Allergy & Asthma (Immunology)

Allergy and asthma are two of the most prevalent chronic respiratory conditions, and they are deeply intertwined through their shared roots in the immune system. This intimate relationship is why specialists in immunology often manage them, focusing on the body’s overactive defense mechanisms.

Allergies: A Case of Mistaken Identity

An allergy is essentially your immune system launching an aggressive attack against a harmless substance. These substances, known as allergens—such as pollen, pet dander, dust mites, or certain foods—are mistaken for dangerous invaders.

This immune overreaction releases chemicals like histamine, leading to classic symptoms:

  • Sneezing and a runny or stuffy nose

  • Itchy, watery eyes

  • Skin rashes or hives

  • Coughing and, in severe cases, difficulty breathing

Asthma: Chronic Inflammation of the Airways

Asthma is a chronic condition characterized by inflammation and narrowing of the bronchial tubes (airways). This makes it difficult for air to move in and out of the lungs, resulting in:

  • Wheezing (a whistling sound when breathing)

  • Shortness of breath

  • Chest tightness

  • Persistent coughing

For many, asthma and allergies are directly linked. This common combination is known as allergic asthma, where exposure to an allergen can trigger an asthma attack.

Managing Symptoms and Controlling Triggers

Effective management of both conditions is a two-pronged approach: avoiding triggers and using appropriate medications.

For Allergy Management:

  • Medications: Antihistamines to block the effects of histamine, and decongestants to relieve nasal stuffiness.

  • Immunotherapy (Allergy Shots or Tablets): A long-term treatment that gradually desensitizes your immune system to specific allergens, offering lasting relief.

For Asthma Control:

  • Quick-Relief Inhalers (Bronchodilators): Used during an asthma attack to quickly relax tightened airway muscles.

  • Long-Term Control Medicines: Such as inhaled corticosteroids, which reduce underlying airway inflammation to prevent symptoms from occurring.

  • Biologic Therapies: For severe, persistent asthma, these targeted drugs block specific immune system pathways that drive the inflammation.

A Collaborative Approach to Care

Successfully managing allergy and asthma often requires a multidisciplinary team. Pulmonologists (lung specialists) and Allergists/Immunologists work together to create a personalized action plan. This collaborative approach helps patients not only control their symptoms but also maintain an active, high-quality life.

By understanding the immune system’s role and leveraging modern treatments, individuals with allergy and asthma can breathe easier and live without limitations.

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Anis Fard Mousavi

Anis Fard Mousavi

Internist

Dr. Anis Fard Mousavi is a highly experienced lung specialist and internal medicine physician based in Tehran, with over 24 […]

Iran, Tehran
Arda Kiani

Arda Kiani

Internist

Dr. Arda Kiani is a highly accomplished pulmonologist in Tehran with extensive expertise in interventional pulmonology and bronchoscopy. He completed […]

Iran, Tehran
Atefeh Abedini

Atefeh Abedini

Internist

Dr. Atefeh Abedini is a highly respected pulmonologist and an associate professor specializing in lung diseases in Tehran, Iran. She […]

Iran, Tehran