Pediatric Diagnostic Hospital M1 Munich
Department of Pediatric Allergology (360802)
Specialized in: pediatric allergology
The Department of Pediatric Allergology at the Pediatric Diagnostic Hospital M1 offers the full range of services in this medical field. The medical team of the department performs comprehensive diagnostics and treatment of various types of allergies, using the most effective methods, for example, skin prick testing, which allows to identify possible responses to more than 20 different stimuli. In addition, the department has a unique experience in the diagnostics and treatment of asthma in children and adolescents. The department is headed by Dr. Simon Mayer.
The department offers a variety of classical and advanced diagnostic methods for detecting allergies:
- Blood test
- Skin test (cutaneous or prick test)
- Provocative test (on an outpatient or inpatient basis)
- Pulmonary function testing and body plethysmography
- Provocative tests with a load (on the treadmill)
- Provocative tests with the inhalation of irritants
- Oxygen concentration measurement
- Measurement of nitrogen oxide concentration upon breathing out
- Ultrasound of the paranasal sinuses
- Nose endoscopy
- Sweat test
- Immuno CAP ISAC examination (the most modern tool for determining the type of the patient’s IgE antibodies)
- And many other diagnostic tests
Naturally, the first stage of the diagnostics is the analysis of the patient's medical history and a general medical examination.
In most cases, drug therapy is required to treat allergies: antihistamines (drops, syrups, tablets), leukotriene receptor antagonists (Montelukast), as well as topical medications, e.g. sprays, drops and creams for the eyes, nose, lungs and skin.
Prevention of allergic diseases is carried out not only with the help of medications, but also with the help of sublingual and subcutaneous immunotherapy (SCIT), hyposensitisation therapy.
In case of a specific immune therapy, the patient receives a well tolerated dose of the allergen, to which their organism is very sensitive. Thanks to multiple sessions of the therapy, a slow process of habituation begins, so that the patient begins to tolerate the received allergen better, which ultimately leads to a complete cure of allergies. As a rule, SICT is performed on an outpatient basis, but it is possible to perform the procedure on an inpatient basis, for example, if there are special medical risks or if it is necessary to achieve a speedy recovery.
Particular interest for the department is the diagnostics and treatment of bronchial asthma, the development of which can be provoked not only by diseases of the respiratory system, but allergic reactions. It is known that asthma is an incurable pathology, therefore, the therapy for this disease is aimed at the prevention, normalization of the child’s health and prevention of relapses.
The examination of children with suspected asthma always begins with a medical history taking, in which the parents of a young patient take an active part. Doctors need to exactly determine how often the seizures recur, under what circumstances they occur, at what time of the year the exacerbations occur.
Then doctors carry out a number of tests for possible allergens, incl. skin prick test. The next stage is a comprehensive pulmonary function testing, which includes:
- Spirometry for measuring the volume of a fixed expiration in 1 second
- Oscillometry (airway patency examination)
- Measurement of nitrogen oxide levels
- Methacholine challenge test
- Peak flowmetry (measurement of the peak velocity of exhaled air with a special device)
The methods of bronchial asthma treatment include drug therapy, intensive immunotherapy, lifestyle changes, physiotherapy (iontophoresis, inhalation, electrosleep, ultrasound and ultraviolet effects),the use of special respiratory techniques, exercise therapy, salt caves, acupuncture, etc.
- Munich, Germany