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
    2. Allergy to anti-inflammatory medications
    3. Anaesthetic allergies: local and general

  • Referral to a tertiary centre for more definitive testing
  • 1. Skin prick and intradermal testing for antibiotics, anaesthetic agents and other medications if appropriate.
    2. Graded challenge in a safe environment with supervision

  • Focus on de-labelling allergies and distinguishing intolerances.

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

  • Listed as before.