The allergic march describes the typical progression of allergic conditions, often starting with eczema in infancy, followed by food allergies, and later developing into asthma and allergic rhinitis. This pattern occurs because early skin barrier dysfunction can lead to allergic sensitisation through the skin.

Research, including Professor Lack's studies, suggests the march can potentially be modified through:

• Early, proactive management of eczema to maintain skin barrier function
• Appropriate introduction of allergens through the digestive system
• Timely treatment of each allergic condition as it develops
• Regular assessment and monitoring of children with early allergic signs

Our specialists can develop personalised strategies to potentially reduce the risk of additional allergies developing, particularly in young children showing early signs of allergic tendencies.

Diagnosing multiple allergies with overlapping symptoms requires detective work. Our process involves:

• Digital symptom diaries to identify revealing patterns and correlations
• Strategic testing that prioritizes the most likely triggers based on history
• Specialised protocols for distinguishing between similar allergic reactions
• Sequential testing to understand how different allergic conditions interact
• Challenge testing under controlled conditions to confirm ambiguous results

This systematic approach helps us untangle complex cases where traditional diagnostics might miss important connections or attribute symptoms to the wrong triggers.

Yes, having one allergic condition significantly increases the likelihood of developing others. This phenomenon, sometimes called "allergic clustering," occurs because:

• The underlying immune dysregulation tends to affect multiple systems
• One allergy can physically alter tissues, creating pathways for new sensitivities
• The body's threshold for allergic reactions generally lowers
• Environmental factors that triggered one allergy often contribute to others

Professor Lack's research has been particularly influential in understanding how early allergic conditions can cascade into multiple allergies, which guides our preventive approach and early intervention strategies.

Managing multiple allergies requires a strategic approach unlike treating single allergies. Our treatment philosophy focuses on:

• Understanding the "driver allergies" that trigger or worsen other conditions
• Developing tiered treatment plans that address interrelated symptoms together
• Using multifunctional medications that target shared inflammatory pathways
• Creating unified action plans instead of separate plans for each condition
• Balancing treatment intensity with practical considerations for daily life
• Adopting preventive approaches for conditions that haven't yet manifested

The goal is a coherent treatment strategy rather than a collection of separate approaches that might conflict or create unnecessary complexity.

Many children do outgrow certain allergies, even when they have multiple allergic conditions. The likelihood varies depending on:

• The specific allergies involved (milk and egg allergies are more commonly outgrown than peanut or tree nut allergies)
• The severity of initial reactions
• Specific IgE levels over time
• The presence of other allergic conditions

Regular reassessment allows us to track changes in allergic sensitivity and potentially reintroduce foods that have been outgrown. Even when complete resolution doesn't occur, many children experience decreased sensitivity as they grow, potentially allowing more flexibility in management approaches.