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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: Sinusitis
  1. Patients with chronic rhinosinusitis of any type.
    [Rationale]
  2. Patients with chronic or recurrent Infectious rhinosinusitis.
    [Rationale]
  3. Patients with chronic eosinophilic rhinosinusitis.
    [Rationale]
  4. Patients with allergic fungal rhinosinusitis.
    [Rationale]





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This set of conditions related to chronic inflammation of sinus and contiguous nasal mucosa often co-exists with allergic rhinitis.1 Allergist/immunologist care is associated with improved outcomes.2 Allergy immunotherapy is demonstrated to improve outcomes in patients with concomitant allergic rhinitis.3
Direct outcome evidence

Indirect outcome evidence (immunotherapy)
Many patients with this condition have humoral immunodeficiency, cystic fibrosis, fungal sinusitis, and granulomatous diseases.1 Allergist/immunologists are trained in the evaluation and management of these disorders.4
Diagnostic evidence and indirect outcome evidence (avoidance, pharmacologic, and immunologic therapy)
This is a chronic inflammatory disease with characteristics of allergic inflammation.1 It often co-exists with aspirin sensitivity, asthma, and sinus/nasal polyposis.5, 6 Allergist/immunologists are experts in allergic inflammation and can evaluate and treat both environmental allergy and aspirin sensitivity.4
Diagnostic evidence, indirect outcome evidence (avoidance, pharmacologic, and immunologic therapy)
This is a chronic inflammatory disease with characteristics of IgE and eosinophilic inflammatory response to fungi in sinuses.7, 8 Evaluation involves allergy skin testing and other laboratory testing.9 Management involves medical management, allergen immunotherapy and surgery.9, 10 Allergist/immunologists are experts in the evaluation and management of allergic diseases, including allergy immunotherapy.4
Diagnostic evidence, indirect outcome evidence (pharmacotherapy, immunotherapy)