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
What to Do With Patients who Report Allergic Symptoms Following the First Dose of an mRNA COVID-19 Vaccine

What to Do With Patients who Report Allergic Symptoms Following the First Dose of an mRNA COVID-19 Vaccine

A major concern to public health officials is incomplete vaccination with the mRNA COVID-19 vaccine series. One reason for incomplete vaccination is if patients think that they have had allergic symptoms following the first dose of the vaccine. While the consequences of incomplete vaccination are not fully known, public health officials are concerned that it may lead to reduced vaccine efficacy and longevity. Thankfully, new research demonstrates that many patients with self-reported allergic... Continue Reading

Filed under: Allergy/Immunology, Infectious Diseases, Preventive Medicine

A New Biologic on the Horizon for Severe Asthma

A New Biologic on the Horizon for Severe Asthma

There are currently 5 available monoclonal antibody treatments for patients with moderate to severe asthma, all of which target immunoglobulin E (IgE) or typ... Continue Reading

Filed under: Allergy/Immunology, Pulmonary Medicine

Identification and Management of Chronic Rhinosinusitis

Identification and Management of Chronic Rhinosinusitis

Chronic rhinosinusitis (CRS) has an estimated prevalence of up to 5% of the population. By definition, CRS is a chronic inflammatory condition of the paranas... Continue Reading

Filed under: Allergy/Immunology

Contact Dermatitis Diagnosis and Management: When to Refer for Patch Testing

Contact Dermatitis Diagnosis and Management: When to Refer for Patch Testing

Contact dermatitis (CD) is a relatively common inflammatory skin condition, grouped with occupational skin disease. CD usually presents with erythematous and... Continue Reading

Filed under: Allergy/Immunology

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. Approxim... Continue 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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