Howard C. Thomas In normal subjects the regulatory apparatus of the immune system permits responses to foreign antigens but suppresses those directed to "self' components. Autoimmune disease occurs as a failure ofthis system either as a result of a primary defect in the regulatory apparatus (primary autoimmunization) or because of a change in the antigenicity of the tissues (secondary autoimmunization). Autoaggressive reactions are characterised by the presence of autoantibodies. When these are directed to membrane displayed antigens (Fig. 1) they are probably of importance in the lysis of hepatocytes. Those directed to cytoplasmic antigens may be useful diagnostically but are of unknown pathogenic significance. When no extrinsic aetiological factor can be identified, the process is assumed to be the result of a failure ofthe regulatory system, allowing the spontaneous expansion of a clone of autoreactive lymphocytes. The defect may be generalised or specific to certain groups of self-antigens and thus the autoimmune disease may be either multi- or unisystemic. The recent development of techniques to enumerate and measure the functional activity of the suppressor lymphocytes which control the effector limbs of the immune system has enabled investigators to test whether the various purported autoimmune diseases do have as their basis a generalised defect in immunoregu lation. Assessment of antigen-specific immunoregulatory function is, however, not yet readily available. liver Membrane I Antigen (LIM) I Liver I HLA, A, B, C, Sensitisation to Specific -;::!IIIL. .

Peter A. Miescher The skin has always been one of the major targets to clinicians interested in immunology. Initially, the main focus was centred on allergic conditions such as contact hypersensitivity and urticeria. Gradually, the spectrum of immunological conditions involving the skin increased, encompassing diseases such as Dermatitis Herpetiformis, Erythema Muitiforme, Cutaneous Bullous Disorders and Photo toxic Reactions. It has been the intention of the editors of Springer Seminars in Immu nopathology to cover the broad spectrum of immune phenomena encountered in dermatological diseases with special emphasis to newer developments in Immunopathology. Dr. 1. N. Gigli has managed to assemble a series of important contributions within two issues of the Journal which are of such an interest to dermatologists that we decided to publish this topic as a separate volume for all dermatologists who do not have access to Seminars in Immunopathology. 3 Immunologically Mediated Epidermal Cell Injury Richard D. Sontheimer* and James N. Gilliam Division of Dermatology, University of Texas Health Science Center, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Introduction The epidermis is a functional unit of different cell types that has the critical role of protecting man from his environment. The three major cell types that make up the epidermis (keratinocytes, melanocytes, and Langerhans cells) serve different protective functions. The vast majority of epidermal cells are keratinocytes (Fig. 1)."

From the first to the third of August, 1980, an international sym posium entitled "New Trends in Allergy" was held in Munich, sponsored by the Ludwig-Maximilian University, Munich, in cooperation with the German Society for Allergy and Immunity Research and the European Society for Dermatological Research. The symposium pursued two main goals: to bring allergy oriented colleagues from various specialties such as dermatology, otorhinolaryngology, pediatrics, internal medicine, immunology, and pulmonology together for interdisciplinary contacts and dis cussions; and to attract internationally known experts in an effort to disseminate information on new and fundamental develop ments in allergology. The fact that English has become the lingua franca at congresses for the exchange of ideas in medical specialties led to the decision to hold the symposium in English. In spite of the mild handicap this posed for some participants, it was also a major factor in the symposium's success. This book contains the papers delivered by the invited speakers together with the poster presentations. They cover both basic ex perimental research as well as clinical problems in allergology."

The discovery of specifically acquired immunity which followed the major contributions of Louis Pasteur completely over-shadowed the first studies of the host's natural resistance. Later, the exquisite sensitivity and precision of antigen-antibody reactions made the study of immunochemistry much more attractive than the rather primitive and ambiguous field of non-specific immunity. Neverthe less, during the last three decades, a considerable body of informa tion was developed and also means by which natural resistance could be enhanced or depressed by exogenous agents such as lipopolysaccharides or BCG. An important advance was the chemical recognition of the biologically active components of these agents which in turn allowed the synthesis or" analogues. More recently, endogenous host products which can play a role in nonspecific immunity, such as thymic hormones, have also been identified, produced and used both experimentally and clinically. It therefore seemed worthwile to Drs. Miescher and Mueller-Eberhard to devote two volumes of Seminars in Immunopathology to the topic of Immunostimuhltion. Because of the good response obtai ned from readers, Springer Verlag decided to issue a hard cover book and asked their guest editor to make a preface. Prefaces, although they are found in the opening pages, are always written after the first issue has been completed."

NEW YORK TIMES BESTSELLER Tabitha Brown, the #1 New York Times bestselling author of Feeding the Soul, presents her first cookbook-full of easy, family-friendly vegan recipes and stories from the spirit, inspired by her health journey and love of delicious food. Sometimes people say to Tabitha Brown, "I've never eaten vegan before." As Tab says, "Have you ever eaten an apple?" After living with a terrible undiagnosed illness for more than a year and a half, Tab was willing to try anything to stop the pain. Inspired by the documentary What the Health, she tried a thirty-day vegan challenge-and never looked back. Wanting to inspire others to make changes that might improve their own lives, she started sharing her favorite plant-based recipes in her signature warm voice with thousands, and now millions, of online fans. Tab's recipes are flexible, creative, and filled with encouragement, so you trust yourself to cook food the way it makes you happy. If you're already a "cooking from the spirit" sort of person, you'll love how much freedom Tab gives to make these delicious vegan dishes your own. If you're newer to cooking-or to vegan cooking-Tab will help you get comfortable in the kitchen and, most important, have fun doing it! In this joyful book, Tab shares personal stories, inspirational "Tabisms," and more than eighty easy, family-friendly recipes, including: Yam Halves Topped with Maple-Cinnamon Pecan Glaze Stuffed Avocado Jackfruit Pot Roast Crab-less Cakes with Spicy Tartar Sauce Who Made the Potato Salad? Kale and Raspberry Salad Strawberry Cheesecake Cups Cooking from the Spirit is for anyone interested in plant-based eating and all lovers of food, plus anyone who wants a little warm inspiration in their lives. As Tab says, "Honey, now let's go on and get to cooking from the spirit. Yes? Very good!"

Bone marrow transplantation, the goal which integrates hemato logists, immunologists, geneticists, oncologists and specialists of several other fields, has overcome its state of stagnation in recent years. Clinically as well as experimentally new approaches to old problems and new conclusions from recent findings proliferate: bone marrow transplantation in leukemic remission, bone marrow growth in cell culture, bone marrow manipulation with antisera, bone marrow differentiation in histoincompatible hosts, immuno suppression with partial body irradiation to cite just a few. These and other new developments were discussed by experts from 12 countries in and outside the European Community during an international seminar held on March 8-10, 1979 by the "Institut fur Hamatologie, GSF," under the auspices of the European Communities. The editors thank both the contributors to this symposium, who made it a successful meeting and submitted their manuscripts punctually, and the publishers, who have provided a volume of high quality in good time. They are also grateful for the valuable cooperation from numerous colleagues at the Institut fur Hamato logie."

The subject of immune deficiency has become of special importance for two reasons. First, conditions with well defined defects in the immune system could be analyzed as "experiments of nature" in terms of finding out the accurate biological relevance of the defective link in the immune system. Secondly, the recognition of immune deficiency states has become important in order to provide the patients with the treatment necessary to remedy these defects. With regard to immune deficiency states in patients, these have been instrumental as "experiments of nature" in the revelation by Drs. Good and Cooper and their associates of the two-component structure of the immune system, a discovery which can be consi dered as a major breakthrough in the history of immunopathology. Today's research allows us to go far beyond this basic two component structure with the assessment of disorders affecting either cell to cell interactions or regarding subsets of lymphocyte populations. Furthermore, the association of immune deficiency with distinct enzymatic defects of purine metabolism is opening the door to the molecular level of immune deficiency. Dr. Cooper and Dr. Lawton have succeeded in obtaining the collaboration of the leaders in the field of immune deficiency. In view of the importance of their contributions in scientific and clinical terms, we decided to prepare a book version of the two issues of Seminars in Immunopathology devoted to this subject."

The sixth edition of Lockey and Ledford's Allergens and Allergen Immunotherapy continues to provide comprehensive coverage of all types of allergens and allergen vaccines, providing clinicians the essential information they need to accurately diagnose and manage all allergic conditions. With new and updated chapters, the sixth edition is the most up-to-date, single resource on allergy and immunotherapy. Key Features Completely revised and updated Detailed single source reference on allergy and immunotherapy Reorganized to provide clinicians with essential information to make diagnoses and offer the best treatments

SUNDAY TIMES BESTSELLER Wordery's Book of The Year 2020: Food and Drink - WINNER 130+ recipes all suitable from 6 months old Wean your baby and feed your family at the same time by cooking just one meal in under 30 minutes that everyone will enjoy! Say goodbye to cooking multiple meals every day and the faff of making special little spoonfuls for your baby, plainer dishes for fussy older siblings, and something different again for the grown-ups. With this ingenious new way to introduce solid food to your baby, you'll cook a single meal and eat it together as a family where baby will learn how to eat from watching you. Each recipe is quick to prepare and easy to adapt for different ages and dietary requirements. So forget 'baby food' and make light work of weaning with What Mummy Makes!

An increasing number of people have food allergies or require special diets, and they are dining out more often. As a food service professional, how do you accommodate the needs of these customers? Serving People with Food Allergies: Kitchen Management and Menu Creation brings together a vast store of knowledge and practical advice for people working in the food service industry. This handy reference contains tools for cooks, managers, and chefs to help them create and modify recipes that meet the needs of people afflicted with multiple food allergies. It discusses the special dietary needs of those with autism, celiac disease, diabetes, lactose intolerance, and phenylketonuria (PKU), as well as diets for people who are vegetarian or vegan. The former manager of Product Development and Special Diets for Walt Disney World (R) Resort and an experienced trainer, the author goes through step-by-step processes for the kitchen and front of the house. Reviewing the main foods that cause allergic reactions-eggs, milk, peanuts and tree nuts, fish and shellfish, soy, wheat, and corn-he explains how to identify the ingredients, by-products, and derivatives in food labels. The author provides information on specialty products to enhance menu offerings and reduce liability issues. He also offers ideas on reviewing kitchen procedures to identify ways to prevent cross-contact and cross-contamination of food. Written for large food service corporations and hotel and restaurant chains to use when training their staff, this book contains information on cooking for and serving those with food allergies and special dietary needs. Using basic terminology, this book is suitable for home cooks as well. Videos of the author working in the kitchen can be found on his Youtube channel. He also maintains a website at

Die Standardlehrbucher zur Immunologie bieten meist sehr komplexe und detaillierte Informationen, die beim Leser bestimmte Kenntnisse uber Biochemie, Physiologie und Mikrobiologie voraussetzen. Dieses Kompendium wurde fur den "Erstkontakt" mit dieser komplexen Thematik konzipiert. Wichtige Basisinformationen uber die Struktur und Funktion von Zellen des Immunsystems, uber Antikorper, Zytokine und andere regulatorischen Molekule, sowie uber Abwehrmechanismen gegen Infektionserreger und spontan entstehende Tumore werden ebenso beschrieben wie unspezifische und spezifische Immunantworten und Storungen des Immunsystems durch Autoimmerkrankungen oder Allergien. Aufgrund der didaktischen Aufbereitung und den zahlreichen anschaulichen Abbildungen ist dieses Werk bestens als Nachschlagewerk und Lehrbuch fur Studenten der Medizin und Naturwissenschaften geeignet."

Countless people around the world suffer from allergies and allergy-like symptoms. Many of these symptoms can be reduced through dietary change and nutritional supplements. This User's Guide to Natural Allergy Relief explains allergies in simple terms, as well as the steps you can take to ease your symptoms.

Expert advice from world-leading child allergy specialists + 100 recipes from Australia's No.1 food site

Australian families affected by common food-related allergies can now rejoice with this ground-breaking cookbook developed with expertise provided by Australia's leading child health specialists at Murdoch Children's Research Institute, with a wealth of easy, family-friendly recipes from Australia's number one food platform, taste.com.au.

The Allergy Friendly Family Cookbook will revolutionise family kitchens and school lunchboxes everywhere, with helpful and practical tips drawn from the latest research by paediatric and allergy specialists at Murdoch Children's Research Institute.

This essential resource includes easy-to-understand, evidence-based advice and is packed with tried and tested allergy-friendly recipes the whole family will enjoy, from breakfast, lunch and lunchbox ideas through to dinner, dessert and special occasions. Complete with handy 'at-a-glance' icons and extensive indexes, the Allergy Friendly Family Cookbook will be a voice of reassurance for families navigating the often-dangerous waters of food allergies.

Millions of people experience symptoms of central sensitization (CS) and central sensitivity syndromes (CSS) such as chronic fatigue syndrome, fibromyalgia and multiple chemical sensitivities. Yet many lack diagnoses, education and resources. Without proper support, patients may become withdrawn, suffering needlessly and possibly developing mental illness. Covering the syndromes within the context of central sensitization (CS), this book provides candid personal experience, strategies for symptom management, and suggested methods for coping and long-term healing, with easy-to-understand science.

This book is intended as a manual and offers an essential tool for practicing and occupational dermatologists, for postgraduates training in dermatology and allergo-immunology, and for allergologists and occupational physicians. Moreover, the authors include information from the world literature, addressing the needs of those who work in industrial fields and are concerned about the dermatological safety of products. The book provides a handy update on this complex, rapidly evolving research area, and in particular, an in-depth analysis of its clinical aspects. It will enable dermatologists to recognize the various clinical manifestations of the condition, make a prompt diagnosis and choose the most effective treatment. Contact dermatitis, a vast and fascinating field of study, has a high frequency of occurrence worldwide in both children and adults of both sexes, and during their daily routine, dermatologists invariably encounter many patients with this disease. To ensure the proper management of these patients it is necessary first of all to formulate a clinical diagnosis on accurate morphological grounds, since it is the most clinically polymorphic disease in dermatology and hence very demanding in terms of differential diagnosis. Then, to achieve properly targeted prevention for each patient, it is essential to isolate the causes among the numerous etiological chemical agents present in both working and leisure time activities and environments. The aim of this book is therefore two-fold: firstly to provide information on the various clinical features of contact dermatitis and review their differential diagnosis, and secondly to provide a comprehensive etiological overview. Particular attention has been paid to the methodologies and importance of patch tests and other diagnostic tools, as well as to the principles of prognosis, treatment and rehabilitation, together with considerations on some preventive aspects underlying contact dermatitis. A wealth of color clinical images, as well as tables and explanatory diagrams, round out the book.

Case Studies in Allergic Disorders is designed for undergraduate and graduate students in immunology, medical students, and resident physicians. It describes the basic cellular and molecular mechanisms involved in the pathogenesis of commonly occurring allergic diseases and introduces the rationale for targeted treatment of allergy. Replicating the successful approach of Case Studies in Immunology, the book presents mechanisms of hypersensitivity through a selection of clinical cases that reinforce and extend the basic science. The cases are largely drawn from the records of Children's Hospital Boston. Linking the discussion of pathogenesis to actual clinical presentation establishes important connections between the bench and bedside. The book can be used as either a stand-alone text or asa companion to Janeway's Immunobiology and The Immune System.

A detailed exploration of parents' fight for a safe environment for their kids, interrogating how race, class, and gender shape health advocacy The success of food allergy activism in highlighting the dangers of foodborne allergens shows how illness communities can effectively advocate for the needs of their members. In Food Allergy Advocacy, Danya Glabau follows parents and activists as they fight for allergen-free environments, accurate labeling, the fair application of disability law, and access to life-saving medications for food-allergic children in the United States. At the same time, she shows how this activism also reproduces the culturally dominant politics of personhood and responsibility, based on an idealized version of the American family, centered around white, middle-class, and heteronormative motherhood. By holding up the threat of food allergens to the white nuclear family to galvanize political and scientific action, Glabau shows, the movement excludes many, including Black women and disabled adults, whose families and health have too often been marginalized from public health and social safety net programs. Further, its strategies are founded on the assumption that market-based solutions will address issues of social exclusion and equal access to healthcare. Sharing the personal experiences of a wide spectrum of people, including parents, support group leaders, physicians, entrepreneurs, and scientists, Food Allergy Advocacy raises important questions about who controls illness activism. Using critical, intersectional feminism to interrogate how race, class, and gender shape activist priorities and platforms, it shows the way to new, justice-focused models of advocacy.

In recent years, our understanding of the unified airway concept has become paramount in the diagnosis, treatment, and management of sinonasal, airway, and respiratory disorders. The relationship between sinonasal inflammatory disorders, such as chronic rhinosinusitis, and pulmonary disorders, such as asthma or cystic fibrosis, is being examined more closely than ever before. This volume comprehensively reviews and discusses the unified airway approach, and more closely examines the relationship between sinonasal inflammatory disorders and pulmonary disorders. The text is formatted as an easy to read reference with bulleted points and sample case studies that maximize the clinical value of the evidence and data described. In addition to exploring chronic rhinosinusitis in patients with asthma and cystic fibrosis, other topics include pediatric chronic rhinosinusitis, aspirin-exacerbated respiratory disease, chronic bronchiectasis, primary ciliary dyskinesia, immunodeficiencies, and the unified airway microbiome. Rhinologic Disease and Respiratory Disorders will be an invaluable guide for practicing otolaryngologists, allergists, pulmonologists, otolaryngologists-in-training, and rhinologists. Foreword written by David W. Kennedy and Elina M. Toskala.

This volume provides protocols for mouse models of allergic diseases and guidelines for choosing a particular strains, allergen, adjuvant, and route of sensitization. Chapters detail types of allergic disease, methods that are frequently employed to analyze pathophysiology of allergic diseases, manipulation of intestinal microbiota, and desensitization of immure responses in animal models. Written in the highly successful Methods in Molecular Biology series format, chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and tips on troubleshooting and avoiding known pitfalls. Authoritative and cutting-edge, Animal Models of Allergic Disease: Methods and Protocols aims to offer a comprehensive collection of protocols and experience-derived instructions to further allergic disease research.

Skin physiology assessment is moving from a descriptive approach to a deeper understanding of biophysical and biochemical processes in the stratum corneum, such as epidermal barrier function and stratum corneum hydration. New, non-invasive approaches offer reliable and reproducible methods for product testing in the pharmaceutical and cosmetic industry, as well as in basic research. While standard instruments focus on functional aspects, innovative devices offer a deeper understanding of underlying mechanisms. This book discusses the assessment of skin physiology and of skin functions in clinical studies using non-invasive biophysical instruments, offering readers a comprehensive guide to planning, performing and evaluating the results of scientific studies in skin measurement and the legal framework for these studies. Written by leading experts in the field, it focuses on practical aspects of non-invasive measurements. After introducing the legal aspects of the current framework for clinical cosmetic studies and basic research in cosmetology, it explores the technical practicalities of organizing a testing lab and the pre-requirements for planning a study. The third and main section addresses specific topics in cosmetic testing e.g. skin hydration, and also includes chapters on sensory aspects and in vivo skin structure vizualization. This new, updated edition of Practical Aspects of Cosmetic Testing is a valuable tool for researchers, students, and medical staff wanting to gain insights into how best to assess skin functions in controlled studies using non-invasive biophysical instruments.

Many of us are affected by allergies, from the dreaded hayfever - the scourge of the summer - to much talked-about food allergies such as lactose and gluten. Dr Mike Dilkes, one of Harley Street's top Consultant ENT Surgeons, reveals his top tips for living with and treating an allergy. - Find out the difference between a sensitivity, an intolerance and an allergy - Discover how allergies affect your body and why - Learn how to see through the hype and take control of your own symptoms - Prevent attacks and treat outbreaks With a no-nonsense approach to this controversial topic, Stop Allergies from Ruining Your LIfe... The Easy Way provides a straightforward analysis ofthe latest scientific research, allowing you to live the life you want, whatever the season.

This comprehensive book thoroughly covers the spectrum of rhinitis conditions and related comorbidities. Rhinitis and Related Upper Respiratory Conditions is a unique resource that delivers essential clinical information, addressing the varying patient populations which might be encountered in different types of clinical settings. Chapters range from topics such as pediatric, adult, geriatric, and occupational rhinitis, while also covering the full array of rhinitis subtypes and their complications. Later chapters address secondary causes of rhinitis such as systemic diseases manifesting as rhinitis, drug-induced rhinitis, and CSF leak. Written by experts in the field, every chapter is structured to contain clinical cases which illustrate the typical patient presentation, and their diagnostic work-up and treatment, providing the knowledge needed to further improve diagnosis and care for the patient with rhinitis. Rhinitis and Related Upper Respiratory Conditions is an ideal resource for allergists, primary care physicians, and health care extenders, to help them recognize and further improve care of patients with rhinitis.

This title looks at food allergies. These affect millions of people including children and currently there are no known 'cures' for these allergic reactions. The eight primary food allergies are to milk, eggs, wheat, soy, peanuts, tree nuts, fish and shellfish, though someone may, also, be allergic to medication.

Respiratory allergy is constantly encountered and is sharply on the rise, particularly in the two most vulnerable age-groups: young children and seniors. Allergy results in airway hyperactivity and increased airway resistance, with all inflammatory sequelae being ensued. The chapters show how respiratory allergy research is interconnected with other disciplines by discussing neurotransmitter, membrane receptor, and ionic channel mechanisms of allergy and by giving diagnostic and pharmacological cues on desensitization and therapy.

Despite wide recognition as a serious public health problem, anaphylaxis and hypersensitivity reactions remain under-recognized and under-diagnosed. This book fills the gaps in our understanding of the identification of triggers, recognition of clinical presentations, understanding of the natural history of these reactions, and selection of treatment strategies including those focused on cellular and molecular targets. The book provides a detailed examination of disease etiology, pathogenesis, and pathophysiology and their correlation to clinical practice. Forefront knowledge of the mediators and mechanisms of anaphylaxis is covered with an emphasis on how new discoveries shape our current and emerging therapies.