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Asthma in the Winter Updated 2026

January 22, 2026 | Black & Kletz Allergy

It is Winter in the Washington, DC, Northern, VA, and Maryland metropolitan area which generally means cold and dry weather.  Individuals with asthma may be affected more than the usual person during the Winter because the cold weather is a common trigger of asthma.  An asthma doctor DC residents trust is important to the health of anyone in the metro area […]

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Update on Alpha-Gal Syndrome

January 16, 2026 | Black & Kletz Allergy

Alpha-gal syndrome is an allergic condition caused by a sensitivity to a carbohydrate known as galactose-alpha-1,3-galactose (i.e., alpha-gal).  This molecule is found on the cells of non-primate mammals (i.e., beef, pork, lamb, venison, etc.).  This condition is mainly thought to develop after tick bites.  The regional distribution of alpha-gal syndrome corresponds with specific tick species populations […]

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Allergic to Penicillin Update

December 16, 2025 | Black & Kletz Allergy

Adverse reactions to medications are very common.  Among the drugs associated with immediate hypersensitivity reactions (i.e., IgE antibody-mediated allergic reactions), penicillins are the most commonly observed. Penicillin allergy is reported in approximately 7 to 10% of the community population and it occurs in up to 20% of hospitalized patients.  However, more than 90% of these patients do […]

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Pulmonary Function Testing in VA and DC

December 05, 2025 | Black & Kletz Allergy

Pulmonary function testing is a tool to help diagnose certain respiratory disorders such as asthma, bronchitis, and emphysema.  Bronchitis and emphysema are both categorized as chronic obstructive pulmonary diseases (COPD).  A pulmonary function testing doctor McLean, VA knows is Michael R. Kletz, M.D. of Black & Kletz Allergy.  He and his colleague, Appaji Gondi, M.D., both […]

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Type 2 Inflammation

November 27, 2025 | Black & Kletz Allergy

The human immune system has evolved to defend and protect us from infections caused by microbes and some types of cancers.  The cells responsible for these defenses originate in the bone marrow and circulate in the blood stream and lymphatic system. The human immune system has evolved to defend and protect us from infections caused […]

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Food Allergies and Thanksgiving

November 12, 2025 | Black & Kletz Allergy

Well, it is that time of year again. A time for getting together with family and friends for the annual ritual of gluttony – I mean Thanksgiving. Although the holiday is generally a festive occasion, some food-allergic individuals find Thanksgiving to be a time of the year where they are more concerned than usual. Individuals […]

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Rhapsido – A New Treatment for Chronic Urticaria (Hives)

October 23, 2025 | Black & Kletz Allergy

Urticaria (i.e., hives) are itchy red blotches or “welts” that generally occur on the skin but may also occur internally on various parts of the body.  The lesions can be flush with the skin, but are usually slightly elevated above the skin surface, similar to a mosquito bite.  Approximately 20 to 30% of the population […]

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The Association Between Asthma and GERD (Acid Reflux)

October 10, 2025 | Black & Kletz Allergy

Individuals with asthma probably are unaware of the association between asthma and acid reflux (GERD). It is estimated that approximately 75% of asthmatics have GERD of some degree. GERD or acid reflux occurs when there is a backflow of stomach contents into the esophagus (i.e., swallowing tube). In other words, the stomach contents travel in […]

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Allergy Nasal Spray Prevents COVID?

September 26, 2025 | Black & Kletz Allergy

SARS-CoV-2 is the name of the coronavirus that is responsible for the COVID-19 pandemic that caused millions of deaths worldwide.  Although vaccination and established population immunity have substantially mitigated the severity of acute SARS-CoV-2 infections, the virus continues to infect millions of people resulting in a number of hospitalizations and deaths.  There is a need for an […]

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Autumn Allergies

September 26, 2025 | Black & Kletz Allergy

Autumn has just begun and for some people it is a bittersweet moment.  Although many individuals enjoy the lower temperatures that the autumn brings in the Washington, DC, Northern Virginia, and Maryland metropolitan region, many allergy sufferers are not so welcoming because with the lower temperatures, mold and weed pollen levels rise.  The major weed culprit […]

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Alpha-Gal Syndrome Update

August 18, 2025 | Black & Kletz Allergy

Over the last 10-15 years, the number of individuals with meat allergy has risen mainly because of a condition called alpha-gal syndrome or mammalian meat allergy.  Alpha-gal syndrome was first identified by Dr. Thomas Platts-Mills at the University of Virginia School of Medicine in 2002.  He discovered that the syndrome originated from the bite of lone star […]

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Toxic Epidermal Necrolysis

August 13, 2025 | Black & Kletz Allergy

Toxic epidermal necrolysis (TEN) is a painful, life-threatening skin condition.  It is associated with blistering and peeling of large areas of the skin, including mucous membranes such as the mouth, eyes, and/or genitals. If less than 10% of the body surface is involved, it is often called Stevens- Johnson syndrome (SJS).  In the more severe […]

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Update on Pet Allergies

July 18, 2025 | Black & Kletz Allergy

Pet allergies are quite common in the United States.  About 20% of the U.S. population have cat allergies and 10% of the people in the U.S. have dog allergies.  Approximately 70% of the homes in the U.S. have at least 1 pet with dogs being the most common pet, followed by cats.  The percentage of […]

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Erythema Multiforme

July 08, 2025 | Black & Kletz Allergy

Erythema Multiforme is a type of a rash on the skin, usually triggered by an infection or an adverse effect of a medication.  The condition gets its name from the appearance of reddish skin lesions of various forms seen at the same time. Erythema multiforme affects less than 1% of the population.  It is most […]

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Prurigo Nodularis

June 27, 2025 | Black & Kletz Allergy

Prurigo nodularis is a chronic inflammatory skin disease where an extremely itchy rash in the form of firm bumps called nodules appears most commonly on the arms, legs, upper back, and/or abdomen.  The rash is usually symmetrically distributed on both sides of the body.  The itchiness, burning, and stinging sensation associated with prurigo nodularis is […]

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Summer Outdoor Allergies

June 16, 2025 | Black & Kletz Allergy

Now that Summer is almost here, people tend to spend a lot of time outdoors.  Whether it be going to the beach, swimming at the neighborhood pool, playing baseball or softball, having a picnic, fishing, hiking, riding bicycles, gardening, or any other outside activity, people are more likely to be outdoors now than in any […]

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Histamine Intolerance

May 28, 2025 | Black & Kletz Allergy

Histamine is a biogenic amine (i.e., an organic compound made up of carbon and nitrogen bonds) with several biological effects across different types of cells, mediated through the activation of histamine receptors.  Histamine is normally present within mast cells and other similar cell types such as basophils.  Mast cells are cells of the connective tissue that contain many granules rich in histamine and other chemicals.  Histamine is also present in various […]

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McLean, VA Location

1420 SPRINGHILL ROAD, SUITE 350

MCLEAN, VA 22102

PHONE: (703) 790-9722

FAX: (703) 893-8666

Washington, D.C. Location

2021 K STREET, N.W., SUITE 524

WASHINGTON, D.C. 20006

PHONE: (202) 466-4100

FAX: (202) 296-6622

Manassas, VA Location

7818 DONEGAN DRIVE

MANASSAS, VA 20109

PHONE: (703) 361-6424

FAX: (703) 361-2472


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