Tag Archives: allergy testing

FOOD ALLERGY: CONSENSUS REPORT STRESSES DIAGNOSTIC ACCURACY

FCAAIA Notes: The best test for diagnosis of food allergy is a thorough history as to what happens with ingestion.  Tests for food allergy can help confirm or refute a diagnostic suspicion (which means the physician needs to have a … Continue reading

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TESTING PENICILLIN ALLERGY CUTS WIDE-SPECTRUM ANTIBIOTIC USE

FCAAIA Notes: Of all the medications out there, the one for which we have the best data about how to interpret testing is penicillin.  If your testing to penicillin and a metabolite of penicillin (Pre-Pen®) is negative, there is up … Continue reading

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AAP: INDOOR ALLERGEN TESTING ‘A MUST’ FOR KIDS WITH ASTHMA

FCAAIA Notes: The vast majority of children with asthma have allergies and should have allergy testing.  Therefore, a thorough history of environmental exposures, correlated with the patient’s history and his testing results allow for focused recommendations for allergen avoidance. The … Continue reading

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FALSE POSITIVES COMMON IN SIBLINGS OF FOOD-ALLERGIC CHILDREN

FCAAIA Notes: There are a few important points in this article.  First a positive test does not necessarily mean allergy. Anyone can have a positive test to anything and not be allergic.  You are not actually allergic unless you also … Continue reading

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DOES SKIN-PRICK TESTING IN CHILDREN PREDICT LATER ALLERGIES?

FCAAIA Notes: Did you ever wonder why your allergist requests follow-up visits with you at regular intervals? This study provides on explanation. Allergists have long been cognizant of the “atopic (allergic) march” in which children with milder forms of allergic … Continue reading

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ALLERGISTS’ OPINIONS DIFFERED ON FOOD CHALLENGE OUTCOMES

FCAAIA Notes: It’s not always so easy to tell if some one had a true reaction to a food ingestion.  The double-blind, placebo-controlled food challenge, in which neither doctor nor patient know if the food or an innocuous substance is … Continue reading

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MANY DOCS MISTAKEN ABOUT ALLERGIES: STUDY

FCAAIA Notes: This study was presented at the American College of Allergy, Asthma, and Immunology meeting in November.  Those of us in the audience smiled and nodded our heads during the research presentation. There are numerous urban myths about allergies. … Continue reading

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THE FOOD-ELIMINATION DIET IN ADULT EOSINOPHILIC ESOPHAGITIS

FCAAIA Notes: Eosinophilic esophagitis (EoE) is a relatively newly recognized entity that can present in a variety of ways.  Frequently, patients just complain of typical gastroesophageal reflux symptoms such as heartburn, burping, or regurgitation.  Classically, they have a sensation of … Continue reading

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ALLERGY TESTS SHOULD ONLY CONFIRM DIAGNOSIS

FCAAIA Notes: This summary relates to some of the archived articles below. Its main points are that allergy tests should not generally be done as a “screening” test. Rather, testing should most often only be done to things considered to … Continue reading

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NIAID RELEASED FIRST GUIDELINES FOR MANAGING FOOD ALLERGIES

FCAAIA Notes: The diagnosis of food allergy goes far beyond a simple blood test or skin test. Test results must always be interpreted in the context of the patient’s individual history. Tests for food are usually not “black and white.” … Continue reading

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