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The allergist

An allergist-immunologist is a doctor who deals with disorders of the immune system, including allergic reactions. This specialist is responsible for allergic diseases of various types and severity, including hay fever, year-round or food allergies, urticaria, dermatitis, bronchial asthma, and Quincke's edema. The EMC clinic is attended by highly qualified allergists who use the most modern diagnostic and treatment methods, including the ASIT protocol.

What does an allergist treat

The cause of allergies is an acute reaction of the body to any environmental factors, such as plant pollen, house dust mites, animal hair, various foods, medicines, cosmetics, etc. Increased immune reactivity can lead to various conditions that require the attention of an allergist.

The most common allergic reactions include:
  1. Pollinosis. Pollen allergy is diagnosed in almost 8% of the population. The disease is seasonal and in the middle zone of Russia it usually manifests itself from April to September, during the flowering period of a certain plant. Pollinosis is accompanied by symptoms from the mucous membrane of the eyes and respiratory tract (allergic rhinitis or conjunctivitis).
  2. Dermatitis. Allergic dermatitis is a pathology that every fifth person has encountered at least once. In contact dermatitis, skin damage occurs due to direct contact with the allergen. With atopic dermatitis, a reaction can occur to various factors, including food.
  3. Hives. An allergic disease characterized by the appearance of blisters on the skin. Depending on the severity and duration of the course, urticaria can be acute or chronic. A special case of urticaria is Quincke's edema, an angioedema that, if left untreated, can be life—threatening.
  4. Bronchial asthma. A disease that is accompanied by chronic inflammation of the respiratory tract and respiratory disorders. The development of bronchial asthma can be influenced by house dust, house dust mites, animal hair, plant pollen, etc.


Allergies to medications, food, and other factors are also extremely common.

When to contact an allergist

A referral to an allergist-immunologist can be prescribed by a doctor of another specialty, for example, a general practitioner or pediatrician, dermatologist, ENT. However, you can also contact an allergist yourself if you have discovered symptoms that may be allergic in nature:

  • sneezing, itchy nose, nasal congestion, or watery phlegm during the flowering season;

  • redness, itching, eye irritation, lacrimation during the flowering season;

  • skin symptoms: itching, irritation, rashes, blisters;

  • significant swelling of the face, lips, tongue;

  • long-term symptoms of respiratory tract inflammation: cough, wheezing, difficulty breathing.

It is also recommended to visit an allergist if antihistamines have stopped bringing relief or the symptoms of allergies and bronchial asthma are progressing.

How is the reception

At the reception, the doctor conducts a clinical examination of the patient, which includes:

  • a conversation in which the doctor finds out the symptoms and complaints, the presence of allergies in the anamnesis or in close relatives;

  • general examination to detect skin rashes, hives, irritation, edema;

  • palpation of soft tissues to detect edema.

Based on the results of the examination, the doctor prescribes additional examinations that will detect the allergen that causes an undesirable immune reaction.

Diagnostic methods

The EMC Clinic provides various diagnostic procedures:
  • skin prick testing with the manufacture of individual preparations, including those based on animal hair;

  • Molecular diagnostics is a method that allows you to get reliable results even when other types of analyses have proved to be uninformative.;

  • examination of respiratory function in adults and children for the diagnosis of asthma, even if there are no signs of difficulty breathing;

  • Food Intolerance Test (IgG);

  • a special examination to detect allergies to antibiotics, local anesthetics, analgesics (painkillers) and nonsteroidal anti-inflammatory drugs.

Allergy treatment methods

Therapy is selected based on the nature of the detected disease, the patient's condition, and the type of allergen causing the reaction. The most common treatment method is the administration of antihistamines, which help relieve symptoms and improve the condition of patients. If bronchial asthma is diagnosed, medications are prescribed for seizure relief and supportive therapy.

In addition, the EMC clinic uses an advanced treatment method that allows you to influence not the symptoms, but the cause of the pathology. This is the АСИТ (allergen-specific immune therapy), which allows to achieve long-term remission of an allergic disease andto prevent the development of complications and the progression of the disease.

The method involves the introduction of increasing doses of allergens into the patient's body, as a result of which the immune system adapts and stops overreacting to them. "Allergy vaccination" can be given through subcutaneous injections or sublingually (drops or tablets that are taken under the tongue) .

Highly qualified allergologists and immunologists at the EMC clinic have the most modern means to accurately identify the cause of allergic reactions and apply the latest therapies that meet European and international standards. You can make an appointment for a consultation by calling +7 495 933-66-55. < /p>


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Questions and answers

Lump in my breast
I have noted the lump in my breast periodically appeared following breastfeeding my first child (as a result of plugged duct). I did an ultrasound, but it revealed nothing, as if everything was normal. I knead my breast periodically and feel pain at those moments. Now I am pregnant, due date is on 20th. What should I
do?? When to examine my breasts, is it possible to perform the examination during pregnancy and lactation?
...more
The "lump" in the breast cannot occur after feeding, even if it was the plugged duct. You should not "knead" the breasts. If there is a problem or even if you think it is – the breast should be examined. Pregnancy and breastfeeding are not contraindications for this. Under normal conditions for pregnant women we
recommend a breast examination during 1 and 3 trimester (before childbirth). There are no contraindications for breast examination in your case. You are welcome at any convenient time for examination and advice on breastfeeding.
...more
Benign disease
I have a benign lump in one breast size of 12.0*9.9 mm. Puncture or a biopsy will be done next week. I was told by mammologist that surgery is needed. As far as I know, concerning the surgery, axillary lymph nodes are to be removed together with the tumor. I also know that in Europe lymph nodes are testes for
specific markers and only affected ones should be removed; if lymph nodes are no affected, they are not to be dissected and the surgery is minimally invasive. So what is your approach? Does it make sense to do it or you have the same methods and the same equipment?
...more
If histological examination of the sample reveals fibroadenoma of basic type or tissue hyperplasia without atypia, or nodular type fibrocystic condition of the breast tissue, the question of surgical treatment should not arise. If biopsy reveals giant fibroadenoma sectoral resection is indicated, i.e. mass excision
within the healthy tissues and lymph nodes will be removed. In case of non- benign histological result, i.e. carcinoma is detected, subsequent immunohistochemical examination is required as well as a clinical oncologist and surgeon consultation; and the decision on complex treatment will be taken by case management team. With regard to the diagnosis and treatment methods in our center, each case is addressed individually. Sometimes we remove a benign area (for example, the area of hyperplasia with atypia) using the vacuum-needle technique through 3-4 mm incision. As for the surgical procedure protocols for benign breast tumors, benign simple fibroadenoma is not removed in America, Europe, Israel, etc. I would like to discuss your case with you in more details and perform some additional tests if needed, so I would be glad to see you at EMC’s Breast center.
...more
Melanoma
My mom had a mole (suspected for melanoma) removed in November 2015. Histology revealed lentigo melanoma in situ. We checked the slides back in the Netherlands, and the diagnosis was a superficial spreading melanoma of Clark 3 Т1а Beslow 0,8 stage; re-excision with capture of 1 cm of healthy skin is recommended. Is
it possible to make re-excision and subsequent histology in your hospital? If so, how soon?
...more
We absolutely agree with the opinion of the European colleagues: re-excision with a wider offset is required; according to the Russian Protocol it is necessary to move 2 cm from the peripheral edge. This is for counter insurance, as lentigo-melanoma is a favorable type, and previous surgery is likely to put an end to
this story and the forecast is favorable. All the necessary manipulations for the study are possible in our Clinic; we have our own well-equipped laboratory with the possibility to ask the advice concerning the sample in Germany and Israel. You should make an appointment with the surgeon-oncologist (Marina Bissessar) in the nearest time to conduct the diagnostic re-excision. Hope to help!
...more
A spot on the back and chest
I have a spot on the back and chest, what could it be?
A spot on the skin is one of the most common symptoms of various skin diseases. Infectious (viral, bacterial or fungal) as well as noninfectious skin including serious diseases and nevi (moles or birthmarks) can manifest as spots on the skin. You should go to the dermatologist for accurate diagnosis. The doctor will
examine you and, if necessary, a special instrument (Dermatoscope, wood lamp) will be used. A skin scraping can also be done in the lesion for microscopy, cytology or culture. A treatment will be prescribed after diagnosis.
...more
Batkaeva Nadezhda
07 September 2016
Uterine cancer
My mom was diagnosed with the uterine cancer. She is 68 years of age and has an obesity of 4th grade (the growth of 166 cm, weight 135 kg) and hypertension. Admission to the radiology department was recommended. What should we do? As far as I know the surgery is the only method for cancer of the uterus to be removed.
Is it really so that this surgery is only possible for young and relatively healthy persons?
...more
It is not quite so. We can operate on any patient, but the issue is which complications can lead to patient’s death and which of them can just delay the recovery. From the anesthesiologist’s point of view, it is a major challenge to intubate patients with 4th degree obesity; the abdominal section is also possible,
but there is a 100% risk of suture line disruption and inflammation, let alone the postoperative pneumonia, venous thrombosis, etc. There is another option such as vaginal hysterectomy which is more acceptable and relatively safe in obese patients. It is not a «treatment standard», however, as it allows not obtaining pelvic washings, but still there is a possibility of complete cure. Anesthesia remains a problem - both general and spinal. Radiation therapy without surgery is another acceptable treatment option besides vaginal hysterectomy. A chance of complete cure is still exists, but the survival rate is on average lower than in surgical treatment
...more
Vladimir Nosov
07 September 2016

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Dr. Marina Sharova = A+++++! Highlights => super knowledgeable! Confident! Professional! Mother-type! Truly terrific bedside manner! Spends endless time with moms! A wonderful choice for all, especially first time moms and foreigners who only speak English! Special thank you to
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