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    Approximately 100 years before the discovery of IgE, Charles Blackley1 described the use of scratch testing to identify pollens responsible for symptoms of hay fever, and in 1911, Robert Cooke introduced the use of intradermal testing.2 Today, modifications of the scratch and intradermal tests, the skin prick test and the skin puncture test, provide the most frequently used tests by allergists to identify allergen-specific IgE sensitivity. Lewis and Grant introduced the prick skin test in 1926, and Morrow Brown proposed the skin puncture test in 1981, both of which provided better sensitivity and reproducibility than the earlier scratch test.

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    Cockroach, dust mite, cat, dog, mouse, and molds are major indoor allergens that have been associated with the development of allergic diseases and disease morbidity in allergen-sensitized individuals. Physical characteristics, such as allergen particle size, hydrophobicity, and charge, can determine an allergen’s propensity to become airborne, location of respiratory tract penetration, and ability to elicit IgE responses in genetically predisposed individuals. Standardization and recent advancements in indoor allergen assessment serve to identify sources and distribution of allergens in a patient’s home and public environment, inform public policy, and monitor the efficacy of allergen avoidance and therapeutics.

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    Racial and ethnic minority populations in the United States, especially Black children, endure an increased burden of asthma due to factors such as environmental exposure, access to health care, and genetics.1 Compared with White children, Black children with asthma experience reduced quality of life, have more poorly controlled disease, require longer-term corticosteroid use, and are more frequently evaluated in emergency department visits.1 In addition, Black children are 3 times as likely to be hospitalized and 7 times as likely to die from asthma as White children.

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    Around 13 billion COVID‐19 vaccine doses have been administered globally to date. While getting the jabs has allowed the world to return, more or less, to normal, allergic reactions to the mRNA vaccines are still a concern, but researchers are making headway on the issue.

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    A previously healthy 67-year-old man visited the otorhinolaryngologist’s office reporting mucinous nasal secretion, postnasal drip, and right nasal stuffiness for 8 months. On the initial visit, the nasal endoscopy revealed only sparsely pooled mucinous discharge in the right middle meatus with no mass lesion or nasal polyps. A computed tomography image revealed diffusely thickened mucosa of the right maxillary sinus partially filled with a dense secretion showing areas of hyperattenuation in the bone window setting (Figure 1, arrowhead).

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    Keratoconjunctivitis (KC) is a rare chronic inflammation of the ocular surface. The prevalence is less than 1 in 10,000 people in Europe. Two forms exist: vernal KC (VKC), which begins in childhood, and atopic KC (AKC), which occurs or persists into adulthood and is often associated with atopic dermatitis. Atopic comorbidities such as asthma, atopic dermatitis, allergic rhinitis, and food allergies are frequently associated.1,2

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