
PEDIATRIC DEPARTMENTS
Pediatric Allergology and Asthma in Munich
INTRODUCTION
We provide support in the case of over-sensitive reactions by the body, such as inflammation and defense to normally harmless substances of the environment. In this area the subarea of environmental medicine becomes more and more important. To grasp the modified immune response of the body in its full complexity, an interdisciplinary collaboration between our specialists in pediatrics and adolescent medicine is needed.
Disease Patterns
Further disease patterns and symptom complexes:
- Breathlessness
- Chest pain
- Restricted physical capacity
- Hay fever
- Paranasal sinus and ear infections
- Itching and skin rashes
- Atopic eczema (neurodermatitis)
- Diarrhea, vomiting
- Stomach ache
- Irregular stool
- Conditions suffered after insect bites or after taking food stuffs or medicines
Methods
Examination methods in our clinic
Detailed anamnesis (establishment of the medical history)
Detailed physical examination
Blood analysis
Skin tests (epicutaneous patch test or prick test)
Provocation test (ambulatory or as an inpatient)
Pulmonary function test using body plethysmography
Provocation using a treadmill
Provocation by inhaling irritants
Measurement of oxygen concentration
Measurement of expiratory nitrogen
Sonography of the paranasal sinus
Endoscopy of the nose
Perspiration tests
X-rays
Therapy
Therapeutic Options
An important form of therapy for allergic diseases is allergen avoidance. In connection with this we for example offer anti-allergen pillow covers, which provide a welcome aid for those suffering from dust mite allergies.
During the medication treatment we are aware of the subtle interactions between all the organs involved. We directly cooperate with pediatric allergologists and ear, nose and throat specialists. The treatment ranges from antihistamines (drops, juice, tablets) and leukotriene antagonist (montelukast) to locally applied sprays, drops and creams for the eyes, nose, lungs and skin.
The preventive aspect is supported not only by medication therapy but also by (sublingual) or subcutaneous immune therapy SCIT, the so-called hyposensitization treatment.
Specific immune therapy involves giving the patient the relevant allergen in easily tolerated doses. During the treatment, which should be applied several years, a slow process of accustomization takes place, which helps the patient to increase tolerance towards the allergen – this can lead to a successful cure. Normally SCIT is introduced ambulatory, it can also be introduced semi-residential or when being an inpatient, this for example is done when special medical risks might occur or to achieve very fast effect.

Dr. Simon Mayer
Allergology, Enviromental Medicine

Dr. med. Reinhard Erdl
Allergology, Asthma & Atopic Dermatitis Coach
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