The Asthma and Allergy Clinic of Dr. John Sweeney, MD is pleased to welcome Dr. Thamiris V. Palacios-Kibler, DO, to the team.
Dr. Palacios-Kibler, is an allergist/immunologist specialist, who recently joined Dr. John Sweeney at Asthma and Allergy Clinic. She graduated magna cum laude in 2011 from Virginia College of Osteopathic Medicine. She completed an Internal Medicine residency and her Adult and Pediatric Allergy/Immunology fellowship at the University of Virginia. She then worked as a clinical instructor at the University of Virginia teaching residents, medical students and fellows about allergy and immunology, while seeing patients and conducting research. During her time at the University of Virginia, she was actively involved in numerous research projects to advance the knowledge of chronic urticaria, common variable immunodeficiency, severe combined immunodeficiency and Entopy (localized allergic rhinitis) and has several publications in various medical journals. She is board certified in Internal Medicine and Allergy/Immunology.
She is an active member of the American Academy of Allergy, Asthma and Immunology as well as the American College of Allergy, Asthma & Immunology. She has presented her research at state and national meetings. She is experienced in treating a variety of conditions including environmental allergies, contact dermatitis, sinus disease, asthma, food allergies, eczema, hives, and other allergic disorders
Dr. Palacios-Kibler believes that as an allergist, her primary role is to help individualize a treatment plan for her patients in order to improve their quality of lives and health, but also to give them a better understanding of their disease and bring cure to their allergies. Dr. Palacios-Kibler is bilingual in English and Spanish and is accepting new patients.
Check out our latest article: March 2018
All About Contact Dermatitis- Living better with Allergies
The Itch that Keeps on Itching
From nickel, to other metals, baby wipes, sunscreen, cosmetics, hair and household products, allergic contact dermatitis can occur in patients that have susceptible skin, due to a break in the skin barrier, sensitive skin or eczema. Eventually, a hapten, a small molecular particle, usually a product ingredient, is capable of inducing an immune response causing an allergic response, known as contact dermatitis. Contact dermatitis, differs from regular allergies such as hay fever, eczema, hives, or food allergies, as the symptoms are severe itching, redness, flaking and in severe cases, even swelling or blisters, within hours to days after exposure to that product, and the symptoms can persist for weeks up to months even after not touching the product again.
The reason for the duration of the reaction is that contact dermatitis is a delayed allergy and it take a long time for the body to heal from the exposure. Another challenging part of dealing with contact dermatitis- it is often difficult to find the offending agent contributing to the contact dermatitis, which means the allergic person is most likely still being exposed to that ingredient unintentionally because it’s found in various products. Fortunately, patch testing can help pinpoint the culprit allergen (ingredient) that is causing the contact allergy. In conclusion, we all have the potential to develop a reaction to any particular ingredient, and this can happen at any age, from babies to elderly adults. It has to do with a cumulative effect of exposure. Interestingly, the longer you use a product the higher the chance, your immune system has to recognize it, therefore, when visiting your board-certified allergist, it will be important to mention all the products that you use on a regular basis, new and old.
The importance of patch testing, is that it will help identify the ingredient causing the allergy, which allows patients to appropriately avoid products that have that ingredient in it, and it also prevents them from unnecessarily avoiding other products. Unfortunately, this is a life-long allergy, meaning if you have had a reaction, you are going to have a reaction in the future if exposed to that ingredient. Therefore, strict avoidance is recommended. Other recommendations will be to read back labels for items that you are concerned about. Protect your skin from that ingredient if you must be exposed to it and see your board-certified allergist and immunologist for further evaluation
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