An allergy can significantly impair a patient's quality of life (QOL) while effective therapy can improve it. The patient's quality of life should be determined and monitored if certain findings are present.


Indications for monitoring an allergic patient's quality of life:

(1) multiple, persistent allergies

(2) an allergy that is severe or difficult-to-treat

(3) a history of hospital admissions for anaphylaxis or other serious allergic reaction

(4) adverse effects caused by medications used to control the allergies (sedation, agitation, etc)

(5) multiple food allergies

(6) physical impairment secondary to cough, dyspnea, rash or other symptoms

(7) economic impairment due to loss of work, change in appearance, etc

(8) social problems (isolation, peer rejection, etc)

(9) problems in the family or with relationships

(10) mental health issues

(11) significant comorbid illnesses


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