Patient with known soy allergy claims drinking soy milk without problems but has a history of major allergic reaction to Tofu. It turns out pepsin degrades the beta-conglycinin in soy… Read more Soy allergy: a tricky presentation →
COX 2 inhibitors are the medication of choice in patients with ASA sensitivity. I don’t recall any incident of reaction to COX 2 inhibitors in patients with aspirin sensitivity. But… Read more COX 2 safety →
After premedication protocol we start with ketorolac nasal spray and discharge the patient after 325 mg aspirin challenge.
Understanding food allergies – https://knowridge.com/2018/02/understanding-food-allergies/
Low dose aspirin commonly used to reduce cardiovascular risk. We commonly encounter patients with ASA allergy. Aspirin desensitization is of great help for these patients.
Eosinophilia was the topic of the day in office. Remembering a conference where Dr Gleich quoted his recent publication. “A simple clinical test, namely inspection of the nail beds for… Read more A simple observation by an expert →
Allergic disease may be a camouflage for hyper eosinophilia in select patients. The risk of dissemination of strongyloides or other Helminthic infestations with glucocorticoid therapy is always in the back… Read more High Eos: Must not forget →
The newer guidelines for Immunoglobulin therapy helped us take better care of Common Variable Immunodeficiency patients. Select patients especially with bronchiectasis may need prophylactic antibiotics. Bactrim, Amoxicillin or Azithromycin are… Read more CVI prophylaxis →