Tag: Conditions and Diseases
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How To Stay Informed
Thanks for following along with the diagnosis and treatment of eosinophilic esophagitis (EoE)–a condition that during my fellowship training in allergy wasn’t even recognized as a cause of abdominal pain. Treatment options for EoE are currently: Corticosteroids–both oral and inhaled Dietary avoidance of known allergic triggers, including but not limited to foods Use of PPIs such as Nexium &…
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A Penny for your Thoughts!
Nickel allergy can result in both cutaneous and systemic manifestations, and can range from mild to severe symptoms. A severe form of this allergy is the Systemic nickel allergy syndrome, clinically characterized by cutaneous manifestations (contact dermatitis, pompholyx, hand dermatitis dyshydrosis, urticaria) with a chronic course and systemic symptoms (headache, asthenia, itching, and gastrointestinal disorders related…
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Wedding Ring allergy
Think you can be allergic to your spouse? Just this week in the clinic, a middle-aged woman presents with a rash found only when she wears her wedding ring. No other jewellery gives her problems except for the ring when worn > 2-3 days. Although nickel allergy can cause this scenario, this woman probably has…
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Are CT scans dangerous?
Research does demonstrate that in children, CT scans can lead to a small, but measurable increase in the risk of cancer. How does one protect your child, yet obtain the x-rays that will give the proper diagnosis and are clinically indicated? I am of course referring to a CT (coronal) scan of sinuses used to…
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Improvement in survival without new drugs!
Truly remarkable how cancer survival has improved in children WITHOUT the addition of new drugs. There is so much more to health than just taking more medication! Allergy operates in the same way–good avoidance is first, followed by other aggressive medications. http://www.usatoday.com/news/health/story/2012-06-04/childhood-cancer-progress/55333892/1
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The More You Know, the Less You Know
The practice of medicine is just that….I advise the recommended treatment based on the information available at the time. If I look back to the time during my fellowship in the early 90’s, much of what we thought was true and now 20 years later, been disproven. As an example, the following study from a respected…
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Sleep disordered breathing
Often allergy patients have sleep disordered breathing and want to know if allergies contribute. Most of the time, interruptions in your sleep due to allergy consist of congestion, snoring, sneezing, and possibly apnea. Anything other than those symptoms should be evaluated for alternative causes. Specialists dealing with sleep disorders are allergists, ENT (otolaryngologists) and pulmonologists. There…
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Ouch! my tonsils are hurting me!
All that wheezes isn’t asthma! Ever heard that before? A common finding in our clinic is “wheezing” or difficulty breathing not due to asthma, but as a result of large tonsils/adenoids. A typical history is as follows: Snoring at night He wheezes–(it’s not really wheezing, but loud noises coming from the lungs is often labeled…
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Interesting patient of the day!
What would you think of a teenager seen for a rash, but come to find out he has swelling of hands and lips? Not to mention, other family members have similar problems! This may be hereditary angioedema, Type III. Why is this important? Treatment is available & it’s not steroids or anti-histamines. Check this out—>
TulsaAllergyNews 