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.
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