Conditions We Treat
Comprehensive allergy, asthma, and immunology care for patients of all ages — built around the specific challenges of living and breathing along the Wasatch Front.
Sagebrush, juniper, and winter inversions make our valley uniquely tough to breathe in.
Between unusual regional pollens and some of the worst air quality days in the country, allergies and asthma hit differently here. That's exactly the kind of local, everyday care we built this practice around.
Seasonal Allergies
Utah's high desert environment means a long and intense allergy season. Sagebrush, juniper, cottonwood, and grass pollens hit hard from early spring through late fall. We identify your specific triggers with comprehensive skin prick and blood testing, then build a treatment plan that may include antihistamines, nasal steroids, or allergen immunotherapy (allergy shots or sublingual drops) to reduce your sensitivity over time.
Common Symptoms
- Sneezing and runny nose
- Itchy, watery eyes
- Nasal congestion
- Postnasal drip
- Fatigue during pollen season
Asthma
Asthma looks different in every patient. Some people cough at night; others feel tightness during exercise or on bad air quality days. We take time to understand your pattern — your triggers, your history, what you've already tried — and match your treatment to your actual life. That might mean optimizing your inhaler technique, adjusting controller medications, or evaluating you for biologic therapies if standard treatments aren't enough.
Common Symptoms
- Wheezing or whistling breath
- Chest tightness
- Shortness of breath
- Nighttime or early morning cough
- Symptoms triggered by exercise or cold air
Allergy Testing
Knowing exactly what you're allergic to changes everything. We offer both skin prick testing and specific IgE blood testing to identify environmental allergens, foods, medications, insect venoms, and more. Results are reviewed with you in detail so you understand not just what you're reacting to, but why — and what your options are.
Common Symptoms
- Unexplained hives or rashes
- Recurring sinus infections
- Chronic congestion
- Food reactions
- Medication reactions
Eczema
Eczema (atopic dermatitis) is often tied to underlying allergies, immune dysregulation, or environmental triggers. We look at the full picture — your skin barrier, your allergen sensitivities, your environment — and tailor treatment accordingly. For moderate to severe cases, we evaluate biologic therapy options that can dramatically reduce flares.
Common Symptoms
- Dry, itchy, inflamed skin
- Rashes on face, hands, or body folds
- Skin that weeps or crusts
- Sleep disruption from itching
- Skin thickening from chronic scratching
Hives & Urticaria
Hives can appear suddenly and without an obvious cause, making them frustrating to manage on your own. We evaluate both acute and chronic urticaria, looking for triggers like foods, medications, infections, or autoimmune factors. Treatment ranges from antihistamines and H2 blockers to biologic treatment for cases that don't respond to standard therapy.
Common Symptoms
- Raised, itchy welts on skin
- Welts that move or change shape
- Swelling of lips, eyes, or throat (angioedema)
- Symptoms lasting more than 6 weeks (chronic)
Sinusitis
Chronic sinusitis is often driven by untreated allergies, nasal polyps, or structural issues. We evaluate the allergy component thoroughly and work with ENT colleagues when surgical evaluation is needed. Treating the underlying allergy often reduces sinus infections significantly.
Common Symptoms
- Facial pressure or pain
- Thick nasal discharge
- Reduced sense of smell
- Postnasal drip and cough
- Recurring infections (3+ per year)
Exercise-Induced Asthma
Exercise-induced bronchoconstriction (EIB) is common and very treatable. Whether you're a competitive athlete or just want to walk without wheezing, we can identify the pattern and prescribe a pre-exercise inhaler routine or controller therapy that lets you stay active without symptoms holding you back.
Common Symptoms
- Cough during or after exercise
- Chest tightness with activity
- Shortness of breath that improves with rest
- Reduced exercise tolerance
Food Allergies
Food allergies range from mild discomfort to life-threatening anaphylaxis. We evaluate suspected food allergies with skin prick testing, specific IgE blood panels, and supervised oral food challenges when appropriate. Whether you're managing a peanut allergy in a child or trying to understand a new adult-onset reaction, we help you identify the culprit, understand your risk level, and build a safe management plan — including epinephrine auto-injector training when indicated.
Common Symptoms
- Hives, itching, or skin flushing after eating
- Swelling of lips, tongue, or throat
- Nausea, vomiting, or abdominal pain
- Difficulty breathing or wheezing
- Anaphylaxis (severe, multi-system reaction)
Hereditary Angioedema (HAE)
Hereditary angioedema (HAE) is a rare genetic condition caused by a deficiency or dysfunction of C1-inhibitor, leading to unpredictable episodes of severe swelling in the skin, abdomen, and airway. It is frequently misdiagnosed for years. We have experience identifying HAE through complement testing and genetic evaluation, and we manage patients with both on-demand treatments for acute attacks and prophylactic therapies to reduce episode frequency and severity.
Common Symptoms
- Recurrent episodes of deep skin swelling
- Severe abdominal pain and cramping
- Swelling of the face, hands, feet, or genitals
- Airway swelling (potentially life-threatening)
- Episodes without hives or allergic trigger
Immunologic Deficiencies
Patients with immunologic deficiencies often go undiagnosed for years, experiencing recurrent pneumonias, sinusitis, or unusual infections before the underlying immune problem is identified. We evaluate for primary immunodeficiency disorders — including common variable immunodeficiency (CVID), IgA deficiency, and specific antibody deficiency — through comprehensive immune function testing. When a deficiency is confirmed, we coordinate appropriate treatment including immunoglobulin replacement therapy and long-term monitoring.
Common Symptoms
- Recurrent or severe bacterial infections
- Frequent pneumonias or sinus infections
- Infections with unusual organisms
- Poor response to antibiotics
- Family history of immune deficiency
Mast Cell Activation Disorders
Mast cell activation disorders occur when mast cells release excessive chemical mediators — such as histamine, tryptase, and prostaglandins — causing symptoms across multiple organ systems. Mast Cell Activation Syndrome (MCAS) is increasingly recognized as a cause of recurrent, unexplained allergic-type reactions. We evaluate patients through a thorough history, mediator testing, and a structured diagnostic workup to identify triggers and guide treatment. Our goal is to reduce symptom burden and improve quality of life.
Common Symptoms
- Recurrent flushing, hives, or itching without a clear allergic cause
- Anaphylaxis or near-anaphylaxis episodes
- Abdominal cramping, nausea, or diarrhea
- Lightheadedness or fainting with reactions
- Nasal congestion, wheezing, or throat tightness
Medication & Penicillin Challenges
A reported penicillin or antibiotic allergy can limit your treatment options for years — but the majority of patients labeled as penicillin-allergic are not truly allergic. We perform structured drug allergy evaluations including skin testing and graded oral challenges in a supervised clinical setting. Safely de-labeling a drug allergy opens up more effective, lower-cost treatment options and reduces the use of broad-spectrum antibiotics.
Common Symptoms
- History of rash or reaction to penicillin or amoxicillin
- Reported allergy to cephalosporins, sulfa drugs, or NSAIDs
- Reaction to anesthesia or contrast dye
- Need to confirm or rule out a drug allergy before treatment
- Prior anaphylaxis to a medication
Not sure which condition fits your symptoms?
That's exactly what your first visit is for. Give us a call and we'll help you figure out the right starting point.