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Allergology-immunology

AllergologyImmunology

Allergology

Allergy is a common disease of our time. In view of the increased number of factors contributing to the development of allergic diseases over the past decades, the number of patients suffering from allergies is also increasing.

Among the most common factors are environmental degradation, changes in the body's immune system, the presence of chemical additives in food products, the progression of endocrine diseases, diseases of the gastrointestinal tract, and a genetic predisposition to allergic diseases.

Depending on the type of allergy - respiratory, food, skin, drug allergy and other types - the clinical symptoms of diseases are diverse. The most common diseases are:

  • Atopic dermatitis.
  • Allergic conjunctivitis.
  • Allergic rhinitis.
  • Allergy to animals (epidermal allergy).
  • Allergy to house dust (house dust mites).
  • Allergy to insect bites.
  • Bronchial asthma.
  • Urticaria (chronic urticaria).
  • Drug allergy.
  • Food allergy.
  • Pollinosis (allergy to plants).

When to see a doctor?

When the first signs of allergy appear, you should seek the advice of a specialist in order to prevent serious consequences, such as Quincke's edema, etc. Self-administration of drugs can also adversely affect the course of the disease.

The main and most popular signs of an allergy are:

  • Various dermatological rashes.
  • Swelling, redness and itching of the skin.
  • Allergic rhinitis (nasal congestion).
  • Cough without other signs of infection.
  • Conjunctivitis, watery eyes.

Diagnostics and treatment at the K+31 clinic

Diagnosis of allergic diseases in K+31 is mainly aimed at identifying the allergen that caused the allergic reaction in the patient.

Depending on the type of allergy, the severity of the disease, the specialists of our clinic perform various diagnostic procedures:

  • Skin allergy tests for pollen, household and food allergens.
  • Blood test on panel of allergens.
  • Examination of the function of external respiration.

K+31 specialists use the capabilities of our clinic and personal experience so that patients can breathe freely and forget about the problems associated with allergies.

Immunology

When to see a doctor?

  • The presence of congenital defects in immunity is a pronounced deficiency in the protective function of immunity (infections, tumors), or excessive strengthening (aggression towards one's own organs/tissues).
  • In secondary immunodeficiencies: defects in immunity acquired during life.
  • For unspecified conditions that present with a deficiency in immune system function, including a diagnosis of "Primary immunodeficiency, unspecified".
  • Having an autoimmune disease.
  • The presence of fever of unknown origin.
  • In the presence of pathologies that are most likely to be of an immune nature (including atypical ones that are resistant to standard therapy).
  • For a second opinion, when it is difficult to make a diagnosis by other specialists.

What symptoms to look out for?

  1. Frequent infectious episodes (not SARS) - sinusitis, otitis media, bronchitis/pneumonia, skin abscesses, recurrent infection caused by herpes simplex virus 1, 2 types (labial/genital herpes).
  2. Fever of unknown origin, intermittent fever without apparent cause.
  3. Rash of unknown origin, especially hemorrhagic (frequent bruising, spontaneous, nosebleeds).
  4. Articular syndrome is a symptom complex that occurs when the joints and periarticular soft tissues are affected.
  5. A variety of systemic disorders of the kidneys, liver, gastrointestinal tract, etc.
  6. Identification of infections that are impossible in a healthy person (candidiasis, pneumocystis and other infections).

What diagnostic methods does an immunologist use?

  • A thorough collection of anamnesis, a detailed medical history is carried out.
  • Physical examination, especially if there are skin manifestations.
  • Basic laboratory diagnostics: complete blood count, iron and vitamin levels.
  • Molecular biological diagnostic methods (sequencing, including NGS, PCR, cytogenetics, MPLA).
  • In some cases, instrumental diagnostics may be required: ultrasound, endoscopy, radiation diagnostics.

An immunologist does not conduct an analysis for “immunity”, “leukocyte sensitivity”, since such studies do not have a sufficient evidence base and cannot help the doctor prescribe the appropriate treatment.

What treatment methods does an immunologist use?

  • Drug therapy.
    Doctors of the K+31 clinic use only those drugs that, according to the results of clinical trials, have 1-3 levels of evidence. These may include:
    - Antibacterial agents.
    - Targeted antivirals (against a specific virus).
    - Antifungal drugs.
    - Antiprotozoal drugs.
    - Antipneumocystic drugs.
    - IVIG.
    - Immunosuppressive therapy, including targeted (monoclonal antibodies).

    No "immunomodulators" or "immune boosting" drugs are used.
  • More invasive treatments, which may include hematopoietic stem cell transplantation for the treatment of primary immunodeficiency (performed in specialized centers by doctor's prescription).
  • An immunologist can carry out treatment together with rheumatologists, pulmonologists, general practitioners, and in some cases gynecologists.

Service record

Specialists

All specialists
Zueva
Irina Vyacheslavovna

Dermatovenerologist, allergist-immunologist

Bondarenko
Irina Valentinovna

Allergologist-immunologist for children, pediatrician

Reviews

All reviews
This is the best pediatrician for our family with 3 children and 3 grandchildren - diagnoses with 99.9 percent hits are amazing!)) Thank you very much for your work !!!!
Dmitry Aleksandrovich
For a year and a half of treatment, I visited many doctors and during all this time I was not even given an accurate diagnosis. After the first consultation with this doctor, they put everything on the shelves, determined the diagnosis and prescribed the initial course of treatment, which I am incredibly happy about. I recommend everyone to contact this specialist;)
 
Maksim