Matt Stumpe, MD Otolaryngologist Mid Kansas Ear, Nose, & Throat
|
|
- Leona Blankenship
- 5 years ago
- Views:
Transcription
1 Matt Stumpe, MD Otolaryngologist Mid Kansas Ear, Nose, & Throat
2 Inflammation of the nasal mucosa secondary to an inappropriate hypersensitivity reaction to an allergen IgE mediated immune response with mast cell activation and release of cytokines
3 Affects up to 1 of every 6 US citizens Significant morbidity Lost work/school days ($2-4 billion/year) 800,000-2 million lost school days Decreased productivity Costs of medical management ($2-5 billion/year)
4 Wichita usually in top 10 USA cities for allergens Studies Allergen density Also takes into account treating Physicians
5 Primary Reaction Phase Type I hypersensitivity Occurs within 5 minutes of allergen exposure Maximum effect in 15 minutes Release of cytokines (histamine, serotonin, leukotrienes, etc.)
6 Secondary (Late) Phase Occurs 4-6 hours after acute phase Leukotrienes (IL-5) and other mediators stimulate: Smooth muscles of airway Proliferation of eosinophils Stimulate airway secretions
7 History Symptoms Physical examination Adjunctive testing Differential Diagnosis
8 Onset, timing, duration, seasonality, severity, associated symptoms, aggravating/alleviating factors Environmental history Family history of atopy Suspected allergens Nasal trauma Anatomy distortion, CSF Rhinorrhea
9 Rhinorrhea Cough/Sneeze Nasal Congestion Post nasal drip Nasal pruritus Watery eyes
10 General appearance Allergic shiners Allergic salute Malaise
11 Nose Septal deviation Polyps Drainage Turbinate hypertrophy Hyponasality Allergic mucosa Normal mucosa
12 Mouth Cobblestoning of oropharynx Ear Middle ear pathology
13 Neck Lymphadenopathy Chest Wheezing Skin Eczema, dermatographism
14 Nasal endoscopy Polyps, ostiomeatal unit obstruction, adenoid hypertrophy Nasal smear Obtained from inferior middle turbinate mucosa >25% eosinophils suggests allergy Total serum IgE Not accurate or cost effective
15 CT scans or other testing is not indicated in workup of Allergic rhinitis
16 Non allergic rhinitis Infectious, NARES, vasomotor rhinitis, atrophic rhinitis, drug induced, hormonally induced, exercise, reflux Anatomic/mechanical factors Septal deviation, turbinate hypertrophy, adenoid hypertrophy, foreign body, neoplasm
17 Immunologic Wegener s, sarcoidosis, midline granuloma, lupus, Sjogren's CSF rhinorrhea
18 Avoidance Symptomatic medication Severe Symptomatic medication Immunotherapy Non pharmacologic therapy
19 Dust - resistant materials on mattress/pillows, low carpet or hardwood floors, frequent dusting/cleaning, place bedding/clothes in dryer Molds disinfect bathrooms, dehumidify basement, clean furnace, avoid gardening Pollens air conditioning, keep windows closed, avoid cutting grass
20 Animals keep out of bedroom/house, special shampoos, remove animal High efficiency particulate air (HEPA) filters Masks may be helpful in unavoidable allergy exposure
21 Nasal Saline 1 st Generation antihistamines Diphenhydramine (Benadryl), chlorpheniramine, promethazine 2 nd Generation antihistamines Loratadine (Claritin), fexofenadine (Allegra), cetirizine (Zyrtec), etc. Topical glucocorticoids Fluticasone (Flonase), mometasone (Nasonex), triamcinolone (Nasacort), etc.
22 Topical Antihistamines Olopatadine (Patanase), azelastine (Astelin/Astepro) Antileukotrienes (2 nd line AR therapy) Montelukast (Singulair), zafirlukast (Accolate) Phenylamines (systemic decongestants) Pseudoephedrine (Sudafed), phenylephrine
23 Mast cell stabilizers not commonly used Cromolyn (NasalCrom, Gastrocrom), nedocromil Imidazolines (topical decongestants) Oxymetazoline (Afrin), phenylephrine (Neo- Synephrine) Are physically addictive Rebound mucosal edema
24 Systemic corticosteroids Most potent medication for symptomatic relief Side effects Prednisone, prednisolone, methylprednisolone, etc. Intraturbinal corticosteroid injection Risk of blindness
25 Turbinate reduction surgery Polypectomy Septoplasty
26 Skin prick, intradermal, in vitro (RAST) Identify antigens to which patient is symptomatically reactive (Go back to avoidance) Antigens chosen to test should be representative of exposure and geography
27 Desensitization to allergens identified Takes years of therapy Changing from TH2 to TH1 immune response Injection immunotherapy Gold Standard Mainstay of treatment in USA Risk of anaphylaxis Sublingual immunotherapy (SLIT) Wide acceptance in Europe and South America, but still gaining acceptance in USA Specific nasal immunotherapy (SNIT) Experimental
28 Sublingual immunotherapy tablets Ragwitek (Merck) Ragweed allergy treatment Grastek (Merck) Timothy grass allergy treatment Oralair (Greer) Multi-grass allergy treatment
29 Acupuncture
30 Any patient you can not manage with these treatment options Suspicion of non allergic nasal pathology Surgical intervention
31
Allergic Rhinitis: When to Refer to an Allergist
Allergic Rhinitis: When to Refer to an Allergist Kirsten Kloepfer, MD, MS Assistant Professor of Pediatrics Section of Pulmonary, Allergy and Sleep Medicine Disclosures NIH K23 American Academy of Allergy,
More informationCase Study. Allergic Rhinitis 5/18/2015
John A. Fling, M.D. Professor Allergy/Immunology University of North Texas Health Science Center, Fort Worth, Texas Case Study 38 year old male with a history of nasal congestion, clear nasal discharge
More informationDerriford Hospital. Peninsula Medical School
Asthma and Allergic Rhinitis iti What is the Connection? Hisham Khalil Consultant ENT Surgeon Clinical Senior Lecturer, PMS Clinical Sub-Dean GP Evening 25 June 2008 Plymouth Derriford Hospital Peninsula
More informationAllergic Rhinitis 6/10/2016. Clinical and Economic Impact. Clinical and Economic Impact. Symptoms. Genetic/Environmental factors
I have no disclosures to make other than I too suffer from allergic rhinitis Allergic Rhinitis Betsy Close, MD Assistant Professor UT College of Medicine, Department of Family Medicine Clinical and Economic
More informationSAN DIEGO ALLERGY ASTHMA & IMMUNOLOGY CONSULTANTS, INC
SAN DIEGO ALLERGY ASTHMA & IMMUNOLOGY CONSULTANTS, INC BERNARD A. FEIGENBAUM, M.D. FACP, FAAAAI 9850 GENESEE AVE, SUITE 355 CLINICAL ASSISTANT PROFESSOR OF MEDICINE & OTOLARYNGOLOGY, NYU LA JOLLA, CA 92037
More informationAllergies and Asthma 5/21/2013. Objectives. Allergic Rhinitis (AR): Risk Factor for ASTHMA. Rhinitis and Asthma
Allergies and Asthma Presented By: Dr. Fadwa Gillanders, Pharm.D Clinical Pharmacy Specialist May 2013 Objectives Understand the relationship between asthma and allergic rhinitis Understand what is going
More informationSeasonal Allergic Rhinoconjunctivitis
Seasonal Allergic Rhinoconjunctivitis Allergic rhinoconjunctivitis is a common condition. Most patients can achieve good symptom control through allergen avoidance and pharmacotherapy with non-sedating
More informationJagdeep Hundal, MD, Otolaryngology, Head & Neck Surgery 774 Christiana Rd, Suite B4, Newark, DE Phone: Fax:
Allergy Questionnaire Patient Name Date / / 1. What symptoms do you suffer from? Please circle below Eyes: Itchy eyes, tearing, eye redness, eye discharge Ears: Popping sensation, fullness, itching Nose/Sinus:
More informationPharmacy Updates Summary
All of the following changes were reviewed and approved by the SFHP Pharmacy & Therapeutics (P&T) Committee on 01/21/2015 Effective date: 02/21/2015 Therapeutic Classes reviewed: Allergen-Specific Immunotherapy
More informationAllergic Disorders. Allergic Disorders. IgE-dependent Release of Inflammatory Mediators. TH1/TH2 Paradigm
Allergic Disorders Anne-Marie Irani, MD Virginia Commonwealth University Allergic Disorders IgE-mediated immune reactions Clinical entities include: asthma allergic rhinitis atopic dermatitis urticaria
More informationAllergic Disorders. Allergic Disorders. IgE-dependent Release of Inflammatory Mediators. TH1/TH2 Paradigm
Allergic Disorders Anne-Marie Irani, MD Virginia Commonwealth University Allergic Disorders IgE-mediated immune reactions Clinical entities include: asthma allergic rhinitis atopic dermatitis urticaria
More informationSinusitis. What are the sinuses? Who develops sinusitis?
Sinusitis Health experts estimate that 37 million Americans are affected by sinusitis every year. Americans spend nearly $6 billion each year on health care costs related to sinusitis. Sinusitis is an
More informationOral Agents. Formulary Limits. Available Strengths. IR: 4mg ER: 12mg Syrup: 2mg/5ml
MEDICATION COVERAGE POLICY PHARMACY AND THERAPEUTICS ADVISORY COMMITTEE POLICY: Seasonal Allergy Medications LAST REVIEW: 9/20/2016 THERAPEUTIC CLASS: Rheumatologic/Immunologic REVIEW HISTORY: 5/16, 5/15,
More informationPharmacotherapy for Allergic Rhinitis
Pharmacotherapy for Allergic Rhinitis William Reisacher, MD FACS FAAOA Assistant Professor Weill Cornell Medical College The Impact of Allergic Rhinitis Allergic rhinitis affects approximately 50 million
More informationTriage Information: 1. Duration of HPSJ Membership 2. Age 3. Fill history of Seasonal Allergy Medications
MEDICATION COVERAGE POLICY PHARMACY AND THERAPEUTICS ADVISORY COMMITTEE POLICY: Seasonal Allergy Medications LAST REVIEW: 5/28/2015 THERAPEUTIC CLASS: Rheumatologic/Immunologic REVIEW HISTORY: 5/15, 9/14
More informationAllergic Rhinitis. Dr. Sasan Dabiri. Otorhinolaryngologist Head & Neck Surgeon January 2011 Imam Hospital complex - Tehran
In the name of God Dr. Sasan Dabiri Otorhinolaryngologist Head & Neck Surgeon January 2011 Imam Hospital complex - Tehran Rhinitis Allergic Rhinitis Infectious Rhinitis Nonallergic Rhinitis Neoplastic
More information31 - Respiratory System
31 - Respiratory System Asthma 1. Asthma has two components. Name the two components. 2. What are the common triggers of asthma? (LP p319) (e.g., pets) Upper respiratory infections ( ) 3. Describe a normal
More informationOral Agents. Fml Limits. Available Strengths NF NF
MEDICATION COVERAGE POLICY PHARMACY AND THERAPEUTICS ADVISORY COMMITTEE POLICY: Allergy Medications LAST REVIEW: 9/12/2017 THERAPEUTIC CLASS: Rheumatologic/Immunologic REVIEW HISTORY: 9/16, 5/15, 9/14
More informationPRINCIPAL MEDICATION OPTIONS FOR RHINITIS
SEE INDICATED SUMMARY STATEMENT (SS#) DISCUSSION FOR SUPPORTING DATA ALLERGIC RHINITIS (AR): SEASONAL (SAR) AND PERENNIAL (PAR) MONOTHERAPY ORAL Antihistamines, oral (H1 receptor antagonists) (SS# 61-64)
More informationAllergy and inflammation
and inflammation 1 Allergic population hyper-producers of IgE consistently increasing western societies: ~20% of general population 2 Allergic population 3 Allergic triggers 4 Allergic triggers abnormal
More informationPREPARATION FOR ALLERGY TESTING *** Please read this information at least one week before your upcoming visit.
PREPARATION FOR ALLERGY TESTING *** Please read this information at least one week before your upcoming visit. In order to obtain valid and useful skin testing results, you will need to stop the use of
More informationHayfever. Allergic reaction. Prognosis
Hayfever Hay fever is a type of allergic rhinitis caused by pollen or spores. Allergic rhinitis is a condition where an allergen (something that causes an allergic reaction) makes the inside of your nose
More informationCoverage Criteria: Express Scripts, Inc. monograph dated 03/03/2010
BENEFIT DESCRIPTION AND LIMITATIONS OF COVERAGE ITEM: PRODUCT LINES: COVERED UNDER: DESCRIPTION: CPT/HCPCS Code: Company Supplying: Setting: Xolair (omalizumab) Commercial HMO/PPO/CDHP HMO/PPO/CDHP: Rx
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Grastek, Oralair, Ragwitek) Reference Number: CP.CPA.111 Effective Date: 11.16.16 Last Review Date: 11.17 Line of Business: Commercial Revision Log See Important Reminder at the end of
More informationMiddleton Chapter 42b (pages ): Allergic and Nonallergic Rhinitis Prepared by: Tammy Peng, MD
FIT Board Review Corner November 2017 Welcome to the FIT Board Review Corner, prepared by Amar Dixit, MD, and Christin L. Deal, MD, senior and junior representatives of ACAAI's Fellows-In- Training (FITs)
More informationClinical Implications of Asthma Phenotypes. Michael Schatz, MD, MS Department of Allergy
Clinical Implications of Asthma Phenotypes Michael Schatz, MD, MS Department of Allergy Definition of Phenotype The observable properties of an organism that are produced by the interaction of the genotype
More informationPharmacy Coverage Guidelines are subject to change as new information becomes available.
RAGWITEK (Short Ragweed Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Pharmacy Coverage Guideline
More informationARIA. At-A-Glance Pocket Reference 2007
ARIA_Glance_2007_8pg:ARIA_Glance_English 9/14/07 3:10 PM Page 1 ARIA At-A-Glance Pocket Reference 2007 1 st Edition NEW ARIA UPDATE BASED ON THE ALLERGIC RHINITIS AND ITS IMPACT ON ASTHMA WORKSHOP REPORT
More informationALLERGIC RHINITIS IN INFANTS AND YOUNG CHILDREN
ALLERGIC RHINITIS IN INFANTS AND YOUNG CHILDREN 1 Dr. Nishtha Sareen, 2 Dr. Abhishek Ojha, 3 Dr. Devendra Sareen 1,2,3 Department of Pediatrics, GMCH, Udaipur. What is allergic rhinitis? Allergic rhinitis
More informationAllergic Disease States in Primary Care: How to Improve Your Patient Care Beyond OTC. No Conflict of Interest 4/10/2018.
Allergic Disease States in Primary Care: How to Improve Your Patient Care Beyond OTC Marcy D Markes, APRN,FNP BC, AE C Columbia Allergy and Asthma Specialists Columbia, Moberly, Mexico and Boonville www.breatheeasyandlivefree.com
More informationCongestion, headache, recurrent infection, post-nasal drip, smell problems? We can find the source and offer solutions for relief.
Sinus Sinus Congestion, headache, recurrent infection, post-nasal drip, smell problems? We can find the source and offer solutions for relief. So what is sinusitis? Although many individuals interpret
More informationAnti-allergic Effect of Bee Venom in An Allergic Rhinitis
Anti-allergic Effect of Bee Venom in An Allergic Rhinitis Dr: Magdy I. Al-Shourbagi Sharm International Hospital Allergic Rhinitis Rhinitis: Symptomatic disorder of the nose characterized by itching, nasal
More informationEnvironmental Allergens. Allergies to Dust, Mold and Pollen. A Patient s Guide
Environmental Allergens Allergies to Dust, Mold and Pollen A Patient s Guide Our environment, at home or outdoors, can be a potent source of allergens causing itchy, puffy and watery eyes, sneezing, a
More informationEar, Nose & Throat (ENT) - Head & Neck Surgery. Allergic Rhinitis (Sinus)
Ear, Nose & Throat (ENT) - Head & Neck Surgery Allergic Rhinitis (Sinus) The Department of Ear, Nose & Throat (ENT) - Head & Neck Surgery provides a wide range of surgical services for adult patients with
More informationWhy does the body develop allergies?
Allergies & Hay Fever Millions of Americans suffer from nasal allergies, commonly known as hay fever. Often fragrant flowers are blamed for the uncomfortable symptoms, yet they are rarely the cause; their
More information6. Rhinitis and nasal polyposis
6. Rhinitis and nasal polyposis 6.1 efinitions 6.2 lassification The term rhinitis defines the inflammatory process of the nasal mucosa, which is characterized by the following clinical symptoms: anterior
More informationAilléirge Péidiatraiceach. Pediatric Allergy 3/9/2018. Disclosures & Conflicts Of Interest
Ailléirge Péidiatraiceach Michael Zacharisen, M.D. Allergy/Immunology Pediatric Allergy Michael Zacharisen, M.D. Allergy/Immunology Disclosures & Conflicts Of Interest Green Bay Packer fan I drive a Jeep
More informationMedical Policy An independent licensee of the Blue Cross Blue Shield Association
Oral Immunotherapy Agents Page 1 of 13 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Oral Immunotherapy Agents Prime Therapeutics will review Prior Authorization
More informationAllergic Rhinitis. Patient population: Adults and pediatrics
Guidelines for Clinical Care Ambulatory Allergic Rhinitis Guideline Team Team Leader David A DeGuzman, MD General Medicine Team Members Catherine M Bettcher, MD Family Medicine R Van Harrison, PhD Medical
More informationLungs SLO Practice (online) Page 1 of 5
Lungs SLO Practice (online) Page 1 of 5 1. A 15 year- old teen has asthma. A nebulizer treatment has been ordered. The type of medication most likely to be used in this treatment for asthma management
More informationSeasonal Allergic Rhinitis (Hay Fever)
Seasonal Allergic Rhinitis (Hay Fever) Link to prescribing guidance: http://www.enhertsccg.nhs.uk/ear-nose-and-oropharynx Clinical Presentation Link to CKS NICE guidance: https://cks.nice.org.uk/allergicrhinitis
More informationCITY & HACKNEY ELIC EAST LONDON INTEGRATED CARE
CITY & HACKNEY ELIC EAST LONDON INTEGRATED CARE ALLERGIC RHINITIS (JOINT HOMERTON / ELIC PATHWAY) 1. Classification (See ARIA guidelines for full details) Allergic rhinitis is common and affects >20% of
More informationALLERGIC RHINITIS Eve Kerr, M.D., M.P.H.
- 63-3. ALLERGIC RHINITIS Eve Kerr, M.D., M.P.H. We conducted a MEDLINE search of review articles on rhinitis between the years of 1990-1995 and selected articles pertaining to allergic rhinitis. We also
More informationWorld Health Organisation Initiative. Allergic rhinitis and its impact on asthma. (ARIA). Bousquet J, van Cauwenberge P. Geneva: WHO;2000.
Glenis Scadding Infectious Viral Bacterial Other infective agents Allergic Intermittent Persistent Occupational (allergic/non-allergic) Intermittent Persistent Drug-induced Aspirin Other medications Hormonal
More informationIntroduction. Allergic Rhinitis. Seventh Pediatric Asthma Education Conference 5/9/2018
It Is All One Airway Or How Allergic Rhinitis and Its Management can Affect Asthmatic Patients Stacy Dorris, MD Allergy/Immunology Vanderbilt Medical Center May 9, 2018 Introduction Allergic Rhinitis Allergic
More information+ Conflict of interest. + Sinus and Nasal Anatomy. + What is your diagnosis? 1) Allergic Rhinitis. 2) Non-Allergic rhinitis. 3) Chronic Rhinosinusitis
Rhinitis & Sinusitis Conflict of interest I have no conflict of interest to declare for this lecture Al Chiodo, MD FRCSC Assistant Professor Director of Undergraduate Medical Education Department of Otolaryngology-Head
More informationDisclosure. OTC Review with a Pediatric Twist. Objectives. When to Call a Doctor for Infant. When to Call a Doctor for Child
OTC Review with a Pediatric Twist Disclosure Consultant for Johnson and Johnson Baby Jill A. Morgan, PharmD, BCPS February 2015 Objectives List situations when a child should be referred to physician.
More informationScottish Medicines Consortium
Scottish Medicines Consortium Standardised allergen extract of grass pollen from Timothy (Phleum pratense) 75,000 SQ-T per oral lyophilisate (Grazax ) No. (367/07) ALK-Abellό Ltd 6 April 2007 The Scottish
More informationAllergies from A to Z
Allergies from A to Z Rana T. Misiak, i MD Senior Staff Physician Henry Ford Health System Clinical Assistant Professor Wayne State University School of Medicine Objective To discuss the causes and treatment
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: House dust mite allergen extract (Odactra) Reference Number: CP.PMN.111 Effective Date: 08.01.17 Last Review Date: 08.18 Line of Business: Commercial, Medicaid Revision Log See Important
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Ragwitek) Reference Number: CP.PMN.83 Effective Date: 11.16.16 Last Review Date: 11.17 Line of Business: Commercial, Medicaid See Important Reminder at the end of this policy for important
More informationThe Medical Letter. on Drugs and Therapeutics. Drug Some Formulations OTC/Rx Usual Dosage Comments Class Comments Cost 1
The Medical Letter publications are protected by US and international copyright laws. Forwarding, copying or any other distribution of this material is strictly prohibited. For further information call:
More informationPhototherapy in Allergic Rhinitis
Phototherapy in Allergic Rhinitis Rhinology Chair KSU KAUH Ibrahim AlAwadh 18\1\2017 MBBS, SB & KSUF Resident, ORL-H&N Background: Endonasal phototherapy can relieve the symptoms of allergic rhinitis
More informationMedical Policy An independent licensee of the Blue Cross Blue Shield Association
Oral Immunotherapy Agents Page 1 of 14 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Oral Immunotherapy Agents (Grastek, Oralair, Ragwitek ) Prime Therapeutics
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Grastek) Reference Number: CP.PMN.84 Effective Date: 11.16.16 Last Review Date: 08.18 Line of Business: Commercial, HIM, Medicaid Revision Log See Important Reminder at the end of this
More informationDrugs Used to Treat Chronic Obstructive Pulmonary Disease (COPD)
Drugs Used to Treat Chronic Obstructive Pulmonary Disease (COPD) COPD COPD is a chronic, irreversible obstruction of airflow that is usually progressive. Symptoms include cough, excess mucus production,
More informationDo leukotriene inhibitors/modifiers reduce symptoms associated with Nasal Polyps?
Philadelphia College of Osteopathic Medicine DigitalCommons@PCOM PCOM Physician Assistant Studies Student Scholarship Student Dissertations, Theses and Papers 2018 Do leukotriene inhibitors/modifiers reduce
More informationODACTRA House Dust Mite (Dermatophagoides farina & Dermatophagoides pteronyssinus) allergen extract sublingual tablet
pteronyssinus) allergen extract sublingual tablet Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan.
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: Sweet Vernal, Orchard, Perennial Rye, Timothy, and Kentucky (Oralair) Reference Number: CP.PMN.85 Effective Date: 11.16.16 Last Review Date: 08.18 Line of Business: Commercial, Medicaid
More informationAEROALLERGEN IMMUNOTHERAPY FOR ALLERGIC RHINITIS
AEROALLERGEN IMMUNOTHERAPY FOR ALLERGIC RHINITIS Persia Pourshahnazari MD, FRCPC Clinical Immunology and Allergy November 4, 2018 OBJECTIVES Review indications and evidence for aeroallergen immunotherapy
More informationAllergic rhinitis is a very common condition
...CONTINUING PHARMACY EDUCATION... Drug Therapy of Allergic Rhinitis Timothy Self, PharmD; and Carol C. Chafin, PharmD AUDIENCE This activity is designed for pharmacists, pharmacy directors, managed care
More informationLatest advances in the management of childhood allergic rhinitis
Latest advances in the management of childhood allergic rhinitis Jason Y K Chan Assistant Professor Department of Otorhinolaryngology, Head & Neck Surgery The Chinese University of Hong Kong Disclosures
More informationAllergen Immunotherapy: An Update
Allergen Immunotherapy: An Update Susan Waserman MSc MDCM FRCPC Professor of Medicine Division of Clinical Allergy and Immunology CTS Calgary April 26, 2014 Presenter Disclosure Presenter: Dr Susan Waserman
More informationSLIT: Review and Update
SLIT: Review and Update Disclosure Speaker: ISTA Pharmaceuticals Speaker: GlaxoSmithKline Allergen IT - Evidence Based Evaluation: Rescue Medications Meta-analysis Disease IT # of Patients Rescue Medication
More informationSublingual Immunotherapy as a Technique of Allergen Specific Therapy
Sublingual Immunotherapy as a Technique of Allergen Specific Therapy Policy Number: 2.01.17 Last Review: 7/2018 Origination: 7/2006 Next Review: 7/2019 Policy Blue Cross and Blue Shield of Kansas City
More informationBreath of Fresh Air. Information, news and advice for improving asthma well-being. National Asthma Guidelines: A Stepped Approach to Asthma Therapy
Information, news and advice for improving asthma well-being Volume 11, No. 1 Summer 2008 National Asthma Guidelines: A ped Approach to Asthma Therapy In the last issue of Breath of Fresh Air, we discussed
More informationAllergic Rhinitis Diagnosis. Allergic Rhinitis Economic Burden. Allergic Rhinitis Epidemiology. Allergic Rhinitis Quality of Life
Allergic Rhinitis Epidemiology 6th Leading cause of chronic illness > 50m Americans suffer from allergies 10-30% Children and adults affected in U.S. 2.5% Of all clinician visits 1. US Department of Health
More informationChapter 65 Allergy and Immunology for the Internist. ingestion provoke an IgE antibody response and clinical symptoms in sensitive individuals.
Chapter 65 Allergy and Immunology for the Internist 1 I. Basic Information A. Definition of Allergens: Proteins of appropriate size that after inhalation, injection (e.g. drug, venom) or ingestion provoke
More informationWhile allergic rhinitis is merely a nuisance to
APPLIED EVIDENCE Evaluation and treatment of the patient with allergic rhinitis STEPHEN J. CONNER, MD Ft. Gordon, Georgia KEY POINTS FOR CLINICIANS Physical clues to allergic rhinitis include boggy, pale,
More informationAllergies and the Primary Care Practice. Mark Gurley, MD, FAAOA
Allergies and the Primary Care Practice Mark Gurley, MD, FAAOA Dr. Mark Gurley- Disclosure Neither I, nor an immediate family member (parent, sibling, spouse, partner, or child), has any financial relationship
More informationANTINEOPLASTIC DRUGS CHAPTER 21. Antineoplastic drugs - designed to treat malignancies, now also used to treat diseases with inflammatory component
ANTINEOPLASTIC DRUGS CHAPTER 21 Antineoplastic drugs - designed to treat malignancies, now also used to treat diseases with inflammatory component Tx of malignancies Antineoplastic drugs: methotrexate
More informationINDEX. Note: Page numbers in italics indicate figures. Page numbers followed by t refer to tables. Numbers preceded by CP indicate Color Plates.
INDEX Note: Page numbers in italics indicate figures. Page numbers followed by t refer to tables. Numbers preceded by CP indicate Color Plates. ABRS. See Bacterial rhinosinusitis, acute. Acaricides, 40t,
More informationAn Insight into Allergy and Allergen Immunotherapy Co-morbidities of allergic disease
An Insight into Allergy and Allergen Immunotherapy Co-morbidities of allergic disease Carmen Vidal Athens, September 11, 2014 Pucci S & Incorvaia C, 2008; 153:1-2 1. The major player in driving the immune
More informationDr ARIF AHMED M.D.(Paed.), D.Ch., M.D.(USA), European Board (EACCI) Certified in Allergy & Immunology
Case Based Approach to Allergic Unified Airway Diseases Dr ARIF AHMED M.D.(Paed.), D.Ch., M.D.(USA), European Board (EACCI) Certified in Allergy & Immunology Recent Advances in Pediatrics 23: Hot Topics
More informationP R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal
More informationPharmacotherapy for Allergic Rhinitis
Disclosures: Pharmacotherapy for Allergic Rhinitis None John H. Krouse, MD, PhD, MBA Professor and Chairman Department of Otolaryngology-HNS Temple University School of Medicine Learning Objectives Describe
More informationRagwitek. Ragwitek (Short Ragweed Pollen Allergen Extract) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.20.05 Subject: Ragwitek Page: 1 of 5 Last Review Date: December 8, 2017 Ragwitek Description Ragwitek
More informationPreventing and Managing Allergic Rhinitis: A Primer
Preventing and Managing Allergic Rhinitis: A Primer Suzanne G. Bollmeier, PharmD, BCPS, AE-C Professor of Pharmacy Practice St. Louis College of Pharmacy St. Louis, Missouri Dennis Williams, PharmD, BCPS,
More informationALLERGIC RHINOSINUSITIS. Sirisha A Post graduate Dept of Pharmacology Kamineni Institute of Medical Sciences
ALLERGIC RHINOSINUSITIS Sirisha A Post graduate Dept of Pharmacology Kamineni Institute of Medical Sciences OVERVIEW Pathophysiology Goals of therapy Approaches to therapy Antihistaminics Corticosteroids
More informationManaging allergic rhinitis
This lesson is supported by an educational grant from Managing allergic rhinitis Introduction Approximately 58 million Americans suffer from allergic rhinitis 1, making it the United State s sixth most-common
More informationALLERGIC RHINITIS AND ASTHMA :
ALLERGIC RHINITIS AND ASTHMA : from the Link to Emerging Therapies Allergic rhinitis and asthma are both chronic heterogeneous disorders, with an overlapping epidemiology of prevalence, health care costs
More informationFormat. Allergic Rhinitis Optimising Mananagement. Degree of Quality of life Restriction in the Allergic Patient. The allergy epidemic:
Format Allergic Rhinitis Optimising Mananagement Dr Dominic Mallon FRACP FRCPA Clinical Immunologist and Allergist Fiona Stanley Hospital Impact of allergic rhinitis Diagnosis and management of allergic
More informationRagwitek. Ragwitek (Short Ragweed Pollen Allergen Extract) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.08.34 Subject: Ragwitek Page: 1 of 5 Last Review Date: December 3, 2015 Ragwitek Description Ragwitek
More informationManagement of Allergic Rhinitis in the Working- Age Population
Evidence Report/Technology Assessment Number 67 Management of Allergic Rhinitis in the Working- Age Population Agency for Healthcare Research and Quality This report may be used, in whole or in part, as
More informationALLERGY & ASTHMA ASSOCIATES PLEASE ARRIVE 15 MINUTES BEFORE YOUR APPOINTMENT TO PROCESS THE PAPERWORK - BRING ALL INSURANCE CARDS
ALLERGY & ASTHMA ASSOCIATES Harold Kreithen, M.D. Neil Feldman, D.O. Candace Kubek, C.R.N.P. This is to confirm your appointment on: Location: PLEASE ARRIVE 15 MINUTES BEFORE YOUR APPOINTMENT TO PROCESS
More informationAllergic rhinitis is the most common
controlled study demonstrated a statistically significant response in those on active therapy. This response was still present 3 years after discontinuing allergy vaccine therapy. 1 Is allergy vaccine
More informationImplications on therapy. Prof. of Medicine and Allergy Faculty of Medicine, Cairo University
Implications on therapy Dr. Hisham Tarraf MD,FRCP(Edinb.) Prof. of Medicine and Allergy Faculty of Medicine, Cairo University Need for better understanding Global health problem Impact on quality of life
More informationProvided as a service by CiplaMed
Allergy Reaction of the body tissues to an allergen which leads to production of antibodies finally culminating in an antigen-antibody antibody reaction. Normal Individual Entry of allergen Allergen-Antibody
More informationTHE MANAGEMENT OF COUGH
THE MANAGEMENT OF COUGH Dr. Lo Iek Long Department of Respiratory Medicine, CHCSJ 1 Apr 2012 Cough Complications of cough Insomnia Lower ribs fracture Prolapsed uterine Hernia Urinary incontinence Classification
More informationRhinosinusitis. John Ramey, MD Joseph Russell, MD
Rhinosinusitis John Ramey, MD Joseph Russell, MD Disclosure Statement RSFH as a continuing medical education provider, accredited by the South Carolina Medical Association, it is the policy of RSFH to
More informationGeneral Practitioner Assessment of the Inside and Outside of the Nose. Chris Thomson Otolaryngologist Head and Neck Surgeon
General Practitioner Assessment of the Inside and Outside of the Nose Chris Thomson Otolaryngologist Head and Neck Surgeon Nasal problems are very common in General practice but the nose is a difficult
More informationAl ergy: An Overview
Allergy: An Overview Allergy Type of hypersensitivity reactions of the immune system. Allergy may involve more than one type of reaction. An allergy is a reaction to something that does not affect most
More informationAllergy Testing and Practical Mitigation Measures
Allergy Testing and Practical Mitigation Measures Carol T Cady, MD, PhD Big Sky Pulmonary Conference March 24th, 2012 Overview of Allergies and Mitigation The human component The environmental component
More informationClasses of Non-Allergic Rhinitis Non-allergic rhinitis with eosinoiphilia Medication-related Hormone-related disorders:
Jan 10: Nasal Obstruction (updated 08/06) Preceptor: ; Vacation: Caroline and Tali 1. (Deya) Describe the treatment of allergic rhinitis. 2. (Deya) Are leukotrienes effective in allergic rhinitis? In general,
More informationIntroduction. Methods. Results 12/7/2012. Immunotherapy in the Pediatric Population
12/7/212 Introduction Immunotherapy in the Pediatric Population Michael S. Blaiss, MD Clinical Professor of Pediatrics and Medicine University of Tennessee Health Science Center Memphis, Tennessee Allergen
More informationRecommended management and recent advances in allergic rhinitis
DRUG REVIEW n Recommended management and recent advances in allergic rhinitis Gill Schofield RSCN, MSc and Sophie Farooque MRCP Allergic rhinitis is a common and undertreated condition and is often a precursor
More informationIMMUNOTHERAPY IN ALLERGIC RHINITIS
Rhinology research Chair Weekly Activity, King Saud University IMMUNOTHERAPY IN ALLERGIC RHINITIS E V I D E N C E D - B A S E O V E R V I E W O F T H E R U L E O F I M M U N O T H E R A P Y I N A L L E
More informationAllergy overview. Mike Levin Division of Asthma and Allergy Department of Paediatrics University of Cape Town Red Cross Hospital
Allergy overview Mike Levin Division of Asthma and Allergy Department of Paediatrics University of Cape Town Red Cross Hospital Adaptive Immune Responses Adaptive immune responses allow responses against
More informationAllergy Immunotherapy: A New Role for the Family Physician
Allergy Immunotherapy: A New Role for the Family Physician Louis Kuritzky MD Clinical Assistant Professor Emeritus Department of Community Health and Family Medicine College of Medicine University of Florida,
More informationDrug Class Review Newer Antihistamines
Drug Class Review Newer Antihistamines Preliminary Scan Report 1 Update 3 November 2012 The purpose of reports is to make available information regarding the comparative clinical effectiveness and harms
More information