By Hueston Clark King, Visit Amazon's Richard L. Mabry Page, search results, Learn about Author Central, Richard L. Mabry, , Bruce Roderick Gordon, Bradley F. Marple
The key consultant to this increasing distinctiveness, allergic reaction in ENT perform presents a whole "how-to" direction within the prognosis, trying out, and therapy of all significant ENT asthma.
Written by means of 3 well-known specialists within the box, and designed to satisfy the desires of otolaryngologists, kinfolk physicians, nurses, and different "front-line" caregivers, the publication additionally beneficial properties functional guidance for constructing an hypersensitive reaction perform and dealing effectively with all kinds of allergic reaction sufferers
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Extra resources for Allergy in ENT practice: the basic guide
This almost unlimited diversity of symptoms is the factor that has made identification of offenders in type III allergy so difficult. Type III allergy is presumed to be the most common form of allergy seen in food hypersensitivity. Various types of laboratory tests have been developed for this type of reaction, but none have proved uniformly reliable. More details are presented in Chapter 13, but some examples may be of value at this point for clarification. First, the precursor of the type III reaction is the reacting antibody, which is usually IgG.
Food sensitivity may affect almost any part of the body, producing an immense range of symptoms. Cyclic food allergy is usually subtle, often delayed, and related to dose and frequency of ingestion. T h e patient is almost always unable to establish a connection between the consumption of the food and the symptoms produced without very specific help. W i t h these basic rules of thumb and general information, the clinician should understand enough immunology to progress to considering allergy diagnosis and care.
But the final blow for in-office laboratories may have come in 1988, when they were placed under strict governmental regulation according to the Clinical Laboratory Improvement Act (CLIA). As a result of these factors, by the 1990s this type of testing became impractical in the small office. Times and conditions change, however. There has been some liberalization of the controls, but few small offices have felt a need to face the challenges again. For the present it is far more practical to have the patient's blood sent out to a reference laboratory.