ALLERGY CLINIC- UHSM

ALLERGY CLINIC- UHSM

Updated 4 months ago

Short profile:

The allergy service was set up by Professor Adnan Custovic, Professor of Allergy in January 2004. What does the service offer?Management of anaphylaxisDiagnosis, assessment and management of a patient with idiopathic and complex or severe anaphylaxis, e.g. where the cause is unclear; where avoidance is difficult; where multiple foods are involved and/or there are complex dietary consequences; where there is co-existing asthma or where the anaphylaxis is exercise induced.

Advice is offered on avoidance and management to reduce recurrence and repeat emergency attendances and to improve the quality of life. Food allergyDiagnosis and management of patients with severe symptoms relating to food e.g.

where there are potentially life-threatening airway, breathing or circulatory symptoms; where the cause is unclear; where the patient is deemed to be at high risk, where there are multiple food allergies.

Detailed description:

EczemaDiagnosis and management of patients with severe eczema with an allergic aetiology and/or where it co-exists with significant asthma, rhinitis and/or food allergy complicating management. AsthmaDiagnosis and management of patients with severe asthma with an allergic aetiology where conventional treatments are not effective. Connection with UHSM’s severe asthma clinic, run by Dr Rob Niven. Multi-system allergic diseaseE.g. asthma, rhinitis, eczema, acute reactions due to food or inhalant allergies, which is moderate or severe and necessitates complex management strategies.

Rhinitis, conjunctivitis and rhino-sinusitisEstablishment of an allergic diagnosis and thereafter consideration of desensitisation immunotherapy where patients’ rhinitis, conjunctivitis and rhino-sinusitis symptoms are not controlled by maximal medical treatment. Drug allergy Investigation of drug allergy reactions during general anaesthesia; investigation of and challenge testing to antibiotics and other drugs when patients’ choice of alternative drugs are limited or complex (e.g. cystic fibrosis patients) and desensitisation where appropriate. Venom allergyInvestigation and management of severe reactions and those involving significant physiological disturbance of airway, breathing or circulation.

Venom specific immunotherapy where appropriate. Latex allergyInvestigation and management of reactions when there is significant physiological disturbance of airway, breathing or circulation. Urticaria and angioedemaInvestigation and management of severe or persistent urticaria and angioedema, which does not respond to conventional first line treatment. Multiple non-specific symptomsAdvice and risk assessment to the patient and the referring doctor; diagnosis when an allergic cause needs to be excluded and management of severe cases.

Keywords:

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