Center for Diabetes, Endocrine and Cardiopulmonary Diseases


The allergy clinic operates in the clinic Diacor (headed by Liza Peikrishvili, MD). You will have the opportunity to:

  • Allergist consultation> Children and adults over 1 year of age
  • Perioperative risk assessment from an allergological point of view
  • Medication Tests: Skin prick testing and intracranial testing
  • Respiratory Functional Studies> Patients over 4 years of age: Computed spirometry with flow-volume test with Carefusion MicroLab, plethysmography and diffuse lung volume assessment with MGC Diagnostics
  • Nebulizer therapy
  • Infusion therapy
  • There is a day hospital

Diagnosis and management of allergic diseases is carried out with the latest equipment and in accordance with modern international guidelines and standards.

  • bronchial asthma
  • Allergic rhinitis
  • Atopic dermatitis
  • Urticaria / urticaria is acute and chronic
  • Angioedema / Quincke's edema
  • Allergy to insect bites
  • Drug allergy
  • Food allergies, etc.

Bronchial asthma

The prevalence of the disease ranges from 1-18% in different countries of the world;

Bronchial asthma is a disease characterized by chronic inflammation of the airways and is clinically manifested by wheezing, shortness of breath and / or tightness in the chest, with variable restriction of air conduction. Symptoms intensify at night or early in the morning; Worsens with infection, unusual physical activity, weather, seasonal changes, laughter, exhaust, strong odor.

Asthma is diagnosed, treatment is selected based on the patient's individual characteristics and underlying diseases, then the result is evaluated to correct the treatment and achieve control of the disease.

Allergic rhinitis

In general, according to the classification of rhinitis, the term "rhinitis" includes a large group of diseases, so for effective treatment it is necessary to make a correct diagnosis.

Allergic rhinitis is IgE - mediated inflammation in the area of ​​the nose-eyes. Seasonal and / or current throughout the year; The main cause of the disease is aeroallergens.

Symptoms of allergic rhinitis include: swelling of the nasal mucosa, difficulty breathing through the nose, clear runny nose, wheezing and itching of the nose, palate, ears and eyes, symptoms symmetrically on both sides of the nose.

Atopic dermatitis / eczema

The worldwide prevalence of the disease is as follows: Atopic dermatitis / eczema is prevalent in 15–25% of children and 2–7% of adults.

Atopic dermatitis is characterized by: recurrent itching, dry skin, acute, subacute or chronic eczematous skin lesions: papular rash, swollen areas, serous discharge. Often the disease begins at <4 years of age.

The onset of the disease in adults is preceded by other atopic histories: bronchial asthma, allergic rhinitis, febrile fever, etc.

In young children the rash is manifested on the cheeks and extensor surfaces (elbows and elbows); In adults and adults, the area around the mouth, wrists, knees, head, neck, wrists, ankles, and toes. Exacerbations and remission replace each other.

Foods responsible for aggravating eczema are: eggs, cow's milk, peanuts, soy, wheat, walnuts, fish.

Urticaria / urticaria is acute and chronic

Urticaria is a common disease: diagnosed in 20-25% of the population; Acute urticaria is most common in children and is often associated with atopy. Boys and girls get sick with equal frequency; Acute urticaria also occurs equally in men and women; However, chronic urticaria, which is diagnosed if the duration of the disease exceeds 6 weeks, is more common in women.

Urticaria can be caused by: food (nuts / nuts, seafood, eggs, etc.); Viral and bacterial infections (rhinovirus, rotavirus, hepatitis B, mononucleosis, herpes infection, mycoplasma infection and group A streptococcal infection); Parasitic infections; Medications and vaccinations; Insect bite; Latex.

Urticaria is characterized by asymmetric pink-red rash protruding from the skin, of various shapes and sizes, and is intensely cavitary; Disappears within 24 hours and leaves no trace on the skin.

Angioedema / Quincke's edema

May develop in the eye, tongue, face, limbs, genitals, larynx. The latter is particularly dangerous. Quincke's edema is often accompanied by urticaria / urticaria, although it sometimes persists independently. The presence of itching confirms the allergic origin of the disease. In the absence of itching, diseases with a complement system (deficiency of C1 esterase inhibitor) should be ruled out.

Allergy to insect bites

Allergy to an insect bite can be manifested as a local reaction, as well as a systemic reaction involving only the skin (urticaria and / or angioedema) or other systems along the skin (cardiovascular, gastrointestinal, respiratory, etc.).

In the case of a systemic reaction, the risk and extent of developing an allergic reaction in the event of repeated insect bites should be assessed and serious complications avoided.

Drug allergy

Reactions to medications can start in two main categories: predictable drug reactions and unpredictable drug reactions; As well as immediate (within 1 hour of taking the drug) and later.

Manifestations of drug allergies can be various: rash, itching, fever, facial swelling, shortness of breath, anaphylaxis, a life-threatening drug reaction (erythema multiforme, Stevens-Johnson syndrome, epidermal toxic necrolysis, etc.).

It should be remembered that the skin test is informative only for certain allergic diseases (urticaria, Quincke's edema, anaphylaxis) and is not informative for the diagnosis of some dangerous drug-induced diseases (Stephen-Johnson syndrome or epidermal toxic necrolysis).

In the case of a proven drug allergy, alternative medicine may be used or drug desensitization may be performed - a procedure that causes a temporary numbness (tolerance); It is possible to take this medicine after the desensitization procedure. Every medication has its own desensitization scheme. This method is effective only for urticaria, quinsy swelling or anaphylaxis.

Food allergies

Is an abnormal immune response to food - common in 6-8% of children under 3 years of age; 70% of cases have a family history of atopy; With age, allergies decrease. The body will work on some foods in the so-called. Tolerance (e.g. cow’s milk, chicken eggs), and allergies to some products remain throughout life (fish, mollusks).
Manifestations of food allergies are varied: diarrhea and vomiting, difficulty swallowing, abdominal pain, eczema, urticaria, erythematous rash, especially around the mouth, symptoms of bronchial asthma, foodborne anaphylaxis.