P06 Outcomes from a New Combined Allergy and Dermatology Clinic- A Retrospective Review

Abstract

Abstract Early introduction to known allergens such as peanuts can reduce subsequent development of allergies [1]. In 2019, an audit in our department of 35 babies under age 1 referred with eczema showed that 4 were concomitantly referred to allergy and 20 were referred to allergy after dermatology consultation. The majority had moderate/severe eczema and 31% had implemented dietary restrictions before the dermatology consultation. In 2021, a combined allergy and dermatology clinic was introduced to provide a holistic approach, particularly for young children. Patients are triaged from GP referrals or as follow-up from either team. We conducted a retrospective notes review to explore the benefits/outcomes. 57 patients were included with an average age of 4.75 years and 58% were below age 2. 58% had their dermatology plans changed. Before the clinic, 81% had dietary exclusions but only 46% had new allergies confirmed. 29% of the patients who underwent testing tested negative to all allergens, which allowed parents to reintroduce foods at an early age. This review shows that the combined clinic allowed young patients early access to allergy testing due to streamlined services, preventing unnecessary dietary exclusions. Additionally, patients with severe eczema without allergies benefit from early dermatology intervention. In fact, 44% of patients were suitable for discharge from dermatology directly from the combined clinic or at first follow-up appointment.