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Allergy

Clinical Activities | Teaching and Training | Meetings | Research Projects | Allergy Talks | Allergy Webinars | Useful Contacts | Patient Information

Staff


Senior Registrar: Dr Candice Royal candiceroyal@gmail.com 
     
Part-time Consultants: Dr C Gray claudiagray.paediatrics@
gmail.com
  Dr D Hawarden (GSH Staff) di.hawarden@uct.ac.za
  Dr Jonny Peter (GSH Staff) Jonny.Peter@uct.ac.za
  Dr S Karabus skarabus@yahoo.com
Part Time Medical Officers: Dr S Bingham  bingav@iafrica.com
  Dr A Davies  shaneanne@iafrica.com
Nursing Staff: D Brown  
  C Nguqu  
Dietician: S Cader shihaam.cader@
westerncape.gov.za
     
 Study Nurse and "Allergy in Africa"  Webinar Co-ordinator Sr Heidi Facey Thomas  heidi@riversister.com
     
Technologist: Ane Alberts ane.alberts@gmail.com
     
Supernumerary Fellows: Thulja Trikamjee (Discovery)   
  Olatunde Odusote (APFP)  
  Wanjiku Kiragu (APFP)   
  Tshegofatso Mabelane  

 

Contact Numbers ALLERGY CLINIC BOOKINGS 021-658-5311
 

ALLERGY CLINIC NURSES

021-658-5022
 

ALLERGY REGISTRAR

021-658-5607/5501
 

FAX

021-658-5606

Clinical activities


The allergy and asthma clinic provides a tertiary level diagnostic and treatment service for thousands of children each year.  While the vast majority of patients attending the clinic come from the Western Cape, a significant number from the other provinces are also seen.  By far the largest numbers of children seen are from disadvantaged backgrounds.  Considerable emphasis is laid on patient and parent education in the clinic.  This has resulted in much improved understanding by parents of the nature of the problem facing their children and the need for regular medication.  The number of children with asthma who require admission for acute severe episodes is showing a considerable decline.

New challenges are continually being faced by the clinic staff - allergic diseases are on the increase in the black population and may masquerade as other more prevalent diseases, such as TB and HIV/AIDS.  The spectrum of diseases has changed, with less minor allergic diseases (isolated allergic rhinitis, mild asthma, eczema and urticaria) and more complex cases, particularly food allergy cases, comprising a much higher number of consultations. Adverse reaction to drugs is emerging as a significant problem in HIV/AIDS and several children have been referred to the Allergy Clinic for evaluation of these drug reactions and for desensitization.  Collaborations with other divisions/services including gastroenterology, dietetics, dermatology, pulmonology, ophthalmology, ENT and infectious diseases are well established.  An area of expertise for which there is increasing demand is in the field of controlled food allergy testing and food challenges.

Outpatient clinics

09h00: Mondays, Tuesday, Wednesdays, Thursdays, Fridays
14h00: Mondays, Wednesdays

  Morning clinic Afternoon clinic
Monday

General allergy and food allergy

Non IgE mediated food allergy
Tuesday

Food Allergy

 
Wednesday

Food allergy

Complement deficiency and

hereditary angioedema
Thursday

Chronic urticaria

 
Friday

Difficult asthma

 

Other clinical activities

  Morning clinic Afternoon clinic
Monday

Food allergy challenges

or patch test application
 
Tuesday

Food challenges

E2 specialist round
Wednesday

Drug skin and intradermal tests 
or drug challenges

or food allergy challenges

Journal club

Thursday

Food allergy challenges

Depart meeting, cases and journal club
Friday

 

D3 educational meeting


Teaching and training


Undergraduate Teaching

Clinical teaching/tutorials weekly to fifth year medical students (small group) and seminar every 8 weeks to the whole group of students assigned to the Paediatric Block. Bedside tutorials regularly to student interns. The clinical educator holds weekly sessions on practical aspects of allergy diagnosis and treatment for 5th year medical students.

Postgraduate Teaching

Dr Levin is responsible for training of the Allergy Senior Registrar as a specialist in Allergology.  One general registrar rotates through allergy to receive appropriate training in this discipline. He also lectures on allergy-related topics to medical officers preparing for the Diploma in Child Health (2 lectures/year) and Fellowship in Paediatrics (1-2 lecture/year).  Training is also provided for skin-prick testing, lung function testing and patient education for candidates preparing for the Diploma in Allergology.

Online training in allergy is available on request via luvuyo@mweb.co.za.  To join our mailing list in allergy related educational activities email heidi@riversister.com.

Meetings


Specific allergy meetings include the fortnightly divisional meeting for case history discussions / clinic management issues on Thursdays at 11:30. Regular scheduled "Allergy in Africa" allergy lectures / webinars are held at 8am on Friday mornings.

  Time Activity
Monday

 

 
Tuesday

12:15

E2 specialist round
Wednesday

12:30

Journal club

Thursday

11:30

Departmental meeting, cases and journal club
Friday

8:00

Allergy lectures
Friday

12:00

D3 educational meeting


To join our mailing list for allergy related educational activities email heidi@riversister.com

Research projects (completed/in progress)


  • Prevalence of penicillin allergy in children.
  • Total IgE in urban black South African children; the influence of atopy and helminth infection.
  • Associations between Asthma and Bronchial Hyper-responsiveness with Allergy and Atopy Phenotypes in Urban Black South African Teenagers.
  • Associations between Asthma, Bronchial Hyper-responsiveness and Atopy Phenotypes with Genetic polymorphisms in Urban Black South African Teenagers.
  • A prospective, descriptive study to determine the prevalence of IgE-mediated food allergy in South African children with atopic dermatitis attending a tertiary medical centre
  • Peanut allergy in black children
  • The SAFFA (South African Food sensitisation and Food Allergy) study
  • The impact of demographic, environmental, nutritional and infectious influences on the expression of allergy and atopy within the Drakenstein birth-cohort study
  • The kinetics of the swallowed slurry used to deliver topical corticosteroids in patients with eosinophilic oesophagitis

Allergy talks


Useful contacts


Allergy Foundation of South Africa:  www.allergyfoundation.co.za

Allergy Society of South Africa: www.allergysa.org

National Asthma Education programme: www.asthma.co.za

Patient information


Patient support: Allergy Foundation of South Africa : A new patient focussed facebook page has been launched where people with severe food allergies and anaphylaxis can network and get more information.  Please send your friends, colleagues and patients to Allergy Foundation of South Africa: @SAAllergy for facebook and twitter support.

World Allergy Week Talk:  

The talk on emergency and ongoing management of kids with severe allergies and anaphylaxis is now available as a podcast.  Please go to http://meeting.uct.ac.za/p93355419/ to view it.