What We Treat

San Francisco Allergy, Asthma & Immunology is a leader in the diagnosis and treatment a wide variety of allergy, asthma and immunology related conditions. Choose from our list below and click to see a further description.

Procedures And Services Offered

  • Skin testing
  • Spirometry
  • Subcutaneous allergen immunotherapy (Allergy Shots)
  • Sublingual allergen immunotherapy (Allergy Tablets or Drops)
  • Medication and vaccine testing and challenges
  • Food testing and challenges
  • Telemedicine
  • Venom Immunotherapy
  • Biologic Medications

Allergic Rhinitis Or Conjunctivitis (Environmental Allergies)

Hay fever, allergic rhinitis, and allergic conjunctivitis are all caused by environmental allergies.

These airborne allergies affect millions of adults and children. Whether you are looking to find out if you have allergies, or if you already know you have them, our doctors are here to help.

We offer comprehensive testing to aid in diagnosis, expertise in managing symptoms and treatment, as well as various allergen immunotherapy options if needed or desired

Hives (Urticaria)

Urticaria (hives) are red, itchy, raised “welts” or “wheals” that can affect all areas of the body, and resolve within 24 hours without scarring.

Urticaria (or hives) are extremely common and can disrupt sleep, school, and work. They often occur without warning and be hard to manage.

Most cases of short-term hives are due to an allergic reaction. However, often when hives are more chronic, no cause can be identified. In these situations, the hives may not be from an external cause, but from an abnormal reaction involving the allergy cells in the skin.

No matter the cause or the severity, our allergists are skilled at helping you to devise a treatment plan that is right for you and your lifestyle.

Anaphylaxis Or Allergic Reactions

Allergic reactions occur when the immune system inappropriately identifies a harmless substance as dangerous (such as pollens, pet dander, foods, insect stings, medications, or latex) and mounts an immune response.

Allergic reactions range in severity, and can affect your airways, sinuses and nasal passages, skin, and digestive system.

Anaphylaxis, a life threatening condition, is the most severe form of an allergic reaction. Symptoms can include hives, tongue swelling, throat tightening, shortness of breath, vomiting, diarrhea, low blood pressure, and even death.

Our doctors are well versed in identifying causes of these reactions so that future ones can be avoided. If an allergic reaction or anaphylaxis is suspected, our doctors will take a detailed history, perform a physical exam, and order appropriate tests to confirm the diagnosis.

Together, you and your doctor can develop a comprehensive treatment plan to help you avoid future reactions.


Recurrent infections can sometimes be a sign that the immune system is not functioning properly.

The Academy of Allergy, Asthma and Immunology estimates that there are over 300 forms of primary immunodeficiency. Most of these diseases are considered rare, but they affect nearly 500,000 people in the United States.

Our immunologists are trained in recognizing, diagnosing and treating these conditions. When necessary, they are equipped to implement necessary management strategies such as antibiotics, intravenous or subcutaneous immunoglobulin replacement.


Angioedema is a type of abnormal tissue swelling that can affect the face, especially the lips and eyes, throat, airways, and digestive tract.

Angioedema often occurs after exposure to certain allergens, drugs/medications, and foods that you may be allergic to. Sometimes triggers are unable to be found. In rare situations, angioedema can be caused by infections or other illnesses (such as autoimmune diseases, leukemias or lymphomas) and in some cases, angioedema can be genetic and requires specialized treatment with medications that need to be infused.

If you are suffering from the symptoms of angioedema, our doctors can help diagnose the cause and help manage symptoms to minimize the risk of recurrence.

Insect Sting Allergy

Most insect stings are harmless, but unfortunately for some this can cause a life-threatening condition called anaphylaxis.

With correct identification, our allergists can help create a management and avoidance plan that will help keep you healthy while still being able to enjoy the great outdoors.

We offer comprehensive testing to aid in diagnosis, expertise in managing symptoms and treatment, as well as venom immunotherapy options if needed.


Asthma is a life threatening condition due to inflammation of the airways that causes obstruction, resulting in breathing issues.

Asthma can be exacerbated by a variety of factors, including allergies!

Our practice offers in-office spirometry for both diagnosis of airway obstruction/restriction and treatment of asthma. With a wide range of medical options, our doctors can determine what pharmacotherapy regimen is right for you.

Medication Or Drug Allergies

Adverse reactions to medications such as penicillin can vary, the most common of which is the development of hives, though serious reactions can occur.

It is important to know whether you are truly allergic to the medication or not, as some infections/disorders are best treated with a specific drug type.

We offer standardized testing for medication/drug allergies, including penicillin testing. During standardized testing an oral challenge may be performed in order to assess whether you are truly allergic to the drug or not.

Eczema (Atopic Dermatitis)

Atopic dermatitis is a chronic skin condition caused by inflammation that results in the skin becoming red, rash-like, dry, and itchy.

Atopic dermatitis is estimated to affect over 10% of the world’s population, and has been found to be more common in those who suffer from allergies and asthma.

Management of eczema and atopic dermatitis requires various elements, including bathing regimens, use of topical medications, identifying and avoiding exacerbating triggers, and much more. Our physicians will help develop a personalized comprehensive management regimen that is right for you.

Nasal Polyposis

Nasal polyposis is due to benign growths of sinus tissue within the nasal cavity. Most individuals will experience severe nasal congestion and a strong loss of taste and smell, though other nasal symptoms occur as well.

Nasal polyps have a high risk of recurrence, and require careful treatment. Our physicians can help you discover the best treatment of your nasal polyps. Treatment options can include various different nasal or oral medications, and even injectable medications such as dupilumab (Dupixent). Surgery is sometimes also required and our physicians work closely with ENT colleagues to ensure that you get complete and comprehensive care.

Eosinophilic Esophagitis

EoE is a chronic condition that occurs when a type of white blood cell called the eosinophil abnormally accumulates in the tissue of the esophagus.

Environmental allergies to substances such as dust mites, animals, pollen and molds can play a role in EoE. For some patients, it may seem like their EoE is worse during pollen seasons. Allergy testing for these common environmental allergies is often part of the EoE evaluation.

Similarly, foods can play a role in the inflammation seen in EoE. Our physicians will wokr closely with your gastroenterologist to help you identify concurrent food allergies and navigate various treatment options, including dietary therapies such as elimination diets.


Chronic sinusitis is defined as nasal and sinus symptoms that persist longer than 12 weeks, sometimes despite medical treatment.

Individuals with asthma and allergies are at a higher risk of developing sinusitis due to chronic inflammation of the nasal passages and airways.

We work closely with ENT physicians, especially those who are apart of our larger practice SF Otolaryngology, to provide noninvasive diagnostic testing and treatment of sinusitis symptoms so that we can get you back to breathing well!

Food Allergies

Food allergies can be serious and sometimes dangerous. There are many different types of food reactions and our doctors can help you characterize the nature of your symptoms to help understand how what you eat is affecting your body.

Our allergists utilize various techniques to identify food allergies including a careful medical history, skin or blood testing, and sometimes oral challenges when indicated.

Your allergist can teach you to identify cross-reactive foods, as well as the ins and outs of how to identify symptoms early and use emergency treatment when necessary. They will help you to understand what impact this diagnosis can have on your diet, safety, and overall well-being.

Some people who have a food allergy can lose their food sensitivity over time. Our doctors can also help monitor your sensitization and help you to expand your diet when possible.

Biological Treatments

XOLAIR® (omalizumab) for subcutaneous use is an injectable prescription medicine used to treat:
Moderate to severe persistent asthma in people 6 years of age and older whose asthma symptoms are not well controlled with asthma medicines called inhaled corticosteroids. A skin or blood test is performed to see if you have allergies to year-round allergens. It is not known if XOLAIR is safe and effective in people with asthma under 6 years of age.

Nasal polyps in people 18 years of age and older when medicines to treat nasal polyps called nasal corticosteroids have not worked well enough. It is not known if XOLAIR is safe and effective in people with nasal polyps under 18 years of age.

Chronic spontaneous urticaria (CSU, previously referred to as chronic idiopathic urticaria (CIU), chronic hives without a known cause) in people 12 years of age and older who continue to have hives that are not controlled with H1 antihistamine treatment. It is not known if XOLAIR is safe and effective in people with CSU under 12 years of age.
XOLAIR is not used to treat other allergic conditions, other forms of hives, or sudden breathing problems.

For the treatment of patients aged 6 years and older with moderate-to-severe atopic dermatitis whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. DUPIXENT can be used with or without topical corticosteroids.

As an add-on maintenance treatment of patients aged 6 years and older with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid dependent asthma. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus.

As an add-on maintenance treatment in adult patients with inadequately controlled chronic rhinosinusitis with nasal polyposis.