Services include but are not limited to:
Allergy Skin Testing
This form of testing is the most convenient, reliable, and efficient means of diagnosing airborne, food, stinging insect, and penicillin allergy. A small drop of allergen is placed on the skin surface of the forearm or back and is then minimally punctured. Any resulting red, itchy bump that develops within 15 minutes is evidence of an allergic sensitivity. A second battery of tests where allergen is placed just under the skin is also routinely performed.
While allergy skin testing is the preferred method of diagnosing allergies, allergy blood testing, especially in the evaluation of food allergies, is often performed. This provides additional data on which to base recommendations. Lab testing is also frequently done when evaluating patients with recurrent infections and chronic hives and swelling.
Pulmonary function tests such as spirometry measure how much air one’s lungs can hold and the speed at which one can move air in and out of their lungs.
After baseline testing, a medication that opens the airways is often then administered to assess response to treatment. This is an important tool in evaluating and determining treatment for patients with asthma and chronic cough.
Oral Food and Drug Challenges
An oral challenge is a closely supervised procedure that aids in the evaluation and management of food and drug allergies. Incrementally greater amounts/doses of food or medication are administered to the patient while they are carefully monitored. This testing can be used to document whether a patient has a true food or drug allergy or has lost their sensitivity.
Subcutaneous immunotherapy (SCIT) refers to traditional allergy injections used in the treatment of airborne and stinging insect allergies. Patients typically receive injections to the allergens to which they are allergic on a weekly basis that gradually tapers to a monthly schedule. This treatment has well-documented efficacy in reducing symptoms and medication use in allergic asthma and allergic rhinitis and virtually cures venom allergy. Sublingual immunotherapy (SLIT) in which a self-administered dissolvable allergen tablet is placed under the tongue on a daily basis is available for grass, ragweed and house dust mite allergies and is also effective.
Multiple regularly scheduled injectable medications are available in our office for a variety of conditions:
Dupixent® is approved for moderate to severe allergic eczema in patients age 6 and above, moderate to severe allergic asthma in patients age 12 and above and nasal polyps in patients age 18 and older.
Xolair® is approved for moderate to severe allergic asthma in patients age 6 and above, chronic hives in patients age 12 and above and nasal polyps in patients age 18 and older.
Nucala® and Fasenra® are approved for patients age 6 and older and 12 and older for severe allergic asthma, respectively.
Depending on the medication, the dosing interval ranges from every 2 to 8 weeks and some are approved for self-administration at home.