Diagnosis and treatment of allergies: the allergological evaluation

The allergological examination consists of a careful assessment of the clinical picture to arrive at the definition of specific therapeutic and preventive measures specific to the individual case

They direct in the choice of the correct personalized therapeutic diagnostic course, a careful history and the type of symptoms reported by the person.

In particular, four profiles can be indicated for the management of the allergic person according to the specific needs assessed by the physician.

Diagnostic therapeutic pathway respiratory allergology

Allergological examination

Skin testing

  • Prick test (inhalable allergens)

Serologic testing

  • Total IgE
  • Specific IgE

Functional assessment       

  • Spirometry
  • Rhinomanometry

Nonspecific provocation tests         

  • Methacholine
  • Exercise

Specific provocation tests       

  • Allergens by inhalation or conjunctival inoculation

Other investigations         

  • Medico-specialist (otolaryngologist, ophthalmologist, etc.).
  • Laboratory (cells and mediators)
  • Environmental assays (acaridic allergens, Pollen assessment)

Measures       

  • Specific immunotherapy (i.t.s.)
  • Pharmacotherapy
  • Prevention and protections in the living environment

Diagnostic therapeutic pathway skin allergology:

Allergological examination

Skin tests       

  • Contact hapten patch tests (standard and supplementary series)

Specific provocation tests       

  • Contact tests

Other investigations              

  • Medico-specialist
  • Laboratory (cells and mediators)
  • Environmental assays

Measures              

  • Pharmacotherapy
  • Spa therapies
  • Prevention and protections in the living environment.

Diagnostic therapeutic pathway professional allergology:

Allergy examination

Skin tests       

  • Prick test
  • Intradermal test
  • Patch test

Serologic tests       

  • Total IgE
  • Specific IgE
  • Specific IgG

Functional assessment         

  • Spirometry
  • Rhinomanometry

Nonspecific provocation tests       

  • methacholine
  • exercise

Peak flow monitoring (p.e.f.)        

  • Periods of work
  • Withdrawal periods

Specific provocation tests

  • Controlled exposure
  • Occupational testing
  • Testing with occupational compounds

Other assessments

  • Medico-specialist
  • Laboratory
  • Determinations in the working environment

Measures; Specific immunotherapy (i.t.s.) in some cases

  • Prevention and protection in the work environment
  • Pharmacological support; Evaluation of work choices.

Diagnostic therapeutic pathway allergology stinging insects:

Allergy examination

Skin tests       

  • Intradermal test
  • Prick test

Serologic tests       

  • Total ige
  • Specific IgE
  • Specific IgG

Other assessments       

  • Medico-specialist
  • Entomological

Measures       

  • Specific immunotherapy (i.t.s.) in defined cases
  • Medical education and prevention
  • Behavior guidance.

Read Also

Emergency Live Even More…Live: Download The New Free App Of Your Newspaper For IOS And Android

Allergies In Children, Symptoms And Allergy Tests

Allergies To Stinging Insects: Anaphylactic Reactions To Wasps, Polistines, Hornets, Bees

Food Allergies: Causes And Symptoms

When Can We Talk About Occupational Allergies?

Adverse Drug Reactions: What They Are And How To Manage Adverse Effects

Symptoms And Remedies Of Allergic Rhinitis

Allergic Conjunctivitis: Causes, Symptoms And Prevention

What Is And How To Read The Allergy Patch Test

Allergies: New Drugs And Personalised Treatment

Allergic Contact Dermatitis And Atopic Dermatitis: The Differences

Spring Arrives, Allergies Return: Tests For Diagnosis And Treatment

Allergies And Drugs: What’s The Difference Between First-Generation And Second-Generation Antihistamines?

Symptoms And Foods To Avoid With Nickel Allergy

Contact Dermatitis: Can A Nickel Allergy Be The Cause?

Respiratory Allergies: Symptoms And Treatment

Source

Pagine Mediche

You might also like