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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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Allergies to Pollen

May 23, 2025 | Black & Kletz Allergy

Individuals with pollen allergies may be affected throughout the year, depending on where they live or travel.  In the Washington, DC, Northern Virginia, and Maryland metropolitan area, pollen allergies are bothersome to allergic individuals generally from late February through the first frost, which is usually at the end of October.  In this region, trees are the […]

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Is Primatene Mist Good for Asthma?

April 15, 2025 | Black & Kletz Allergy

There are a few over-the-counter (OTC) medications that some patients with asthma and other respiratory conditions occasionally use. One of them is an inhaler called Primatene Mist. Primatene Mist contains epinephrine (i.e., adrenaline) in an inhalable form. Though it is the same drug that is in an EpiPen, Auvi-Q, Adrenaclick, and other self-injectable epinephrine devices […]

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Pollen Food Allergy Syndrome Revisited

April 10, 2025 | Black & Kletz Allergy

Pollen food allergy syndrome (PFAS), also known as oral allergy syndrome, is a condition in which there is first a “sensitization” of the immune system to various pollens and subsequent “reactions” when exposed to these pollens.  Secondly, there is a similarity of the protein allergens in the pollen and the protein allergens of certain raw or […]

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Tree Pollen Allergies Update in the Washington, DC Area

March 25, 2025 | Black & Kletz Allergy

Spring is here!  This means that quite a few Washingtonians will be pretty miserable as they will be suffering from hay fever (i.e., allergic rhinitis).  In the early Spring, tree pollen is mostly to blame for the annoying symptoms that cause hay fever.  Other than tree pollen, molds are also a common environmental allergen that plays havoc with allergy […]

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Food Protein-Induced Enterocolitis Syndrome (FPIES)

March 20, 2025 | Black & Kletz Allergy

Food protein-induced enterocolitis syndrome (FPIES) is a rare condition that causes gastrointestinal symptoms several hours after consumption of certain foods by an individual who has an intolerance to that food.  The prevalence rate in the United States is approximately 0.5%. The most common types of food allergy in children and adults are mediated by an […]

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Update on Angioedema (Swelling Episodes)

February 13, 2025 | Black & Kletz Allergy

Some individuals have episodes of swelling or “angioedema” of various tissues that may occur without any known rhyme or reason.  They may have 1 episode or they may have multiple or recurrent episodes.  Most people with this condition are very surprised and nervous when they notice an area of their body swelling up right in […]

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The Quademic

February 11, 2025 | Black & Kletz Allergy

Four viral infections are surging in the country this year.  Three of them are respiratory viruses and one is a gastrointestinal infection. Influenza (“flu”) usually tends to peak in the Winter.  The Centers for Disease Control’s (CDC) statistics reveal that more than 30% of the lab tests were positive for the flu in January of […]

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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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