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Which tests are conducted to diagnose allergies?

Dear Allergology Experts,

My name is Edith Schmitt and I have been suffering from various allergic reactions for some time now. I often struggle with sneezing fits, coughing, skin rashes, and itching, especially around animals and in certain environments. The symptoms mainly occur in spring and summer, which greatly impacts me and affects my daily life.

I have already tried various medications, but they only provide temporary relief. Therefore, I would like to know what tests can be conducted to diagnose allergies. I am concerned that I may be allergic to certain substances or allergens, preventing my symptoms from being permanently relieved.

Could you please provide me with more information on the different testing methods used in allergology? Which examinations are particularly informative and reliable for making an accurate diagnosis? And what would be the next steps in terms of treatment in this case? Are there specific therapy options that can effectively reduce my allergic reactions in the long term?

Thank you in advance for your assistance, and I look forward to hearing from you.

Sincerely,
Edith Schmitt

Erwin Ullmann

Dear Mrs. Schmitt,

Thank you for your detailed description of your allergic symptoms. It is understandable that you are concerned and looking for a permanent solution for your symptoms.

In allergology, there are various testing methods to diagnose allergies. The most common and reliable tests include the skin prick test, the patch test, and the blood test for specific antibodies (IgE test).

The skin prick test is usually performed on the forearm and involves applying different allergens to the skin. The skin is then lightly scratched to facilitate the penetration of the allergens. If the skin reacts with redness, welts, or itching, it indicates an allergic reaction to the corresponding allergen.

The patch test is mainly used to diagnose contact allergies. Allergens are applied to special patches that are then placed on the skin. After a few days, the results are read and any reactions of the skin to the allergens are assessed.

The blood test for specific antibodies measures the presence of IgE antibodies in the blood, which are increased during an allergic reaction. This test can help identify allergens to which you are allergic.

After a diagnosis is made, an individual treatment strategy will be established with your doctor. In addition to avoiding identified allergens, various treatment options can be considered. These include antiallergic medications such as antihistamines, corticosteroids, or mast cell stabilizers. In severe cases, specific immunotherapy (desensitization) may also be considered to regulate the immune system long-term and reduce allergic reactions.

It is important to have regular follow-up appointments with your allergist to monitor the progress of your allergy and adjust the therapy if necessary.

I hope this information is helpful to you and wish you a speedy recovery from your allergic symptoms.

Best regards,

Erwin Ullmann

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Erwin Ullmann