It may come to you as a surprise, but I really don't care what a skin test or blood test is for a given food which you can tolerate if full servings.

Sincerely,
Allergist

Friday dad-joke submitted by my LO

Why was the cookie so sad?
Because her father was a wafer (pronounced: away for) so long.

Yes, she had to explain this one for me. Long week. TGIF

#MustRead Global assessment of the knowledge and confidence in managing allergic disorders among primary care pediatricians across Europe: #EAACI task force report PAI Elizabeth Angier onlinelibrary.wiley.com/doi/10.1111/pa…

In Current Issue! Long-Term Safety of #Dupilumab in #Patients With Moderate-to-Severe #Asthma : TRAVERSE Continuation Study buff.ly/3Jmt0hv

Explore the transformative role of biologics in treating severe asthma with Jason K Lee, MD, FRCPC, FAAAAI, FACAAI 🇺🇦 ⚡️ on The Allergist podcast. Learn how a targeted approach to severe asthma management can improve outcomes.
#Asthma #Allergy buzzsprout.com/2250841/148917…

Spring is a time of renewal, but it can also signal the beginning of allergy season. Mariam Hanna MD joins Ross Hull to discuss what we can do to minimise the symptoms and what to expect for the season.

New recommendations guide oral immunotherapy for food allergies.

Dr. Douglas Mack, lead author & assistant clinical professor McMaster University Department of Pediatrics, spoke with Medscape about the guide and one of its key strengths – its grading of contraindications.

Learn more: ow.ly/9qSW50RhmoL

Join Jason K Lee, MD, FRCPC, FAAAAI, FACAAI 🇺🇦 ⚡️ on The Allergist as he discusses managing long-term asthma treatment, including criteria for potentially discontinuing biologics after sustained control. #Asthma #Allergy

buzzsprout.com/2250841/148917…

Don’t lump all oral immunotherapy together.

When looking at challenge defined outcomes, may not correlate with patient defined outcomes

Remission has been shown to improve QOL in patients that can achieve this!

#NAPAAC24

Desensitization therapies mainly benefit more sensitive patients … protect against accidental peanut contamination. The patients with higher thresholds benefit from OIT that induces REMISSION! Again, this speaks to phenotypes of food allergy and the therapies we offer. #NAPAAC24

We are still working on the definitions of outcomes of oral immunotherapy. It’s not all the same AND we don’t even have our terminology sorted out - yet! Keyword here: YET! #NAPAAC24

“We (Allergists) are experts in activation. Run a skin test. You’ve just activated one mast cell there!”
- Dr Matt Greenhawt

A lively discussion on the prevalence of mast cell activation. #NAPAAC24

Dealing with patients in a resource limited healthcare system is not only safe and effective but it is also cost effective! Final musings as to why we should consider SLIT in allergic rhinitis and early on! Dr. Douglas Mack #NAPAAC24

Changing the course of allergic rhinitis- Thousands treated in one practice with sublingual immunotherapy changing the course of this disease and likely asthma prevention (need bigger trials to show this effect). Dr. Douglas Mack #NAPAAC24

Tonight’s fireside chat wraps up a full day of learning with a wonderful panel! Allergy trivia and controversial debates epinephrine prescribing, biologics use, pollen food allergy syndrome, patch testing and more! Dr. Douglas Mack #NAPAAC24

Number needed to treat, let’s consider this in our discussions for allergic rhinitis.

NNT for statins = 40!
NNT for antibiotics = ~10
NNT for immunotherapy = 4! WOW 🤯
This is disease modifying therapy that has huge power! #NAPAAC24

You go to MIDAS they talk TIRES. You go to an ALLERGIST to talk about IMMUNOTHERAPY. #NAPAAC24

The grade of evidence for the environmental control measures for allergic rhinitis we routinely talk about is actually quite LOW! #guilt #unintendedharm #NAPAAC24

Milk and egg- some evidence that BATs could be helpful for baked challenges. Difficult in accessing this test …🦇 🦇 🦇 #NAPAAC24

Baked milk/egg challenges has RISKS- they can have SEVERE reactions and even DELAYED reactions. #NAPAAC24