Allergy in ENT practice: the basic guide

497 Pages·2005·7.42 MB·English

by  Hueston Clark King

1 The Place of Allergy in Clinical Medicine
12 Nonallelic Rhinitis
2 Basic, "Need-to-Know" Immunology
13 Food Allergy
3 Preparation of the Office for Allergy
14 Pediatric Allergy
4 Interaction with the Patient
15 Allergy and Sinus Disease
5 Testing Methods for Inhalant Allergy
16 Allergic Fungal Sinusitis
6 Environmental Control (Avoidance)
17 What Lies Ahead?
7 Pharmacotherapy of Allergic Rhinitis
A1 Interrelationships Among Pollens and Plant-Derived Foods
8 Vial Preparation and Immunotherapy
A2 Pollen Guide
9 Standardized Extracts
A3 Typical Allergy History; Example of Titration and
Mixing Form; Diet Diary
10 Blending Skin Testing and In Vitro Testing in Clinical Practice
A4 Hidden Sources of Common Allergenic Foods
11 Allergic Emergencies
A5 Genetic Relationships and Potential Cross-Reactivities of
Nonbotanical (Animal) Foods
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ALLERGY IN ENT PRACTICE
The Basic Guide
Second Edition
Thieme

ALLERGY IN ENT PRACTICE
The Basic Guide
Second Edition
Hueston C. King, M.D., F.A.C.S., F.A.A.O.A., RA.C.A.A.I.
Clinical Professor of Otolaryngology-Head and Neck Surgery
University of Texas Southwestern Medical Center
Dallas, Texas
and
University of Florida College of Medicine
Gainesville, Florida
Richard L. Mabry, MD., F.A.C.S., F.A.A.O.A., Sc.F.A.C.A.A.I.
Clinical Professor of Otolaryngology-Head and Neck Surgery
University of Texas Southwestern Medical Center
Dallas, Texas
and
University of Texas Medical Branch
Galveston, Texas
and
University of Texas Health Science Center
San Antonio, Texas
Bruce R. Gordon, M.D., RA.A.O.A.
Instructor
Department of Laryngology and Otology
Harvard Medical School
Boston, Massachusetts
and
Associate Staff
Massachusetts Eye and Ear Infirmary
Boston, Massachusetts
and
Chief of Otolaryngology
Cape Cod Hospital
Hyannis, Massachusetts
Bradley F. Marple, M.D., F.A.A.O.A.
Associate Professor and Vice-Chairman
Department of Otolaryngology-Head and Neck Surgery
University of Texas Southwestern Medical Center
Dallas, Texas.
Cynthia S. Mabry, R.N., B.S.N,, C.O.R.L.N.*
Former staff nurse and otolaryngic allergy specialist
Department of Otolaryngology-Head and Neck Surgery
University of Texas Southwestern Medical Center
Dallas, Texas
†Deceased
Thieme Medical Publishers
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Cover artwork concept by Bradley F. Marple, M.D.
Library of Congress Cataloging-in-Publication Data
Allergy in ENT practice: the basic guide / Hueston C. king . . . [et al.]. — 2nd ed.
p.; cm.
Rev. ed. of: Allergy in ENT practice / Hueston C. King, Richard L. Mabry, Cynthia S.
Mabry.
Includes bibliographical references and index.
ISBN 1-58890-276-5 (alk. paper)— ISBN 3-13-112762-7 (alk. paper) 1. Allergy. 2.
Respiratory allergy. 3. Otolaryngology.
[DNLM: 1. Hypersensitivity. 2. Otolaryngology—methods. WD 300 A434215 2004] I.
King, Hueston C. II. King, Hueston C. Allergy in ENT practice.
RC584.A433 2004
616.97—dc22 2004002853
Copyright ©2005 by Thieme Medical Publishers, Inc. This book, including all parts thereof, is legally pro
tected by copyright. Any use, exploitation or commercialization outside the narrow limits set by copyright leg
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Important note: Medical knowledge is ever-changing. As new research and clinical experience broaden our
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rial herein have consulted sources believed to be reliable in their efforts to provide information that is com
plete and in accord with the standards accepted at the time of publication. However, in the view of the pos
sibility of human error by the authors, editors, or publisher, of the work herein, or changes in medical
knowledge, neither the authors, editors, or publisher, nor any other party who has been involved in the
preparation of this work, warrants that the information contained herein is in every respect accurate or com
plete, and they are not responsible for any errors or omissions or for the results obtained from use of such
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they plan to administer to be certain that the information contained in this publication is accurate and that
changes have not been made in the recommended dose or in the contraindications for administration. This
recommendation is of particular importance in connection with new or infrequently used drugs.
Some of the product names, patents, and registered designs referred to in this book are in fact registered
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Printed in the United States of America
54321
TMP ISBN 1-58890-276-5
GTV ISBN 3 13 112762 7
Table of Contents
FOREWORD FROM THE FIRST EDITION ix
FOREWORD TO THE SECOND EDITION x
PREFACE FROM THE FIRST EDITION xi
DEDICATION FROM THE FIRST EDITION xi
PREFACE TO THE SECOND EDITION xii
INTRODUCTION: ABOUT THIS BOOK xiii
CHAPTER 1: THE PLACE OF ALLERGY IN CLINICAL MEDICINE 1
CHAPTER 2: BASIC, "NEED-TO-KNOW" IMMUNOLOGY 5
CHAPTER 3: PREPARATION OF THE OFFICE FOR ALLERGY 23
CHAPTER 4: INTERACTION WITH THE PATIENT 67
CHAPTER 5: TESTING METHODS FOR INHALANT ALLERGY 105
CHAPTER 6: ENVIRONMENTAL CONTROL (AVOIDANCE) 155
CHAPTER 7: PHARMACOTHERAPY OF ALLERGIC RHINITIS 178
CHAPTER 8: VIAL PREPARATION AND IMMUNOTHERAPY 205
CHAPTER 9: STANDARDIZED EXTRACTS 268
CHAPTER 10: BLENDING SKIN TESTING AND IN VITRO TESTING
IN CLINICAL PRACTICE 280
CHAPTER 11: ALLERGIC EMERGENCIES 297
CHAPTER 12: NONALLERGIC RHINITIS 323
CHAPTER 13: FOOD ALLERGY 333
CHAPTER 14: PEDIATRIC ALLERGY 368
CHAPTER 15: ALLERGY AND SINUS DISEASE 386
VII
VIII TABLE OF CONTENTS
CHAPTER 16: ALLERGIC FUNGAL SINUSITIS 399
CHAPTER 17: WHAT LIES AHEAD? 415
APPENDIX 1: INTERRELATIONSHIPS AMONG POLLENS AND
PLANT-DERIVED FOODS 428
APPENDIX 2: POLLEN GUIDE 441
APPENDIX 3: TYPICAL ALLERGY HISTORY; EXAMPLE OF TITRATION AND
MIXING FORM; DIET DIARY 457
APPENDIX 4: HIDDEN SOURCES OF COMMON ALLERGENIC FOODS 463
APPENDIX 5: GENETIC RELATIONSHIPS AND POTENTIAL
CROSS-REACTIVITIES OF NONBOTANICAL (ANIMAL) FOODS 466
INDEX 471
Foreword from the First Edition
Scholars, teachers, friends—Drs. Hueston King and Richard Mabry are all
these. They are also scientists who, in this book, contribute essential knowl
edge to the present and future generations of otolaryngic allergists. Mrs.
Cynthia Mabry, an experienced otolaryngic allergy nurse, adds a very special
aspect, not previously available, to this textbook. Allergy in ENT Practice, sub
titled A Basic Guide, encompasses all aspects of basic allergy and will be a
remarkable resource for physicians in any field of medicine who are preparing
to add allergy to their practices. It answers questions that invariably arise in
the course of a practice, and provides references to advanced data that a
physician may wish to investigate to understand better the basic science of
the practice of allergy. In addition, it should become the companion of allergy
assistants in every office. These authors possess a wealth of knowledge and, in
an easy-to-understand way, offer it both to beginning students and to those
beyond the basic stage who need answers to fill gaps in their practical knowl
edge. I value their willingness to teach, and their friendship.
Helen Fox Krause, M.D., F.A.C.S., F.A.A.O.A.
Clinical Professor of Surgery
Department of Otolaryngology
University of Pittsburgh School of Medicine
Pittsburgh, Pennsylvania
IX