allergy-350pxThis field of specialty deals with your child’s immune system; from disorders of the immune response to common disorders like childhood allergies, immune dysregulation and childhood rheumatological diseases. Defects of the immune system are also responsible for primary immunodeficiencies and recurrent infections.

Allergy
Childhood allergic disorders include atopic dermatitis, food allergies, allergic rhinitis and atopic asthma. Adverse reactions after drugs and vaccines can sometimes cause allergic reactions as well. Common symptoms include recurrent itchy rashes, urticaria (hive-like rashes), angiodema, recurrent sneezing and rhinitis, wheezing and chronic cough.

Investigations that can be performed include:

  • Skin prick test/or blood tests for IgE mediated allergies
  • Skin patch testing
  • Food and drug provocation
  • Pulmonary function tests
  • Management of allergy includes
  • Allergen avoidance
  • Medications and specific written action plans
  • Adrenaline auotinjectors (Epipen)
  • Specific allergen immunotherapy may be prescribed

Immunology
Our immune system is one of the main defence mechanism of the body. It protects us from harmful, infectious agents. Immunological disorders include primary immunodeficiencies whereby there is an inborn defect of immunity resulting in recurrent fevers and infections. Most children who have recurrent fevers don’t have an immune defect but rather exposure to multiple new infections in childcare centres or schools. Immune boosting strategies can be discussed.

Services provided include:

  • Evaluation of recurrent fever
  • Specialized immunological testing
  • Intravenous immunoglobulin replacement
  • Rheumatological disorders include Kawasaki disease, Henoch Scholein purpura, and juvenile idiopathic arthritis. Other immune dysregulation disorders include chronic idiopathic urticaria or immune mediated thrombocytopenia or anaemia.

Rheumatology
Rheumatological disorders include Kawasaki disease, Henoch Scholein purpura, and juvenile idiopathic arthritis. Other immune dysregulation disorders include chronic idiopathic urticaria or immune mediated thrombocytopenia or anemia.

Services provided include:

  • Evaluation of joint aches and pains
  • Autoantibody testing
  • Intra-articular joint aspiration and injections
  • Use of various immunosuppressants including biologics therapy

For appointments or enquiries, please email to info@sbcc.sg

Back