The patients with the following conditions should be referred to our clinic for further investigation and treatment:
What We See
Food Allergies
- Peanut and tree nut allergies
- Seafood allergy: shellfish and whitefish allergies
- Staple food allergies: wheat, soy, cow’s milk and egg allergies
- Other food allergies: sesame, goat’s milk, grains, latex associated foods and Oral Allergy Syndrome.
- Skin testing available for most common allergens, blood allergy tests for others.
Drug allergies
- Review for the following medication allergies 1. Antibiotic allergy
- Referral to a tertiary centre for more definitive testing 1. Skin prick and intradermal testing for antibiotics, anaesthetic agents and other medications if appropriate.
- Focus on de-labelling allergies and distinguishing intolerances.
2. Allergy to anti-inflammatory medications
3. Anaesthetic allergies: local and general
2. Graded challenge in a safe environment with supervision
Anaphylaxis
- Detailed evaluation for possible cause.
- Provision of anaphylaxis action plan and Epipen® education.
- Travel plans
- Diagnosing food, medication and insect venom allergies.
- Referral for venom immunotherapy if appropriate to a tertiary centre.
Urticaria and Angioedema
- Investigation and treatment of acute and chronic urticaria.
- Identifying types of angioedema including bradykinin mediated causes.
- Management plans and regular follow up.
- Referral for whole exome gene sequencing for hereditary angioedema where appropriate.
Allergic rhinitis
- Evaluation of intermittent and persistent allergic rhinitis.
- Skin prick testing for seasonal and perennial allergens.
- Thunderstorm asthma evaluation.
- Medical treatment optimisation and counselling on regular use and appropriate technique for nasal steroids.
- Identifying and referring for immunotherapy or desensitisation for longer term benefit
Insect venom allergy
- Reviewing clinical history and provision of anaphylaxis action plans.
- Investigation with blood or skin allergy tests, and identifying patients suitable for desensitisation.
- Referral to a tertiary centre for bee, wasp or jack jumper ant venom immunotherapy.
Animal Dander Allergy
- Clinical assessment and skin testing for common animal dander allergies.
- Referral for desensitisation if appropriate.
Grass Pollen allergy
- Skin testing and desensitisation
1. Grass pollen injection therapy
2. Grass pollen tablet therapy
House dustmite allergy
- Avoidance strategies
- Skin testing and desensitisation
1. Dust mite injection therapy
2. Dust mite tablet therapy
Asthma
- Review of clinical history and examination.
- Assessment with lung function and provocation testing.
- Identification of triggers and education on avoidance.
- Inhaler technique.
- Allergy skin testing if appropriate and desensitisation.
- Evaluate for new biologic therapies if appropriate.
Other conditions
- Eczema
- Immune deficiency syndromes
- Mastocytosis
- Nasal Polyposis