Allergy & Immunology

The Allergy & Immunology team at Ear, Nose & Throat Associates of New York, P.C. specializes in allergic and immunologic disorders in adults and children. Our specialized team provides comprehensive care in the full spectrum of allergic and immunodeficiency disorders, including but not limited to: asthma, allergic rhinitis, immune deficiencies, eczema, food, drug, and skin allergies. Our Allergists work in conjunction with our multi-disciplinary team of experts in ENT, Speech Pathology and Audiology to evaluate your specific needs and conduct testing in order to determine the cause of your symptoms.

Common conditions

Allergic Rhinitis/ "Hay Fever"

Rhinitis is inflammation of the nasal passages. Allergic rhinitis is an immune reaction that occurs in the nose when you breathe in particles in the air that are commonly harmless, such as grass pollens. These particles may irritate the nasal passages.

Common Symptoms of Allergic Rhinitis:

  • Sneezing
  • Congestion
  • Runny nose
  • Itchy nose, throat, eyes, and ears
Asthma

Asthma is defined as the chronic inflammation of the airways in the lungs. People with Asthma may experience airway obstruction, inflammation, or hyper-responsiveness.

Common Symptoms of Asthma:

  • Intermittent or chronic cough, especially at night or with exertion
  • Chest tightness
  • Shortness of breath
Chronic Sinusitis

Chronic sinusitis is an inflammatory condition of the nose and sinuses (the air-containing spaces around the nose and eyes) lasting longer than three months. If you have been experiencing nasal drainage and congestion for three months or more, this may be the first sign of chronic sinusitis.

Dermatologic Conditions and Allergies

Eczema (Atopic Dermatitis)- A condition that causes the skin to become itchy, inflamed, or have a rash-like appearance

Contact Allergy (Contact Dermatitis)- Contact dermatitis is skin inflammation. It occurs because the skin has been exposed to a substance that irritates it or causes an allergic reaction. Many natural and artificial chemicals can trigger contact dermatitis. These include ingredients found in ointments, cosmetics, laundry detergents, jewelry, metals, and more.

Hives- Red, itchy, swollen areas of the skin that range in size and can appear anywhere on the body. They can appear suddenly and may be the result of an allergic reaction.

Drug Allergies

A drug or medication allergy is a hypersensitivity condition of the body against certain drugs and medications. Symptoms of drug or medication allergies range from mild skin reactions to anaphylaxis.

Common Symptoms of Medication or Drug Allergy:

  • Hives
  • Rash
  • Swelling of the face or tongue
  • Fever
Eye Allergies

Eye Allergy, also known as Allergic Conjunctivitis occurs when something irritates membranes in the eye causing the eyes to water, itch, hurt, or become red and or swollen. Eye allergy can occur alone or along with nasal allergy symp­toms such as sneezing and stuffy nose.

Food allergy and sensitivity

A food allergy is present when the immune system has an abnormal reaction to proteins in a particular food. Food-allergy symptoms, which can be triggered by ingesting even minute amounts of the food can happen anywhere from a few minutes to a few hours after ingesting the food. Itching and swelling of the mouth and throat, vomiting, and shortness of breath are the most common symptoms of a food allergy.

Immune deficiencies/frequent infections

Patients with an immune deficiency may have recurrent infections, prolonged infections, or may sometimes require hospitalization to treat severe infections. The most common sites of infection are the lungs, sinuses, ears, and skin. Our Allergists have specialized training to accurately diagnose and formulate a treatment plan for immune deficiencies.

Services Provided

Allergy Testing

Our Allergists utilize comprehensive skin tests, blood tests, and patch tests to test for the following allergies depending on your specific needs:

  • Food Allergies including but not limited to: milk, eggs, peanuts, tree nuts, fish, crustacean shellfish, wheat and soy.
  • Contact Allergies including but not limited to: nickel, hair dye, metals, cosmetics
  • Environmental Allergies including but not limited to: dust mites, molds, pets, pollens
  • Drug Allergies including Penicillin
  • Insect Allergies including bees/wasp
Immunotherapy

This is a non-invasive computerized method of examining Also known as "allergy shots" and sublingual immunotherapy, this treatment consists of a series of treatments aimed to provide long-term relief of severe allergies. These can also come in the form of tablets or sublingual drops.

Some Common Immunotherapy Treatments We Offer:

  • Odactra
  • Gastrek
  • Ragwitek
  • Oralair
Biologic Medications

Derived from living organisms, biologic medications can target specific components of the immune system and prevent inflammation that causes a variety of conditions such as asthma, nasal polyps, chronic hives, and atopic dermatitis. Most of these medications come in the form of injections.

Common Biologic Medications We Offer:

  • Xolair
  • Dupixent
  • Nucala
Food Allergy Challenges

In a closely controlled environment, the patient will eat tiny amounts of the food to test the response to the specific allergen. The Allergist will closely monitor the results and quickly address any adverse reactions that occur. This is considered the most accurate way to diagnose a food allergy and can determine if a patient is outgrowing an allergy.

Patch Testing

The patch test consists of a variety of different allergens which are administered on an adhesive sheet or "patch". Each patch is applied to the person's back and remains there for 48 hours. The final evaluation is performed anywhere from 72 to 96 hours after the initial placement. Any reaction is noted, providing insight to which substances to avoid and the types of treatments to be considered.

Services Provided

Allergy Testing

Our Allergists utilize comprehensive skin tests, blood tests, and patch tests to test for the following allergies depending on your specific needs:

  • Food Allergies including but not limited to: Milk, eggs, peanuts, tree nuts, fish, crustacean shellfish, wheat and soy.
  • Contact Allergies including but not limited to: nickel, hair dye, metals, cosmetics
  • Environmental Allergies including but not limited to: Dust mites, molds, pets, pollens
  • Drug Allergies including Penicillin
  • Insect Allergies including bees/wasp
Immunotherapy

Also known as "allergy shots" and sublingual immunotherapy, this treatment consists of a series of treatments aimed to provide long-term relief of severe allergies. These can also come in the form of tablets or sublingual drops.

Some common Immunotherapy Treatments We Offer:

  • Odactra
  • Gastrek
  • Ragwitek
  • Oralair
Biologic Medications

Derived from living organisms, biologic medications can target specific components of the immune system and prevent inflammation that causes a variety of conditions such as asthma, nasal polyps, chronic hives, and atopic dermatitis. Most of these medications come in the form of injections.

Common Biologic Medications We Offer:

  • Xolair
  • Dupixent
  • Nucala
Food Allergy Challenges

In a closely controlled environment, the patient will eat tiny amounts of the food to test the response to the specific allergen. The Allergist will closely monitor the results and quickly address any adverse reactions that occur. This is considered the most accurate way to diagnose a food allergy and can determine if a patient is outgrowing an allergy.

 

Patch Testing

The patch consists of a variety of different allergens which are administered on an adhesive sheet or "patch". Each patch is applied to the person's back and remains there for 48 hours. The final evaluation is performed anywhere from 72 to 96 hours after the initial placement. Any reaction is noted, providing insight to which substances to avoid and the types of treatments to be considered.

 

WHAT TO EXPECT

Your Allergist will speak with you and perform an examination. They will then come up with a personalized evaluation plan, which may include skin and/or blood testing for allergies. After testing has been scheduled and conducted, a follow-up appointment may be appropriate in order to assess your symptoms. Our ultimate goal is to help you feel better and enjoy your surroundings with little to no allergy symptoms.

SCHEDULED TO RECEIVE ALLERGY SKIN TESTING?

For patients who would like to have allergy skin testing, all antihistamine medications will need to be stopped for five days prior to the visit. Please call our office if you have questions related to stopping medications, and do not stop any medications if this will make you severely uncomfortable or sick.

Do not stop taking antihistamines if you are being evaluated for a condition related to hives. 

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