Non‐conventional approaches to allergy testing: reconciling patient autonomy with medical practitioners’ concerns

  title={Non‐conventional approaches to allergy testing: reconciling patient autonomy with medical practitioners’ concerns},
  author={Raymond J Mullins and Robert J. Heddle and Pete Smith},
  journal={Medical Journal of Australia},
It may be difficult for patients to distinguish current concepts of immune function from other, non-conventional explanations of illness. 

Understanding the experiences of allergy testing: a qualitative study of people with perceived serious allergic disorders

Patients perceived major shortfalls in relation to NHS allergy testing provision, focusing on both the availability of testing and expertise in interpreting the results.

Anaphylaxis--recognition and management.

The recognition, assessment and evidence based management of anaphylaxis in the general practice setting is described and an action plan and adrenaline auto-injector where further accidental exposures are likely are likely.

2. Anaphylaxis: diagnosis and management

The cornerstones of initial management are putting the patient in the supine position, administering intramuscular adrenaline into the lateral thigh, resuscitation with intravenous fluid, support of the airway and ventilation, and giving supplementary oxygen.

Measurement of a possible patch‐testing outcome indicator

Background: Clinical performance measurements often employ outcome indicators to express the extent to which health services achieve a given clinical result.



The use of alternative therapies by children with asthma: A brief report

To identify the nature and prevalence of alternative therapies used by children with asthma attending a children’s hospital, a large number of them are related to conventional treatments.

Complementary and alternative medicine: assessing the evidence for immunological benefits

The social and clinical contexts in which promises of enhanced immunity are pursued through popular practices known as complementary and alternative medicine and the evidence that supports these are considered.

Food allergy: lessons from the past.

  • C. May
  • Medicine
    The Journal of allergy and clinical immunology
  • 1982

Serious adverse effects of unconventional therapies for children and adolescents: a systematic review of recent evidence

  • E. Ernst
  • Medicine
    European Journal of Pediatrics
  • 2002
A systematic review of reports of adverse events associated with unconventional therapies in children since 1990 found that several unconventional therapies may constitute a risk to the health of children and adolescents.

Side‐effects of complementary and alternative medicine

The potential sensitizing capacity of numerous herbal remedies may lead to allergic contact dermatitis and more rarely to IgE‐mediated clinical symptoms, and among other miscellaneous adverse effects, adulteration with steroids, and herbal and drug interactions are discussed.

Complementary and Alternative Medicines (CAM) in the Management of Asthma: An Examination of the Evidence

  • A. MarkhamJ. Wilkinson
  • Medicine
    The Journal of asthma : official journal of the Association for the Care of Asthma
  • 2004
15 studies show a tendency to little or no significant difference between placebo or sham therapy in the management of asthma, suggesting some CAM therapies have shown minimally significant improvements in asthma quality of life or pulmonary function and immune function in select asthma populations.

Elements of the history of our present concepts of anaphylaxis, hay fever and asthma

  • Becker
  • Medicine
    Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology
  • 1999
How many of the authors' present ideas of the mechanisms underlying anaphylaxis and other human immediate (‘anaphylactic’) type syndromes arose and developed are sketches, in an admittedly very incomplete and imperfect fashion.

Advances in asthma, allergy and immunology series 2004: basic and clinical immunology.

The escalating cost and prevalence of alternative medicine.

The public appears to have ambivalent standards for alternative therapies but wishes to be empowered with accurate information to facilitate self-prescription, and expenditure on alternative therapies was nearly four times the public contribution to all pharmaceuticals.

Allergy History Does Not Predict Skin Test Reactivity in Asthmatic Children

Allergy history was a poor predictor of skin test reactivity in this group of asthmatic children and diagnostic accuracy was 65%, 50%, and 56% for cat, dust mite, and grass, respectively.