All posts by CharlestonAllergy

Prevent Peanut Allergies – Start Early!

Landmark study presented at AAAAI Annual Meeting paves way for food allergy prevention.

The first ever published data from the highly anticipated Learning Early About Peanut (LEAP) study offers proof that early introduction of peanuts may offer protection from the development of peanut allergies. The study was led by Professor Gideon Lack at King’s College London.

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Antibiotics and Asthma

Your baby is sick with a cold. The coughing and sniffling has made it difficult for anyone in the house to get a good night’s sleep. Your doctor examines your baby and confirms there is no ear infection and no sign of pneumonia. This is an acute respiratory infection caused by a viral infection that is best treated with rest, fluids, and time. “But Doctor,” you ask, “aren’t you going to prescribe antibiotics?”

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Allergies During the Holiday Season

Sneezing through “the most wonderful time of the year?” Well, there is a very good reason for that, allergy and asthma triggers are everywhere, including your holiday decorations. And as it gets colder, we tend to stay indoors and curl up with a fire, a warm blanket and dust mites. No one wants to miss out on all the holiday cheer, so here are few tips and tricks to get you through the festivities without your nose looking like Rudolf’s.

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Does your child have a poor appetite? Reflux? Not growing? It could be EoE.

Eosinophillic Esophagitis (EoE) is an inflammatory disorder which makes up a set of the eosinophilic gastrointestinal disorders. This condition is characterized by infiltration of the wall of the esophagus with a type of white blood cell, eosinophil.  EoE can develop at any age and commonly occurs in individuals with a past history of atopic diseases including allergic rhinitis, food allergy, atopic dermatitis, and asthma. Presenting symptoms in children usually include abdominal pains, vomiting, disinterest in eating, and failure to thrive. Presenting symptoms in adolescents and adults can include heartburn, difficulty swallowing, and most frequently, food impaction. Symptoms of EoE can be similar to those of gastroesophageal reflux but typically with the EoE, aggressive reflux therapy with proton pump inhibitors is usually ineffective in completely controlling symptoms.

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Sublingual Immunotherapy is Coming to the United States

The FDA has recently approved the first formulations of Sublingual Immunotherapy in the United States.  Currently approved are two different formulations one for grass allergy and one for ragweed.  It is likely that a formulation to treat dust mite allergy will also be approved in a couple of years.  These come in the form of a dissolvable tablet that is placed under the tongue daily.  Similar to allergy shots, sublingual immunotherapy exposes patients to the substances which they are allergic to in a way to decrease their sensitivity over time.

Who would benefit from these Sublingual Immunotherapy Tablets?

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Allergens You May Not Be Aware Of

In the allergy world, we are pretty savvy as to pollen, dust mites, mold, but this article from CNN Health brings to light some allergens that you may not be aware of…and yes, we treat those too! If it looks like a rash and it itches, it just might Contact Dermatitis which is an allergic response that stems from someone touching something or coming into contact with an allergen.

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Allergy sufferers look to needle-free treatment for symptoms

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Traditionally, allergic rhinitis has been treated with incremental increased dosing of inhalant allergens to which the patient is sensitive, given subcutaneous injection (“allergy shots”). This subcutaneous (SC) immunotherapy has been used safely and successfully for over 100 years and is currently seen as the gold standard for allergy treatment.

Although SC immunotherapy is minimally painful, many patients, particularly children, would prefer an oral alternative which they might take at home instead of in the allergist office. Attempts began in Europe to formulate effective oral versions of allergy extract immunotherapy and European allergists have documented some success.

Oral Immunotherapy has quite a bit of appeal because needles are avoided and doses can be administered at home. Documentation of the effectiveness of this therapy has been ongoing in the United States and safety and efficacy has been demonstrated in several recent studies. The FDA has just approved two oral (sublingual) grass pollen products for use in the US.

These products have not been made available for prescribing at this time although we anticipate availability soon. No oral products are yet approved for trees, weeds, animal protein, dust mite, cockroach, or mold spores. As these new oral products will only be effective for individuals with isolated grass pollen allergy, individuals who are sensitized to multiple types of inhalant allergens would not benefit from this therapy.

We do anticipate the availability of additional oral allergens such as dust mite in the future. The availability to these new and future products will add to our arsenal of immunotherapy alternatives for our allergy patients.</div>

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