Citing Article
  • May 2021

Pediatrics

... A 2019 national survey of U.S. and Canadian allergy/immunology and pulmonology physicians revealed that, whereas 92% believe exercise should be a component of asthma management, only 69% regularly perform exercise counseling. 87 One respondent commented that, whereas exercise is "probably the most important [recommendation]" for asthma patients, lack of time presents a barrier to counseling. A lack of confidence in discussing exercise with patients was also noted among survey respondents: 26% described having no knowledge or very little knowledge on exercise counseling, whereas only 9% felt that they were very knowledgeable about encouraging patients to exercise. ...

A National Survey of Asthma Specialist Perspectives on Physical Activity in Asthma
  • Citing Article
  • February 2021

Journal of Allergy and Clinical Immunology

... Esta encuesta está constituida por 11 preguntas de selección múltiple o valoración. Para este trabajo, se utilizaron diversos estudios realizados a estudiantes de postgrado de medicina como fuente referencial en el tipo de preguntas realizadas 15,16 . Todos los participantes debían confirmar su participación mediante la aceptación de consentimiento informado online. ...

Allergy/Immunology Trainee Experiences During the COVID-19 Pandemic: AAAAI Work Group Report of the Fellows-in-Training Committee
  • Citing Article
  • November 2020

The Journal of Allergy and Clinical Immunology In Practice