Asthma & Breathing
Allergic Asthma
Asthma symptoms triggered by allergens — pollen, dust mites, pet dander, or mold. Identifying your specific triggers means we can stop attacks before they start, not just treat them.
Medically Reviewed
Dr. Payel Gupta
Triple Board-Certified Allergist & Immunologist
Last reviewed: May 2026
Overview
Allergic asthma is the most common type of asthma, affecting approximately 60% of adults and 80% of children with asthma. It's triggered by exposure to allergens to which the patient is sensitized.
mechanism
When a sensitized individual is exposed to an allergen, IgE antibodies trigger mast cell degranulation, leading to airway inflammation, bronchoconstriction, and asthma symptoms.
allergens
- Pollen (trees, grasses, weeds)
- Dust mites
- Pet dander
- Mold spores
- Cockroach allergens
evaluation
testing
- Skin prick testing to identify specific allergens
- Serum IgE testing (component-resolved diagnostics)
- FeNO testing to assess eosinophilic inflammation
- Spirometry with bronchodilator response
history
Correlation between allergen exposure and symptoms
treatment
standard
- Inhaled corticosteroids (controller)
- Allergen avoidance strategies
- Rescue medications (SABA) as needed
immunotherapy
- Allergy shots (subcutaneous immunotherapy) - can modify disease course
- Sublingual immunotherapy tablets - for specific allergens
- Most effective when started early and continued for 3-5 years
biologics
- Omalizumab (anti-IgE) - for moderate to severe allergic asthma
- Dupilumab - for severe asthma with type 2 inflammation
- Consider when standard therapy is insufficient
prevention
- Identify and avoid triggers
- Use air purifiers and allergen-proof bedding
- Keep windows closed during high pollen seasons
- Regular cleaning to reduce dust mites and mold
Ready to Get Started?
Schedule a consultation to discuss your specific needs and create a personalized treatment plan.