Clinical Immunology and Allergy
We provide care and management of allergic and immunologic diseases.
The Department of Clinical Immunology and Allergy provides a specialist service for the diagnosis and management of allergic and immunologic diseases affecting the respiratory system, skin, gastrointestinal tract and other systems.
Do you have an emergency?
If the patient is experiencing any of the following conditions, go directly to the RAH Emergency Department:
- anaphylaxis
- angioedema with threat to the airway
- acute severe asthma
- autoimmune disease/vasculitis with organ threat.
checkViewport(), 100)"> What we do
We provide outpatient clinical services as well as consultation to hospital inpatients, day-patient admissions for procedures, and inpatient admissions to the medical ward under an Immunology consultant. Our Clinical Immunologists deal with conditions in 3 main areas:
- allergy – immunological reaction against harmless substances
- immunodeficiency – increase in the frequency or severity of infections
- autoimmunity – immunological reaction against the self.
Our services and procedures include:
- clinical consultation
- skin prick testing for allergy diagnosis
- immunotherapy/desensitisation for allergy treatment
- challenge testing for diagnosis of food, drug allergy.
checkViewport(), 100)"> Where to find us
Tuesdays only: Outpatient Centre, 21 North Terrace, Adelaide 5000 (Opposite the RAH)
All other days: Medical Day Unit, Level 3 (ground floor), Royal Adelaide Hospital.
checkViewport(), 100)"> Who we are
checkViewport(), 100)"> Consultants
- A/Prof. William Smith - Head of Unit
- Dr Frank Kette
- A/Prof. Pravin Hissaria
- Dr Tatjana Banovic
- Dr Syed Ali
- Dr Chino Yuson
HEALTH PROFESSIONALS HAS A TIMETABLE: Allergy & Immunology | Royal Adelaide Hospital
Is this still accurate ? Is this required ?
checkViewport(), 100)"> Nursing team
- Hong Pin Tan (HP) - Nurse Unit Manager
Nurse Consultants
- Aida Ahmadie
- Nicolle Ginman - Nurse Consultant, Immunoglobulin Program
- Helen Mayger - Clinical Nurse
You need a referral letter from your GP or medical practitioner to access this service.
Once referred, we will contact you within clinically recommended times, depending on the waiting list length. If there is no waiting list, you will receive an appointment booking letter, or we will contact you to arrange a suitable time.
Do you need an interpreter or cultural support?
An interpreter ensures that your diagnosis and treatment are explained in your preferred language so that you can ask questions and understand the information.
If you require an interpreter or cultural support at your appointment or during your hospital stay, phone us before your appointment.
Outpatient services
Find out information about specialist outpatient appointments, how to be referred, plus information when attending an outpatient clinic.
checkViewport(), 100)"> More information
We accept referrals from general practitioners (GPs) and specialists.
checkViewport(), 100)"> Referring a patient
To refer your patient, send to us via fax. To ensure timely triage, include all demographic and clinical details.
checkViewport(), 100)"> Urgent referrals
Immunologists are available on call for urgent consultation or to discuss urgent clinic referrals:
- During office hours: Ask for Allergy and Immunology Registrar
- After hours: Ask for the Immunology Consultant on call.
checkViewport(), 100)"> Criteria
Clinical Immunologists deal with conditions in 3 main areas:
- Allergy - immunological reaction against harmless substances
- Immunodeficiency - increase in the frequency or severity of infections
- Autoimmunity – immunological reaction against the self.
These are the clinical conditions and services we provide for:
- Anaphylaxis to drugs, insects, foods and unknown cause
- Urticaria and angioedema
- Hereditary Angioedema
- Drug allergy
- Allergic rhinitis, conjunctivitis
- Non-allergic rhinitis
- Allergic and non-allergic sinusitis, nasal polyposis
- Asthma, allergic and non-allergic
- Eczema
- Venom and aeroallergen immunotherapy
- Systemic vasculitis including GPA
- Food allergy
- Eosinophilic oesophagitis, gastroenteritis
- Mast cell disorders
- Immunological lung diseases such as bronchopulmonary aspergillosis, EGPA
- Systemic autoimmune disorders such as SLE, Sjogren’s syndrome, dermatomyositis
- Systemic autoinflammatory diseases
- Immunodeficiency, hereditary and acquired (not HIV).
Conditions exluded are:
- Irritable bowel syndrome/suspected food intolerance (except on referral or recommendation from gastroenterologist) (see information sheet)
- Large local reactions to insect stings (see information sheet)
- Chronic fatigue syndrome/multiple chemical sensitivity/fibromyalgia
- Contact dermatitis (refer to dermatology)
- Acute or chronic urticaria which has remitted (unless allergic cause suspected)
- Children under 18 yrs
- Patients being treated for same condition at other hospital.
[extensive table with triage categories - on other pages this has been a PDF]
Services and procedures
Condition
Likely triage category
Information required to determine urgency/prerequisite information
Anaphylaxis
Rapid access
Urgent
Semi-urgent
Severity– eg. hypotension, collapse adrenaline treatment, admitted to hospital
Cause- known, unknown, avoidable
Recurrence
Has/has not EpiPen
Food allergy
Semi-urgent
Non-urgent
Severity of reactions
Known/unknown food
Multiple foods
Nutritional impact
Rhinitis/Sinusitis
Semi-urgent
Non-urgent
Interference with daily activities
Response to medications
Nasal obstruction, anosmia
Sinus infections
Asthma
Urgent
Semi-urgent
Non-urgent
Severity of attacks, symptoms
Response to medications
Likely allergic triggers
Assessment for immunodeficiency
Semi-urgent
Non-urgent
Severity, frequency of infections
Immunoglobulin levels
Infectious pathogens, antibiotic requirement
Atypical infections, family history
Drug/Contrast Allergy
Urgent
Semi-urgent
Non-urgent
Urgent indication for suspected drug allergen
Multiple allergies/limited options
Nature of previous adverse reactions
Chronic Urticaria
Semi-urgent
Non-urgent
Duration, severity of urticaria
Association with systemic symptoms
Response to antihistamines
Angioedema
Urgent-Semi-urgent
Frequency, severity
Involvement of airway
Eczema
Non-urgent
Primary referral to dermatology
Allergic trigger suspected?
Periodic fever/
Autoinflammatory syndrome
Semi-urgent
Non-urgent
Fever, rash, organ involvement, family history
Mast cell disorder
Urgent
Semi-urgent
Non-urgent
Anaphylaxis, recurrent mastocytosis attacks
Organ, systemic involvement
Predominant cutaneous involvement
Vasculitis- GPA, EGPA
Urgent
Semi-urgent
New diagnosis, organ involvement, eosinophil counts, inflammatory markers
Systemic autoimmune disease
SLE, Sjogren’s syndrome, dermatomyositis
Urgent
Semi-urgent
Non-urgent
Active inflammation, organ threatening
Unwell, progressive disease
Positive blood tests without signs
checkViewport(), 100)"> Resources
- Chronic urticaria (PDF 952KB)
- Food-related gastrointestinal symptoms/IBS (PDF 952KB)
- Large local reactions to insect stings (PDF 950KB)
- Rhinitis (in preparation)
- When to suspect immunodeficiency (in preparation).
Contact us
Contact us if there is a deterioration in your patient's condition, you are concerned about any delay or you have further questions about referring a patient.