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TOPICS
Overview
Allergic bronchopulmonary aspergilllosis (ABPA)
Anaphylaxis - Updated
Asthma
Asthma Diagnosis
Environmental diagnosis
and management
Asthma Treatment:
Immunotherapy
Asthma Treatment:
Preventing Morbidity
- Updated
Asthma Treatment:
Preventing Mortality

- Updated
Asthma Treatment:
Adherence
Occupational Asthma
Conjunctivitis
Cough
Dermatitis
Atopic - Updated
Contact
Drug Allergy - Updated
Food Allergy - Updated
Hypersensitivity Pneumonitis
Insect Hypersensitivity
Occupational Diseases
Primary Immune Deficiency - Updated
Rhinitis/Rhinosinusitis
Rhinitis - Updated
Sinusitis
Urticaria/Angioedema - Updated
How the Allergist/Immunologist Can Help:
Consultation and Referral Guidelines Citing the Evidence

Disease Group: Asthma - Environmental diagnosis and management
  1. Patients with a history of seasonal or persistent asthma for evaluation of inhalant sensitization to confirm the diagnosis.
    [Rationale]
  2. Patients who need management and education concerning environmental triggers.
    [Rationale]
  3. Patients with asthma who experience a worsening of symptoms after change in their home, work, or school environments.
    [Rationale]





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Exposure to indoor and outdoor allergens may worsen asthma. 1-17

Allergy cannot be diagnosed on the basis of history alone.18 Diagnosis is derived from correlation of clinical history and diagnostic tests,18 with which allergist/immunologists are facile.19

Referral to an asthma specialist is recommended if additional testing is indicated.38
Diagnostic
Allergists have familiarity with the wide variety of both indoor and outdoor aeroallergen exposures that have been shown to impact on asthma and respiratory function.19 Allergists are specifically trained to provide education regarding appropriate avoidance measures.19 Allergen avoidance can improve asthma.18-33
Indirect outcome (avoidance)
For example, exposure to furred pets in allergic patients may worsen asthma.34-36 Avoidance of pets in allergic patients may improve asthma.37
Diagnostic
Indirect outcome (avoidance)