Clinical Allergy: Diagnosis and Management (Current Clinical Practice)

Clinical Allergy: Diagnosis and Management (Current Clinical Practice)

Gerald W. Volcheck

Language: English

Pages: 491

ISBN: 1588296164

Format: PDF / Kindle (mobi) / ePub


Allergic diseases affect nearly one-fourth of the population and cause or contribute to significant chronic illness. Allergic diseases are common and are seen by a wide variety of health care providers. In Clinical Allergy: Diagnosis and Management, the author provides a practical clinical overview for the common disorders encountered in the specialty of Allergy. Designed to be easily readable and to provide clinically applicable information for both the nonallergist and allergist, the intent is to unravel the mystery of allergy. The introductory chapters focus on the human immune response, environmental allergens, and the different types of allergy testing. The subsequent chapters focus on the common allergic conditions seen in the office or clinic, including rhinitis and rhinosinusitis, allergic eye disease, asthma, urticaria and angioedema, atopic and contact dermatitis, drug allergy, food allergy, anaphylaxis, and stinging insect allergy. "Cross-talk" between chapters helps show the interrelationships among the various allergic disorders. The chapters begin with a review of pathophysiologic mechanisms and then consider a clinically structured approach to diagnosis and management of the disorders. In addition to pharmacologic treatment, the importance of nonpharmacologic management and patient education is emphasized. At the end of each chapter, clinical vignettes highlight the daily management of the allergic patient. Clinical Allergy: Diagnosis and Management, provides a logical framework for the evaluation and management of allergic disorders in patients.

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chronic inflammation. In addition, a greater number of mast cells and eosinophils are found in the conjunctival epithelium than in seasonal and perennial allergic conjunctivitis. Patients with atopic keratoconjunctivitis usually have a notable history of atopic diseases such as atopic dermatitis, asthma, and allergic rhinitis. The major eye symptoms are pruritus, burning, tearing, blurry vision, and photophobia. The eyelids are often swollen, erythematous, and eczematous. Papillary hypertrophy is

Depending on the number of apertures, pollens are labeled as monoporate, tricolpate, and so forth. When numerous apertures are present, the prefix “peri-” is used. “Stephano-” is used to refer to equatorial pores or furrows (Fig. 2.1). This nomenclature is used to help identify particular pollens. Approximately 30 grains of pollen per cubic meter of air is required to cause an allergic reaction. Because of priming, the amount of pollen grains required to initiate symptoms at the beginning of the

pollen counts recorded over the years, the expected times of pollen release for the trees and short ragweed were reviewed. During these times, it was recommended that the windows of the house, especially the boy’s bedroom, be kept closed. It also was recommended that the boy shower and change clothes after playing outdoors for an extended time. The rest of the management plan reviewed the role of medications and immunotherapy. Suggested Reading Bush, R. K. and Portnoy, J. M. (2001) The role and

immunotherapy (SLIT) is delivered by two methods. With sublingual spit, the extract is kept under the tongue for a short period then spat out. More often, however, the sublingual swallow method is used. With this method, the extract is kept under the tongue for 1–2 minutes, then swallowed. SLIT has been used with increasing frequency in Europe and is being viewed with increased interest by allergists in the United States. Fifty clinical SLIT studies were reviewed for efficacy analysis by the

controlled trials, but noncontrolled trials of antifungal irrigation have shown promise for this difficult disorder. The patient should be followed closely to assess clinical and CT improvement. Once symptoms are controlled, the medication regimen should be tailored to the symptoms. 4.14.2 Vignette 2 A 19-year-old man presents with a 2-year history of perennial symptoms of daily nasal congestion and intermittent mild rhinorrhea, itchy nose, and sneezing. The symptoms are bilateral. He states

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