Question:

Hello, my son was diagnosed with the disease two years ago. We have still not been able to identify any possible allergens, and we are unable to stop fluticasone, even for a short period of time. He is currently taking a total daily dose of 1,000 mcg.
Are there any other tests, in addition to blood tests, patch tests, prick tests and ISAC testing? What complications could he experience with such a high dosage?

Answer:

It is not always possible to identify the allergens involved. There are no other validated tests, but an endoscopic and biopsy follow-up may be useful to assess the effectiveness of the current treatment.

The only known risk associated with prolonged local corticosteroid therapy is candidiasis. To help prevent it, it is important to rinse the mouth thoroughly, without swallowing, immediately after taking fluticasone.

This could be a possible answer. However, it is important to remember that, without a clinical evaluation of the patient, we can only provide direct information relating to the questions asked, and that this does not constitute a complete medical opinion on the case.

dott.ssa Paola De Angelis (UOC Gastroenterologia Pediatrica – Ospedale Pedatrico “Bambino Gesù” di Roma)

Please remember that the answers provided are opinions and do not constitute medical advice. They cannot replace a consultation, a medical examination, or the review of the patient’s medical documentation.