No known drug allergies

Session 201: Telemedicine and Drug Allergy: #telemedicine can improve clinic workflows, increase practice efficiency and offer allergy care in more remote areas of the country where there are no allergists #AAAAI21

If I could have one billboard: "Allergies are associated with elevated IgE levels, but elevated IgE levels alone do not diagnose allergy." VERY common cause of misdiagnosis, esp for #foodallergy. Meaningless sensitization (+ IgE test) is WAY more common than allergy. #AAAAI21

#AAAAI21 Kaminsky et al (poster 49) shows that omalizumab reduces frequency of attacks in idiopathic anaphylaxis (and is a much better option than steroids if H1, H2 blockers, LTRA not effective). More evidence that this is a great option!

Excellent oral abstract by Dr. Li of BWH - A 2 step NSAID challenge was able to safely delabel >85% of patients but many of the reactions developed after 60min (so watch patients longer after 2nd step). #AAAAI #aimeded

Dose and regimen very important in OIT - at 2000mg/d, 14% EoE-like syndrome, 23% required epi - at 125mg/d, 74% able to tolerate 300mg but no epi and no EoE. More work to be done. #AAAAI21

Science experiment with Mr. 9 - swabbing mom's phone vs dad's. Turns out alcoholing your phone multiple times a day is rather effective!

Dr. Guttman-Yassky: Exciting data on use of IL4/IL13 blockade in treatment of alopecia areata. #AAAAI21

I think Keep Calm and Give Epi might be my new motto!

Conjunctivitis with Dupilumab - if mild to moderate, can consider spacing to every 3-4 weeks to see if that is helpful. #AAAAI21

The first 12 complete cases #inpress NEJM today! NO case was more severe with dose 2. nejm.org/doi/full/10.10… Lacey Robinson MD MPH Aleena Banerji, MD Esther Freeman MD PhD Erica S. Shenoy, MD, PhD Anna Wolfson, MD rebeccasaff @CaitlinBurk MGHallergy

💯 practical info for patients & clinicians: 1. Delayed LARGE local rxns happen (☑️ out the 🖼️NEJM). For real!!! 2. If they happen, RELAX & REST ASSURED. Manage conservatively &...don't #missyoursecondshot!💉 3. Clinicians: contribute!!! submit allergy cases to Kimberly Blumenthal, MD, MSc

Great work from MGH Allergy!

Great study by Lacey Robinson MD MPH Kimberly Blumenthal, MD, MSc - evaluation of allergic symptoms is so important to get people fully vaccinated if possible!

1/ #tweetorial of our new @JACIInPress manuscript #inpress, in which PEG and polysorbate skin testing is shown to have a limited role in evaluation of patients seen after reported first dose mRNA #COVID19Vaccine allergic reaction. jaci-inpractice.org/article/S2213-…

Do you need an allergist? ACAAI AAAAI

We're so excited to welcome our 2022-2023 MGH Allergy/Immunology fellows!

Data clearly show diminishing representation for women and URG scientists. Great presentation by Dr. Hannah Valentine #AAAAI2022 keynote session AAAAI

Shout out to the Curbsides for stressing the importance of penicillin allergy testing in order to use the best regimen to treat H. Pylori - your friendly neighborhood allergist is here to help! #curbsiders

Great poster by Dr. Daniel DiGiacomo and Dr. Farmer on COVID vaccine response in our immune deficient patients! MGHallergy MGH Allergy & Immunology Fellowship