Allergic rhinitis can have symptoms that manifest with laryngeal disease. It can mimic some of the symptoms traditionally felt to be associated with reflux disease. A key to diagnosis includes a detailed history and physical examination.  Testing modalities such as fiberoptic nasopharyngoscopy and videostroboscopy can be used to assess the larynx.  It is also imperative to understand the role of functional tests to assess measures such as quality of life - which can be utilized before and after treatment used for the management of allergic disease.

Ocular allergy can present as part of the common allergic rhinoconjunctivitis seen in seasonal or perennial allergies, or as a more severe inflammation in vernal keratoconjunctivitis or atopic keratoconjunctivitis, both of which have involvement beyond the conjunctiva.  Environmental allergen exposure results in deposition of particulates in the eye which triggers an IgE-mediation allergic inflammation cascade.  Diagnosis is made by physical examination of the eye in conjunction with testing for environmental sensitizations when indicated.  Treatment includes avoidance of allergens, and a v

Anaphylaxis is a rare but very serious systemic reaction that otolaryngologists encounter. Anaphylactic reactions are more common in individuals with atopy, therefore inducing anaphylaxis in the office setting during evaluation and treatment of allergic disease is of utmost concern. Anaphylaxis may also mimic other medical conditions more commonly seen by otolaryngologists and so recognition and knowledge of treatment algorithms is essential for optimal patient care. This anaphylaxis module aims to cover topics regarding anaphylaxis as it relates to the practicing otolaryngologist. By revie

Allergy is encountered frequently in the practice of otolaryngology. As a co-morbid condition in relation to many other common ENT diagnoses, understanding and discerning differential diagnosis is key in effective management of patient symptoms. When symptoms occur, consideration through an appropriate history and evaluation, with testing where indicated, should be considered. Environmental and pharmacotherapeutic interventions can reduce or alleviate the symptoms of allergy. Immunotherapy can modify the immune reaction to the offending antigen to result in a cure.

Food allergy is a common and growing problem in the US.  The spectrum of food allergy encompasses a wide variety of reactions to ingestion of foods that can cause IgE or non-Ige mediated reactions.  The clinical presentation can range from mild to life-threatening, and often includes a variety of organ systems including the skin, airways, and gastrointestinal tract.  The most common food allergens include milk, soy, egg, nuts (tree and peanut), shellfish, fish, and wheat.  Children with food allergies often outgrow them whereas adults are less likely to do so.  The particular food allergen