[1] Vet Affairs Caribbean Healthcare Syst, Dept Allergy & Immunol, San Juan, PR 00921 USA
[2] COSSMA, Dept Allergy & Immunol, Las Piedras, PR USA
[3] HIMA San Pablo Bayamon Hosp, Dept Allergy & Immunol, Bayamon, PR USA
[4] Joe DiMaggio Childrens Hosp, Div Pediat Immunol & Allergy, Hollywood, FL USA
[5] Florida Int Univ, Herbert Wertheim Coll Med, Dept Pediat, Miami, FL 33199 USA
[6] Florida Atlantic Univ, Charles E Schmidt Coll Med, Dept Pediat, Boca Raton, FL 33431 USA