[Environment of the asthmatic child]. / Environnement de l'enfant asthmatique.

This work is in the purview of epidemiological studies that concern the environment of asthmatic children. Infantile asthma is found especially in children who live in the country, in an electrically-heated house and who sleep in a badly orientated room. The environment is composed of feather-bedding, soft-toy animals and animals from the countryside. The role of tobacco and insufficient aeration has been shown in this enquiry. School attendance is not disturbed by development of asthma. The majority of teachers do not understand infantile asthma. This study is to emphasize the importance of the environment in the development of allergic infantile asthma and the possibilities of its prevention. Information to the teachers, as well as the treating physicians, is also necessary for prevention.

[Fernand Widal syndrome and sulfite intolerance. Therapeutic problems in general and ORL problems in particular]. / Syndrome de Fernand Widal et intolérance aux sulfites. Problèmes thérapeutiques en général et ORL en particulier.

Asthma from intolerance of sulphites has been the subject of clinical work by our team since 1984. In 1986, we advised that asthma from sulphite intolerance was more frequent in patients who presented with illness from aspirin or the Fernand Widal syndrome. So it has emerged that there are clear therapeutic problems since sulphites as preservatives are present in other forms in some anti-allergy drugs, anti-histamines used for ORL.

[Adenoidectomy and tonsillectomy in allergic patients]. / Les adéno-amygdalectomies chez les allergiques.

A retrospective study of results of adenoidectomy, tonsillectomy, or their association in 80 of 35% cases of children with allergic affections showed that operation was successful in 2 out of 10 cases, resulted in complications in one out of 10 and was ineffective in 7 out of 10. This emphasizes the need for selection of children with allergy before deciding to operate, failures with complications being rarely observed when correct decisions have been made. Poor results can be avoided if contact of harmful allergens is prevented during healing. This involves the eviction of allergens, with isolation of the patient for one week and antidegranulation treatment of the ketotifen type, and accelerated densensitization during the isolation period. Antibiotics and polyvalent vaccination may be necessary to treat infection. Four-year follow up of 65 patients operated upon under these conditions demonstrated excellent results.