Evidence map›Paper›PMID 41177946›Full record

GuidelinePediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology2025

Italian pediatric experts' consensus statement on diagnosis and management of primary atopic disorders.

Fabio Cardinale, Ivan Taietti, Mayla Sgrulletti, Lucia Pacillo, Viviana Moschese, Caterina Cancrini, Raffaele Badolato, Michele Miraglia Del Giudice, Gian Luigi Marseglia, Elena Chiappini and 3 more

Abstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Italian pediatric experts' consensus statement on diagnosis and management of primary atopic disorders.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Guideline
  2. Emerging Paediatric Uses of Dupilumab Beyond Approvals.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Review
  3. Editorial comment on "Bridging rare to common diseases: Precision medicine and the transforming landscape of pediatric allergy and immunology".Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  4. Bridging Rare to Common Diseases: Precision Medicine and the Transforming Landscape of Pediatric Allergy and Immunology.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Review
  5. Non-syndromic hyper-IgE in children: A practical approach.The World Allergy Organization journal · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Fabio CardinaleDepartment of Pediatrics, Regional Referral Center in Pediatric Allergy, Immunology and Rheumatology, Giovanni XXIII Pediatric Hospital, University of Bari, Bari, Italy.ORCID https://orcid.org/0000-0002-6774-6152
Ivan TaiettiPediatric Unit, Department of Clinical, Surgical, Diagnostic, and Pediatric Sciences, University of Pavia, Pavia, Italy.ORCID https://orcid.org/0000-0002-0372-523X
Mayla SgrullettiPediatric Immunopathology and Allergology Unit, Policlinico Tor Vergata, University of Rome Tor Vergata, Rome, Italy.ORCID https://orcid.org/0000-0002-7493-5226
Lucia PacilloDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Viviana MoschesePediatric Immunopathology and Allergology Unit, Policlinico Tor Vergata, University of Rome Tor Vergata, Rome, Italy.ORCID https://orcid.org/0000-0001-7650-0632
Caterina CancriniDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Raffaele BadolatoMolecular Medicine Institute "Angelo Nocivelli", Department of Clinical and Experimental Sciences, University of Brescia and ASST Spedali Civili, Brescia, Italy.
Michele Miraglia Del GiudiceDepartment of Woman, Child and of General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Gian Luigi MarsegliaPediatric Unit, Department of Clinical, Surgical, Diagnostic, and Pediatric Sciences, University of Pavia, Pavia, Italy.ORCID https://orcid.org/0000-0003-3662-0159
Elena ChiappiniDivision of Pediatric Infectious Diseases Infective Diseases, Anna Meyer Children's University Hospital, Florence, Italy.ORCID https://orcid.org/0000-0002-1476-4752
Riccardo CastagnoliPediatric Unit, Department of Clinical, Surgical, Diagnostic, and Pediatric Sciences, University of Pavia, Pavia, Italy.ORCID https://orcid.org/0000-0003-0029-9383
Primary Atopic Disorders Working Group
Italian Society of Pediatric Allergy and Immunology (SIAIP)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary Atopic Disorders (PAD) represent a recently recognized subset of inborn errors of immunity (IEI), characterized by severe atopy driven by genetic mutations leading to dysregulated type 2 immune responses, excessive mast cell activation, and hyper production of IgE. In PAD patients, severe atopic manifestations, including eczema, asthma, food allergies, and eosinophilic gastrointestinal disorders, are often associated with other signs of immune dysfunction.

methodsRecognizing the need for standardized diagnostic and management guidelines for PAD, a Delphi-based expert consensus was developed within the Immunology Committee of the Italian Society of Pediatric Allergy and Immunology (SIAIP). After a systematic review of the literature and the development of the clinical statements, 45 specialists from multiple pediatric subspecialties reached an agreement on key aspects of PAD classification, diagnosis, and treatment.

resultsThe consensus focuses on some red flags that could aid clinicians in suspecting PAD. The document also proposes a diagnostic work-up to differentiate monogenic PAD from polygenic allergic conditions. It also emphasizes the importance of molecular pathway analysis to direct precision treatments, including biological drugs. Given the complexity of the field and the potential overlap between PAD and other IEI, the consensus recommends a multidisciplinary approach to diagnosis and treatment. The document establishes a framework for early recognition of PAD, integrating emerging genetic insights into clinical practice and promoting personalized therapeutic strategies.

conclusionsThe present work is the first structured consensus to standardize PAD diagnosis and management among pediatric subspecialists, aiming to improve patient outcomes through early intervention and tailored therapies.

Indexed as

Hypersensitivity, ImmediateChildConsensusHumansItalyearly diagnosisgeneticsimmune dysregulationinborn errors of immunityprimary atopic disorderssevere atopic diseasestargeted treatment

Identifiers

PMID41177946
PMCPMC12580494

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.