Doctor insights on:
What Does An Immunologist Do
Being sent to a certified allergist for a complete allergy and immunology workup. I know what allergy test is but what does immunology work up entail?
Normal immune status: An immune evaluation is undertaken when your allergist is concerned about how well your immune system works. First, we look at antibody levels, IgG and the 4 subclasses, IgA (the most common Ig deficiency) , IgM and IgE (the allergic antibody). We also evaluate specific immune responses to different types of vaccines or illness. Usually tetanus and pneumococcal vaccine. (No room for full answer) ...Read moreSee 1 more doctor answer
Immunology is a field of study in which a person studies the components of the immune system (such as lymph nodes, white blood cells, and antibodies), their functions, and their diseases. Because allergies are a reaction by a person's immune system, immunology usually includes the study of allergies. A doctor who specializes in problems of the immune system ...Read more
A logical approach: The allergist takes a detailed history & then performs a physical examination. Rather than screening food allergy tests more likely to reveal false positives the allergist prefers, when possible, to perform tests relevant to your history. They may be skin or blood tests, sometimes both. If the diagnosis is uncertain oral challenges are performed in a safe setting with appropriate safeguards. ...Read moreSee 2 more doctor answers
Recurrent infections: Physicians who practice in allergy, asthma & immunology have been trained to evaluate the function of the immune system. Most commonly, poor immunity to polysaccharide encapsulated bacteria such as strep. Pneumoniae leads to recurrent ear, sinus and lung infections. Vaccines used in children under age 2 (pcv-13) might not always generate protective antibodies. Checking for this problem might help. ...Read more
Allergy/Rheumatology: Allergy/Immunology specialists (as opposed to rheumatologists) treat people with various allergies and with asthma. This includes adults, but often much of the practice is pediatric. They also help identify and treat people with immunodeficiencies that make them more susceptible to infections. The specific treatments really depend on what is being treated. Rheumatologists Rx autoimmune disease. ...Read moreSee 1 more doctor answer
Low WBC : Reason for low WBC 's are many . It has to be considered in conjunction with one's over all clinical features . Based on how low it is , under what circumstances , underlying disease, associated drug use, recent illnesses etc have to be considered in evaluation of leukopenia . Consult your doctor who will refer you to appropriate specialist based on cause and level of low wbc. ...Read more
Depends on the cause: Granulomatous inflammation is a chronic inflammatory response characterised by focal collections of macrophages, epithelioid cells and multinucleated giant cells. The causes of granulomas is quite varied, from a foreign body reaction, to infectious causes (such as tb, syphilis, histoplasmosis), to systemic immune conditions including sarcoidosis. Rx by an immunologist or infectious disease md. ...Read moreSee 2 more doctor answers
Little to big: I am a rheuamtolgoist, but trained in a program called clinical immunology and rheumatology. The allergists where in the program. Otherwise, in many places the rheumatology section is distinct, and there will be allergy and immunology programs. There are appreciable overlaps between what either speciality does. ...Read more
I have a lot of background info but no room to type it. My three 1/2 yr old is being referred to an immunologist and I have ?s about current counts.
Should I see an Immunologist if I get sick after being in large grps or around chldrn w/ runny noses, & rather than a few days it takes wks to recover?
Yes: If this is a persistent pattern that you have noticed for years, you should first see your primary care doc and let her exam you and do some initial labs. If that does not answer the questions, your doc will refer you to the appropriate professional ...Read more
Helpful...: It would be helpful to see an immunologist after an episode of anaphylaxis to determine the allergen responsible, if possible, so that the allergen can be avoided, if possible. Anaphylaxis can be life-threatening so any and all steps to reduce the possibility of a recurrent episode should be taken. ...Read moreSee 1 more doctor answer
My immunologist said that my slightly low IgA may be caused by my chronic stress. She said cortisol decreases IgA production. True?
True.....: and there is a pretty wide range on IgA in the normal category. There is a specific disease when the IgA is ZERO, but :"low" is not "zero" and "low" is not associated with significant problems. and yes, stress (especially day/night shift changes) alter hormones and might reasonably lower IgA levels. http://www.ncbi.nlm.nih.gov/pubmed/20496079 but... in the one study, the OPPOSITE was found ! ...Read more
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