Allergology

Team
Grup al·lergologia

Introduction

Allergology is a medical speciality that studies, diagnoses and treats diseases that have developed as a result of a immune hypersensitivity reaction to certain substances (allergens).

It includes diseases affecting the breathing, skin, digestion or the whole body.

Many of these diseases are chronic, which means that patients must be controlled over long periods.

The Allergology Unit cares for patients with the following diseases: Anaphylaxis, Conjunctivitis, Rhinitis, Bronchial asthma and related diseases, Food allergies, Drug allergies, Latex allergies, Reactions to hymenoptera insect bites, Atopic dermatitis, Contact dermatitis, Urticaria/Angioedema, Hereditary angioedema, Mastocytosis, Diseases associated to eosinophilia.

The Evaluation process consists of medical records and a physical examination.

Individualised testing depending on the patient’s disease.

Once this process is complete and the diagnosis has been given, the allergologist informs the patient, establishes the treatment and schedules the next visit, if follow-up is required.

Activities
Al·lèrgia respiratòria
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Breathing allergy
  • Rhinitis
  • Conjunctivitis
  • ABPA
  • Hypersensitivity pneumonitis, respiratory disease exacerbated by NSAIDs
  • Allergen skin (prick) tests
  • Nasal allergen provocation tests
  • Conjunctival allergen provocation tests
  • Spirometry with PBD test Patient education
Al·lèrgia cutània
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Skin allergy

Urticaria

Angioedema

Atopic dermatitis

Contact dermatitis

Exanthema and other skin symptoms in which the involvement of an allergen is suspected.

Allergen prick tests

Epicutaneous tests

Ice cube test

Self-test

Al·lèrgia a aliments
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Food allergy
  • Urticaria
  • Angioederma
  • Gastrointestinal symptoms
  • Anaphylaxis
  • Esophagitis
  • Eosinophilic gastritis
  • Food allergen prick tests
  • Food allergen prick x prick tests
  • Food allergen provocation tests
  • Elimination diets
  • Desensitisation
Al·lèrgia a verins d’himenòpters
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Hymenoptera venom allergy
  • Skin tests (prick and IDR)
Al·lèrgia a fàrmacs
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Drug allergy
  • Prick and IDR tests
  • Epicutaneous tests
  • Controlled provocation tests
  • Desensitisation
Al·lèrgia al làtex
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Latex allergy
  • Skin tests
  • Epicutaneous tests
  • Controlled provocation tests
Anafilaxi
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Anaphylaxis
  • Skin tests
  • Education in self-administering adrenalin
Administració de tractaments específics
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Administering specific treatments
  • Conventional and cluster immunotherapy for inhalant allergens
  • Hymenoptera venom immunotherapy
  • Monoclonal anti-IgE antibodies C1 esterase inhibitor

Research

Lines of research

  • Desensitisation to onco-haematology drugs
  • Hereditary angioedema
  • Systemic mastocytosis
  • Immune response changes during allergen immunotherapy
  • Evaluation of patients suspected of being allergic to drugs
  • Hypersensitivity reactions to biologic drugs

Main publications

-Aygören-P ürsün E, Bygum A, Grivcheva-Panovska V, Magerl M, Graff J, Steiner UC, Fain O, Huissoon A, Kinaciyan T, Farkas H, Lleonart R, Longhurst HJ, Rae W, Triggiani M, Aberer W, Cancian M, Zanichelli A, Smith WB, Baeza ML, Du-Thanh A, Gompels M, Gonzalez-Quevedo T, Greve J, Guilarte M, Katelaris C, Dobo S, Cornpropst M, Clemons D, Fang L, Collis P, Sheridan W, Maurer M, Cicardi M. Oral Plasma Kallikrein Inhibitor for Prophylaxis in Hereditary Angioedema. N Engl J Med. 2018 Jul 26;379(4):352-362. doi: 10.1056/NEJMoa1716995

-Laguna JJ, Archilla J, Doña I, Corominas M, Gastaminza G, Berjes-Jimeno P, Tornero P, Martin S, Planas A, Moreno E, Torres MJ. Practical Guidelines for Perioperative Hypersensitivity Reactions. J Investig Allergol Clin Immunol. 2018;28(4):216-232.

- Sonia Matas, Marta Broto, Mercè Corominas, Ramon Lleonart, Ruth Babington, M-Pilar Marco, Roger Galve. Immediate hypersensitivity to penicillins. Identification of a new antigènic determinant. J  Pharmaceutical and Biomedical Anaysis 2018;148: 17-23.

-Andrés-López B, Lleonart R, Corominas M. Hypersensitivity to CIDEX OPA: a misdiagnosed condition. J Allergy Clin Immunol Pract, 2016: 4:1260-1261

-Valero A, Navarro AM, del Cuvillo A, Alobid I, Benito JR, Colas C, de los Santos G, Fernández Liesa R, García-Lliberós A, González-Pérez R, Izquierdo-Domínguez A, Jurado-Ramos A, LLuch-Bernal MM, Montserrat Gili JR, Mullol J, Puiggròs Casas A, Sánchez-Hernández MC, Vega F, Villacampa JM, Armengot-Carceller M, Dordal MT. Position Paper on Nasal Obstruction: evaluation and treatment.  J Investig Allergy Clin Immunol 2018; 28(2):67-90.

Degree education

Degree education

  • Rotational training (internship programme) for ENT and Immunology Residents.
  • External rotation of Residents from other University Hospitals for the ICO-HUB Desensitisation Programme.

Location

Consultes Externes de l’Hospital Universitari de Bellvitge

c/ Feixa Llarga, sn.

08907 L’Hospitalet de Llobregat. Barcelona

Planta 2, mòdul 21

Hospital de Dia Mèdic

CAE Just Oliveres

Hospital de Dia onco-hematològic del ICO

Telèfon 93 260 76 80