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 →
Let’s not forget Cromolyn (Sodium Cromoglycate) Inhalation will prevent Aspirin Exacerbated Respiratory Disease. ..and of course the exercise induced respiratory disease as well. I was digging through the chart of… Read more Good old Cromolyn →
Pain killer drug allergy tops the charts in frequency among drug hypersensitivity reactions we see in office. The allergy phenotypes are categorized into 4 groups. Diagnosis and management of each… Read more Pain killer allergies →
Monoclonal antibodies are often life saving. Desensitization with 12-bags protocol, similar to antibiotic protocols are commonly used. Rituximab allergy is one such example.
The drug allergy case today. Quinolone antibiotics have cross reactivities among their own groups with similar side chains. We don’t advise prescribing another quinolone before a negative drug provocation test… Read more Antibiotic Allergy →
Protocols for desensitizations to chemotherapy drugs has been established. Most common applications are oxaliplatin, carboplatin, paclitaxel, docetaxel, cetuximab and rituximab