Allergy & Immunology Information Center Feature Archive

Stat consult: Allergic rhinits

Stat consult: Allergic rhinits

Allergic rhinitis is the twelfth most common diagnosis made at family physician visits.

How effective is a kenalog injection for seasonal allergies?

How effective is a kenalog injection for seasonal allergies?

Corticosteroids may relieve symptoms of allergic rhinitis, but are not always appropriate.

Timing of meningococcal vaccine

Timing of meningococcal vaccine

Timing of a recent administration of the meningococcal vaccination cannot be ignored.

A side effect of the flu vaccine?

A side effect of the flu vaccine?

A clinician questions wonders if there is a connection between cardiac arrhythmia and the flu vaccine.

Flu vaccine in pregnant women

Flu vaccine in pregnant women

A clinician expresses concerns about potentially misleading flu vaccination information for pregnant women.

A clinician's guide for managing patient perceptions of the flu vaccine

A clinician's guide for managing patient perceptions of the flu vaccine

By presenting research on the safety and efficacy of the flu vaccine, clinicians can successfully promote vaccination to patients in their care.

Vaccination, parents, and children

Vaccination, parents, and children

Vaccinations cannot be equated to antibiotics.

The celebrity effect on healthcare

The celebrity effect on healthcare

While having a celebrity spokesperson can benefit a cause, they may also end up spreading misinformation about a particular cause.

Herpes zoster subunit vaccine efficacy in immunocompetent adults ≥50 years old

Herpes zoster subunit vaccine efficacy in immunocompetent adults ≥50 years old


Herpes zoster, more commonly known as shingles, may occur in anyone previously infected with chicken pox, but is most common in adults 60 years and older due to an age-related decline in immunity.

Human papillomavirus vaccination not linked to increase in sexually transmitted infections in adolescent females

Human papillomavirus vaccination not linked to increase in sexually transmitted infections in adolescent females 


The HPV vaccination is not associated with an increase in sexually transmitted infections in adolescent females, study results suggest. The vaccine is recommended for all children 11 to 12 years old.

Itchy red rash and 
periorbital swelling

Itchy red rash and 
periorbital swelling

A 38-year-old man presents to an
otolaryngology clinic with itchy eyes,
periorbital swelling, and an itchy red rash on his face and arms.

Pertussis vaccine efficacy

Pertussis vaccine efficacy


Whole cell pertussis vaccines are more effective than newer, acellular versions.

Stat Consult: Measles

Stat Consult: Measles

Review the basics on measles, including risk factors, symptoms, treatment, and prevention.

Easing pain during vaccination

Easing pain during vaccination


To reduce the discomfort or pain of vaccinations, apply firm, but comfortable, pressure on the intended site for 30 seconds.

Gluten-free diet resolves symptoms in a non-celiac patient

Gluten-free diet resolves symptoms in a non-celiac patient


A gluten-free diet alleviated a patient's fatigue, brain fog, bloating, and constipation.

Don't overlook the resurgence of rubella

Don't overlook the resurgence of rubella


The current infectious-disease focus is on ebola and enterovirus D68, but an old foe, rubella, is once again demanding attention.

What ways can providers improve the vaccine delivery process?

What ways can providers improve the vaccine delivery process?

The Clinical Advisor asked Dr. Tan this question: What one thing can a primary-care NP or PA do to improve the vaccine-delivery process in his/her practice?

Progressive difficulties swallowing indicated more than 'just heartburn'

Progressive difficulties swallowing indicated more than 'just heartburn'

Extensive food allergy testing revealed that a patient's difficulty swallowing was caused by foods common in her diet.

USPSTF: Screen high-risk groups for HBV

USPSTF: Screen high-risk groups for HBV

Patients at risk for HBV infection include HIV-positive individuals, injection-drug users, and household contacts of those with HBV.

Otitis treatment in a child with suspected penicillin allergy

Otitis treatment in a child with suspected penicillin allergy

A patient was diagnosed with a serum sickness-like reaction in response to antibiotics.

Infant immunization after a 
blood transfusion

Infant immunization after a 
blood transfusion


Do blood transfusions affect implementation of the routine immunization schedule?

Managing food allergies 
in primary care

Managing food allergies 
in primary care

As gatekeepers, primary-care clinicians are able to provide education on the recognition and treatment of potentially fatal complications.

Nasal lubrication guidelines

Nasal lubrication guidelines


Even though use of intranasal petroleum jelly is common, it is not recommended.

Do vaccines have to be 
administered intramuscularly?

Do vaccines have to be 
administered intramuscularly?


Administration route depends on the pharmacokinetic properties of the medication.

Identifying and addressing infant allergy to cow's milk protein

Identifying and addressing infant allergy to cow's milk protein

Cow's milk protein allergy is relatively common during the first year of life. Unfortunately, the condition is easily missed or mislabeled.

Adult immunizations by medical indication

Adult immunizations by medical indication

Up-to-date CDC recommendations for vaccines for adults with specific medical conditions.

Adolescent catch-up immunization schedule

Adolescent catch-up immunization schedule

Up-to-date CDC recommendations for patients aged 4 months through 18 years who start late or are more than one month behind on immunizations.

Adult vaccine contraindications and precautions

Adult vaccine contraindications and precautions

Up-to-date information from the CDC on contraindications and precautions for adult vaccines.

Adult immunization schedule

Adult immunization schedule

Current CDC immunization schedule and footnotes for vaccinating adults.

Childhood immunization schedule

Childhood immunization schedule

Current CDC immunization schedule and footnotes for vaccinating children aged 0 through 18 years.

Is triamcinolone safe for seasonal allergies?

Is triamcinolone safe for seasonal allergies?

What options exist for treating seasonal allergies in patients that cannot afford recommended nasal steroids and eyedrops?

Swine flu crisis stirs vaccine debate

Swine flu crisis stirs vaccine debate

In response to a federal initiative, a school clinician immunizes a child—but without parental consent.

Vaccinations to 
protect adolescents

Vaccinations to 
protect adolescents

Often at increased risk for disease transmission, many teens and preteens
 do not receive the recommended immunizations in a timely manner.

Primary-care prevention of cervical cancer

Primary-care prevention of cervical cancer

To reduce the mortality and incidence of this disease, clinicians must be aware of the most recent vaccination and screening guidelines.

Gluten-free diet or vitamin D supplementation for psoriasis?

Gluten-free diet or vitamin D supplementation for psoriasis?

Would it be beneficial to give suprapharmacologic doses of vitamin D3 in cases of severe psoriasis?

Vasomotor rhinitis and allergic conjunctivitis

Vasomotor rhinitis and allergic conjunctivitis

The ability to differentiate between the allergic and nonallergic form of these conditions is crucial when determining treatment.

Sudden neurologic symptom onset 
in an adolescent

Sudden neurologic symptom onset 
in an adolescent

Dizziness, photophobia, nausea and 
an unsteady gait develop following a 
routine annual check up.

Improve eustachian tube dysfunction with nasal spray

Improve eustachian tube dysfunction with nasal spray

A 12-hour nasal decongestant spray can help provide relief for kids with eustachian tube dysfunction.

Acute renal failure related to topical acyclovir

Acute renal failure related to topical acyclovir

Is it common to see renal failure triggered by high doses of topical acyclovir?

Evaluating and managing 
pediatric food allergy

Evaluating and managing 
pediatric food allergy

An approach involving primary-care clinicians, and specialists — including 
allergists, gastroenterologists, nutritionists and counselors — is crucial.

Cardioprotection in a complex patient

What is the best choice for cardioprotection in a woman aged 75 years with episodic symptomatic angina, MI one year earlier and a sensitivity to nitroglycerin patches and spray?

When to give the zoster vaccine

An elderly patient presented with an acute reaction of shingles. How soon after treatment is it advisable to administer the zoster vaccine (Zostavax)?

Discussing vaccine hesitancy with parents

Discussing vaccine hesitancy with parents

Parents today are more likely than ever to have questions or concerns about the safety of immunizations, and clinicians must be prepared to have effective discussions about the benefits and risks of vaccination.

Promoting food safety for children with allergies

Promoting food safety for children with allergies

Children with food allergies often face complications when they head off to school. Educating parents and working with them to create action plans for their child is an important part of creating a safe environment.

Is simultaneous vaccination always necessary?

In adolescents aged 11 to 14 years, must the human papillomavirus; meningococcal (MCV4); tetanus, diphtheria, and pertussis (Tdap); and, if needed, varicella vaccines be given simultaneously?

Therapeutic strategies for bacterial conjunctivitis

Therapeutic strategies for bacterial conjunctivitis

Resistance has compromised the effectiveness of all ophthalmic antibiotics, but new topical treatment options are available.

Tips for tracking Tdap vaccination status

Current FDA indications for tetanus, diptheria and pertussis vaccine call for only one dose between ages 11 and 64 years. What strategies or processes have been employed to communicate to the patient whether he or she has received the one-time-only tetanus shot?

When to treat or refer a burn-injured patient

When to treat or refer a burn-injured patient

Guidelines from the American Burn Association provide a reliable road map for the assessment and treatment of these challenging injuries

Post-splenectomy vaccination recommendations

What vaccines and vaccination schedule are recommended for splenectomy patients?

How serious is latex allergy?

Do I really need to worry about vials with latex tops or BP cuffs with latex bladders? Can't rash be treated symptomatically, or is escalation to anaphylaxis a major concern?

MMR vaccination for health-care workers

Clinicians asks advice for appropriate vaccine procedure for health care workers who received childhood vaccines, but cannot supply documentation and no longer have immunity to measles, mumps or rubella.

The best therapies for bacterial rhinosinusitis

The best therapies for bacterial rhinosinusitis

Knowing when to prescribe antibiotics and what kind to give is crucial. Here are some guidelines for patients with mild-to-moderate infections.

Tree nuts in a child allergic to peanuts

In a child with a known peanut allergy who has never eaten tree nuts, is it safe for the parents to introduce tree nuts at home? Is it more advisable to skin-test first?

Ocular poison ivy rash

Ocular poison ivy rash

What is the treatment protocol for a patient with rhus dermatitis in one eye?

How effective is BCG vaccine against TB?

Given the number of immigrants from Third World countries, why are medical providers still teaching that BCG vaccine provides lifelong protection against TB?

Pneumonia leads to organ failure

Pneumonia leads to organ failure

Should the clinicians be held responsible for failing to offer revaccination to a high-risk patient?

Woman's coughing fit leads to psychotic episode

Hospital staff surprised by a patient's sudden change in disposition.

CDC releases 2010 influenza prevention recommendations

The CDC Advisory Committee on Immunization Practices has released its 2010 recommendations for the prevention and control of influenza.

Oral corticosteriods as effective as IV formulations for patients with COPD

High-dose IV corticosteroids are widely prescribed for patients admitted to the hospital with acute exacerbation of chronic obstructive pulmonary disease (COPD), despite guidelines recommending oral steroids at lower doses.

On target nasal sprays

After spraying each nostril, patients should turn their head upside-down for 60 seconds.

Reaction following contrast CT

The swelling was nontender, nonfluctuant, and involved the whole of the submental portion of the upper thyroid.

Which type of flu vaccine is most effective?

Is there any advantage to one type of vaccine over another?

Kitchen work worsens pruritic hand lesions

Kitchen work worsens pruritic hand lesions

A restaurant employee's intensely itching and burning hand lesions worsened after he was assigned to work in the kitchen.

HPV vaccine in a woman with cervical dysplasia

What does a woman with a history of cervical dysplasia need to know about Gardasil?

Sulfonylureas and sulfa allergy

Can patients with an allergy to sulfa to take sulfonylureas?

Shingles vaccine after lymphoma treatment

Is it safe for a patient who underwent chemotherapy to receive the herpes zoster vaccine?

A new era opens for adolescent vaccines

Practice protocol under fire

Practice protocol under fire

A clinician's technique is questioned when a patient's elbow becomes infected after blood work.

How to recognize and manage HPV infections

Most sexually active people have been exposed to the human papillomavirus, which causes genital warts and cervical cancer. Here's what you should do.

What you should know about the HPV vaccine

In a major public-health advance, a new vaccine has been approved to protect against four viral strains. Two experts tell the best way to use it.

Vaccine-induced shingles?

Can the shingles vaccine cause lesions?

Allergic rhinitis: An update on therapy

Managing the condition involves allergen avoidance, pharmacologic therapy, and immunotherapy. Here is guidance on each of these steps.

Do clinicians need the zoster vaccine?

Are we more or less likely to get shingles?

Flu vaccine in a zoster patient

Can a patient with active herpes zoster recieve the flu vaccine?

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