What is an Allergist-Immunologist?
An Allergist-Immunologist is a physician who has specialized in either Internal Medicine or Pediatrics, and then has taken additional training of at least two years in the field of allergy-immunology. All physicians in our practice are Diplomats of the American Board of Allergy and Immunology, meaning that they have trained at accredited programs following strict training guidelines, and then have taken and passed a rigorous specialty board examination.
Allergists are trained in performing and interpreting several diagnostic procedures, including allergy testing (both skin testing and laboratory testing), pulmonary function and bronchoprovocation testing for asthma, food and drug allergy testing, drug desensitization, allergen immunotherapy (allergy shots), and testing of the immune system. In addition, they possess in-depth understanding of the management of several recurrent or chronic conditions, including allergic rhinitis, asthma, chronic cough, eczema, hives, angioedema, and acute and chronic sinusitis. The Allergist-Immunologist can provide education, including explanation of the disease process, risk and benefit of medications, and regular monitoring of individuals afflicted with the above problems.
Types of Allergies We Treat
- Allergic rhinitis and conjunctivitis
- Eczema (atopic dermatitis)
- Eosinophilic conditions
- Food allergies
- Hay fever (allergic rhinitis)
- Hives (urticaria)
- Insect sting allergy
- Medication allergies
- Nasal polyposis
- Non-AIDS-related deficiencies of the immune system
Allergy shots, or allergen immunotherapy, is a form of treatment that involves administering (by injection) extracts containing the environmental allergens that an individual is sensitive to. In other words, once the allergist determines your allergic triggers, extracts of those particular triggers are used. Over time, your body develops a protective response, and when exposed to these environmental triggers, your allergy and/or asthma symptoms will be less severe.
Allergy shots should be considered in those that are not controlled by medications alone or are requiring excessive medications to control their symptoms, as well as in those who experience side effects of medications or have comorbidities of allergies (asthma, chronic sinusitis, serous otitis media).
Allergy shots can also be administered to those with history of severe allergic reactions to insect stings from bees, wasps, yellow jackets, hornets and fire ants. Allergy shots are not indicated as treatment for food allergies.
Skin Allergy Testing
In order to best manage your allergy symptoms, it is necessary to determine what is causing them. Allergy testing is able to provide specific information about your allergic triggers. Once this has been determined, your allergist can develop a treatment plan specific to your triggers, symptoms and lifestyle.
Skin prick testing involves placing an allergen on the skin and pricking the skin through this extract. If you are allergic to the substance, a localized small, itchy bump (resembling a mosquito bite) develops within twenty minutes. This reaction is transient.
Most commonly, allergists opt to perform skin testing, as it is safe, reliable and leads to a prompt, tailored management plan.
Blood testing can also be used for diagnosis of allergies, although skin testing is usually the preferred method. Blood testing can be useful when skin tests cannot be performed, such as in those with skin conditions that interfere with placement and interpretation of a skin test, or in those patients taking medications that interfere with the skin test reaction. It is often used in conjunction with skin testing to follow changes over time in those with food allergy.
There are other types of blood tests available, such as measurement of IgG antibodies, but it is important to note that specific IgG antibodies have no known clinical value in assessing allergies and, in general, this type of testing is discouraged.
For additional medical information from national organizations, please visit our allergy resources page.