Specialist Services / Paediatric Immunology, Allergy & Infectious Diseases
Paediatric Immunology, Allergy & Infectious Diseases
Diagnosis and treatment of paediatric allergy, immunology and infectious diseases — from allergy testing and desensitisation to recurrent infection and immune dysregulation assessment.
About Paediatric Immunology, Allergy & Infectious Diseases
Paediatric Immunology, Allergy and Infectious Diseases is a paediatric sub-specialty focused on diagnosing and treating immunological problems, allergies and infectious diseases in infants, children and adolescents. Care covers immune-system assessment (e.g. primary immunodeficiency, autoimmune disease), identification and management of allergic disease (including reactions to environmental factors, foods and drugs), evaluation of recurrent or unusual infections, prevention and treatment of childhood infections, and guidance on immunisation and infection control.
Scope of services
Conditions related to the immune system and allergies
- Allergic rhinitis (nasal allergies)
- Allergic conjunctivitis (eye allergies)
- Reactive airway disease, asthma
- Allergic pneumonia
- Atopic dermatitis (eczema)
- Urticaria (hives), angioedema
- Food allergy
- Drug allergy
- Autoimmune diseases (e.g. juvenile idiopathic arthritis, systemic lupus erythematosus, dermatomyositis, Kawasaki disease)
- Primary immunodeficiency disorders
Common childhood infectious diseases
- Respiratory infections: including influenza, bronchitis, pneumonia and respiratory syncytial virus (RSV) infection
- Gastrointestinal infections: including viral gastroenteritis, bacterial infections (e.g. Salmonella or E. coli) and parasitic infections
- Ear infections: e.g. acute otitis media caused by bacteria
- Chickenpox
- Measles
- Rubella
- Mumps
- Hand, foot and mouth disease
- Pertussis (whooping cough)
- Recurrent infections: e.g. recurrent pneumonia, meningitis or skin infections
Allergy testing
Allergy testing identifies which allergens trigger reactions. Based on the results, doctors can advise on treatment and management. Depending on symptoms, our centre offers:
- Skin prick test
- Skin patch test
- IgE blood test
- Food challenge test
- Drug allergy assessment and testing
Read more: How to choose allergy testing? Comparing 3 suitable testing methods for different individuals
Desensitisation therapy
Desensitisation therapy addresses severe allergic reactions to specific allergens. It aims to reduce or eliminate the response and improve tolerance. Methods include:
- Subcutaneous immunotherapy (SCIT)
- Sublingual immunotherapy (SLIT)
- Oral desensitisation
- Drug desensitisation
Among these, sublingual immunotherapy carries a relatively lower risk and is particularly suitable for children. Patients are still advised to take antihistamines beforehand to reduce side effects. Because allergic reactions may occur during treatment, it must be carried out under medical supervision. Duration varies — from months to years. Desensitisation can be effective in selected cases but is not suitable for all allergic diseases. Doctors decide based on history, the allergen and overall health.
Our team
Health articles
Allergy care during the pandemic
COVID-19 symptoms can mimic allergies. Allergic diseases are chronic — do not delay follow-up and treatment.
Pneumococcal infection peak — stay alert
Nov–Feb is peak season. Serotype 3 is especially serious in children under five — even healthy kids need vigilance.
Children with eczema: up to 4× food-allergy risk
Moderate-to-severe eczema raises food-allergy risk; newer allergy tests help identify triggers.
Interviews
Food allergy risk in babies — test early
Dr Patrick Chong on eczema–food allergy links, skin prick, IgE blood tests and food challenges.