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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: Atopic Dermatitis
  1. To confirm the diagnosis of atopic dermatitis in a patient with dermatitis.
    [Rationale]
  2. To identify the role of dust mite allergy in patients with atopic dermatitis.
    [Rationale]
  3. To identify the role of food allergy in patients with atopic dermatitis.
    [Rationale]
  4. Patients whose atopic dermatitis responds poorly to treatment.
    [Rationale]
  5. For in-depth exploration of immune mechanisms and etiology of atopic dermatitis.
    [Rationale]
  6. Many people with eczema also have asthma or hay fever as children or adults.
    [Rationale]





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Allergist/immunologists are specifically trained to diagnose atopic dermatitis1. Defining IgE-mediated sensitivity (by skin or in vitro testing) is useful in the differential diagnosis2.
Diagnostic
Aeroallergens may trigger atopic dermatitis. In such patients, environmental control may be helpful.3-12
Diagnostic

Indirect outcome (mite avoidance)
Approximately 35% of young children with moderate to severe atopic dermatitis have food allergy; the association appears less common in adults, but is possible.13-22
Diagnostic

Indirect outcome (food avoidance)
Allergist/immunologists are specifically trained and experienced in managing atopic dermatitis in both children and adults.23-31
Indirect outcome (pharmacologic therapy)
Allergist/immunologists can provide a comprehensive and in-depth evaluation of atopic dermatitis based on their training, expertise and understanding of immune mechanisms.32-39
Diagnostic
Good control of atopic dermatitis may theoretically reduce the incidence and/or severity of asthma. Allergist/immunologists are the only specialists trainted in the management of both of these (atopic) disorders.40-44
Direct