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Allergy, Asthma & Immunology Services



Allergy Testing


Environmental skin-prick testing: A rapid, safe and easy way to identify whether a person’s symptoms are related to an allergy. Pricks are made on the skin surface using a small plastic device with a steel tip that contains commercially available allergens. No needles. No bleeding.

Food skin-prick testing: This test uses a small plastic device with a steel tip that either contains commercially available allergens or a small amount of the suspected food. No needles. No bleeding.

Food challenge: In a supervised setting, following a standardized protocol, a patient is given, in gradually increasing amounts, the food suspected of causing the allergic reaction to confirm or rule out a food allergy.

Patch testing: A set of adhesive patches are applied to the patient’s back and kept in place for 48 hours to evaluate delayed hypersensitivity reactions, either to foods or to contact allergens, such as nickel, rubber, or cosmetics.

Bee-venom testing: Through a series of skin tests, we evaluate the patient’s risk of allergic reaction to bees, wasps, hornets, and yellow jackets.


Immunotherapy


Environmental allergy immunotherapy: A series of injections are given at intervals that vary from one week to one month for three or more years. This induces a tolerance in the immune system, which diminishes or removes the symptoms of allergies caused by grass pollen, cat dander, or dust mites.

Bee-venom allergy immunotherapy: A series of injections are given at intervals that vary from one to six weeks for three or more years. This greatly reduces the risk of having a severe allergic reaction when a sting occurs.


Pulmonary Function Testing


Spirometry: This lung-function test begins when a patient breathes forcefully into a tube, allowing the computer to recognize signs of asthma or other pulmonary conditions. A medicine, such as albuterol, is sometimes given; then the test is repeated to determine if any improvement.

Methacholine challenge: Used to rule out asthma, the patient is given a medicine to breathe that causes mild lung constriction. If a patient is unaffected, it is unlikely that patient suffers from asthma.

Exhaled nitric oxide: The patient breathes gently into a small machine that measures the amount of allergic inflammation in the lungs. This cutting-edge test can help determine if certain types of medicines might help control the patient’s asthma.


Other Testing


Rhinoscopy: This in-office procedure provides a detailed look at the nasal cavity. After the nose is numbed with an anesthetic spray, a small-diameter scope is passed through the nasal opening to look for evidence of nasal polyps, sinusitis, or other potential causes of nasal symptoms

Laryngoscopy: After the nose is numbed with an anesthetic spray, a small-diameter scope is passed through the nasal opening to provide a detailed look at the vocal cords and the surrounding structures.

EKG: To determine whether symptoms might have a cardiac cause, this test evaluates heart rhythm and function.

Wood’s Lamp: Special ultraviolet light is used to examine the skin lesion, which helps diagnose certain fungal or bacterial infections.



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