Allergy Testing
Allergy testing is a vital diagnostic tool for pulmonologists to identify aeroallergens or environmental triggers responsible for respiratory allergies such as allergic rhinitis, asthma, chronic cough, and hypersensitivity pneumonitis. Accurate identification of allergens allows for targeted treatment, environmental control, and immunotherapy planning.
Purpose of Allergy Testing in Pulmonology
- Identify specific allergens responsible for symptoms
- Distinguish between allergic and non-allergic respiratory conditions
- Guide decisions on: Allergen avoidance, Pharmacotherapy, Immunotherapy (AIT)
- Assist in evaluating asthma control and chronic cough triggers
Indications for Allergy Testing
- Suspected allergic asthma or extrinsic asthma
- Allergic rhinitis associated with lower airway symptoms
- Chronic cough with no other cause
- Recurrent wheezing in children or adults
- Hypersensitivity pneumonitis (exposure-related ILD)
- Pre-immunotherapy evaluation
Common Aeroallergens Tested in Pulmonology
- House dust mites (Dermatophagoides spp.)
- Pollen (grass, weed, tree)
- Fungal spores (Alternaria, Aspergillus)
- Animal dander (cat, dog)
- Cockroach allergens
- Occupational allergens (e.g., flour, wood dust)
Role in Management
- Enables targeted allergen avoidance
- Supports decision-making for allergen-specific immunotherapy (AIT)
- Improves asthma control by reducing trigger exposure
- Helps avoid unnecessary medications or treatments