The Exchange

Commentary and Observations from
the Medical Front Lines

Amanda Michaud, MMS, PA-C

Amanda Michaud, MMS, PA-C

  • Physician Assistant
  • Arizona Asthma and Allergy Institute
  • Scottsdale, Arizona
Stinging Insect Allergy

Stinging Insect Allergy

Stinging insect allergy accounts for 10% of all cases of anaphylaxis. Stings from flying hymenopterans and fire ants are responsible for most cases. Approximately 0.8% of children and 3.5% of adults experience systemic reactions to some type of stinging insect in their lives, and in the US alone, at least 40 deaths per year are attributed to insect allergy.

The most common stinging insects that cause allergic reactions include the Apidae (honeybee, bumblebee), VespidaeContinue Reading

Filed under: Allergy/Immunology

Food Protein-Induced Enterocolitis Syndrome (FPIES)

Food Protein-Induced Enterocolitis Syndrome (FPIES)

Food protein-induced enterocolitis syndrome (FPIES) is a non–immunoglobulin (Ig) E-mediated food allergy that typically presents in infants. The most commo... Continue Reading

Filed under: Allergy/Immunology

Management of Severe T2-High Asthma

Management of Severe T2-High Asthma

Many patients with asthma have type 2 inflammation. Type 2 inflammation, also known as T2-high asthma, is driven by presence of interleukin (IL)-4, IL-5, IL-... Continue Reading

Filed under: Allergy/Immunology, Pulmonary Medicine

Diagnostics in Food Allergy

Diagnostics in Food Allergy

Food allergy is a growing public health concern and its prevalence is increasing worldwide. The most common food allergens—milk, egg, soy, wheat, peanut, t... Continue Reading

Filed under: Allergy/Immunology, Public Health

Diagnosis and Management of Chronic Idiopathic Urticaria

Diagnosis and Management of Chronic Idiopathic Urticaria

Chronic idiopathic urticaria (CIU), also called chronic spontaneous urticaria (CSU), is a condition when urticaria, or hives, are present for more than 6 wee... Continue Reading

Filed under: Allergy/Immunology, Dermatology

Why Your Patient Probably Isn’t Allergic to Penicillin

Why Your Patient Probably Isn’t Allergic to Penicillin

Drug allergies are documented in more than 20% of electronic health records throughout the world, with antibiotic allergies being the most commonly reported.... Continue Reading

Filed under: Allergy/Immunology

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