Category Archives: Doctor’s Posts

The doctors of Fairfield County Allergy, Asthma, and Immunology post news for patients and professionals.

RESTAURANT FOOD ALLERGY PRACTICES — SIX SELECTED SITES, UNITED STATES, 2014

FCAAIA Notes: Restaurant employees are far more aware of food allergies now than they were 20-25 years ago, undoubtedly because of training by managers and owners.  Nonetheless (as with most things) there is always room for improvement. The burden remains … Continue reading

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OBSTRUCTIVE SLEEP APNEA ACCELERATES FEV1 DECLINE IN ASTHMATIC PATIENTS

FCAAIA Notes: As I’ve written before, “The nose bone’s connected to the lung bone.”  Asthma is part of “allergic airway disease” and control of the lower airway (lungs) always requires that we consider the upper air way (nose) as well. … Continue reading

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THE LATEX ALLERGY THREAT: CAN WE KEEP CLINICIANS AND PATIENTS SAFER?

FCAAIA Notes: Latex allergy is usually diagnosed purely by clinical history. Unfortunately, there is no other good test for latex allergy. This article gives a nice review of latex allergy with some good points for allergic patient. People with latex … Continue reading

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CORTICOSTEROIDS AND ASTHMA: TOO MUCH OR TOO LITTLE?

FCAAIA Notes: Ah….the Goldilocks paradigm! Too little or too much? Of course, the answer is “just the right amount.” Oral corticosteroids (e.g., prednisone) are the treatment of choice for bad asthma exacerbations. 

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ALLERGY QUESTIONNAIRE HELPS DETERMINE TRUE PENICILLIN ALLERGY IN CHILDREN

FCAAIA Notes: Up to 95% of people who are labelled allergic to penicillin (amoxicillin, etc.) are not allergic.  Some never were; either they had something happen that was while taking the antibiotic but was unrelated to it, others avoid it … Continue reading

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STRATEGIES TO ALTER THE NATURAL HISTORY OF CHILDHOOD ASTHMA

FCAAIA Notes: I guess one of the best ways to avoid having asthma is to choose the right parents, as asthma and other allergic disease are more common in children whose parents have allergies. Of course, as shown in this … Continue reading

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NO NEED TO GET SCREENED FOR CELIAC UNLESS YOU HAVE SYMPTOMS, PANEL SAYS

FCAAIA Notes: Many people blame many of their symptoms on gluten.  While it is hard to put a number on it, many of those people do not actually have a gluten-related condition.  No one has to eat gluten containing grains, … Continue reading

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THERE’S FINALLY GOOD NEWS FOR PEOPLE WITH NUT ALLERGIES

FCAAIA Notes: What do you do if you are allergic to one tree nut but are not sure about others? First of all, cashew and pistachio allergies tend to go together as do pecan and walnut. So if you are … Continue reading

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TREATING GERD MAY REDUCE NASAL SYMPTOMS

FCAAIA Notes: Lots of things are connected on the inside, so we should not be surprised when one condition (in this case reflux) is associated with another (in this case nasal congestion).  I can speculate a couple of possible mechanisms:  … Continue reading

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IMMUNOTHERAPY PATCH DESENSITIZES PEANUT ALLERGY

FCAAIA Notes: The “peanut patch” is not FDA approved and is not commercially available. Let’s assume it is someday.  Then, what might we expect from it?  Use of the patch will not “cure” peanut allergy, nor will it be a … Continue reading

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