Saturday July 4, 2020



March 08

Mild Winter Means Early Allergies

Mild Winter Means Early Allergies In New Jersey 

Due to the mild winter, pollen is here a few weeks early.

“March 10 has usually been our regular. February 22, 23, and 24 are not the normal times,” said the doctor.

Thursday’s count was high with maple leading the charge, and that was triple the count on Wednesday.

“It’s an earlier season. It’s going to be longer, and it will just increase the severity of the symptoms for many allergy sufferers,” Dr. Bielory told WCBS 880 reporter Sean Adams. “An individual who would only be mildly allergic exposed for a week or two is now exposed for two weeks to three weeks, is having an increased sensitivity.”

Bielory is with Robert Wood Johnson University Hospital in New Brunswick and Rutgers University and is studying climate change and allergies.

“This actually continues a trend that we’ve been seeing. The paper’s literally right on my desk, where climate change and shifting pollen trends in the New York metropolitan area,” he said.

The early release is unusual, but not unprecedented. The doctor says during a recent El Nino the trees started pollinating in January.


March 06

Spring and Pollen

Spring's in the Air and so is Pollen

Today's pollen counts will trigger symptoms for allergy sufferers

Pollen counts, primarily from trees and some mold spores, are being reported at one of its earliest timeframes in the New York/New Jersey metropolitan area.

According to Leonard Bielory, M.D., an allergy specialist with the Rutgers Center of Environmental Prediction at the School of Environmental and Biological Sciences, these earlier tree pollen levels will start to trigger a reaction for some individuals who are allergic. “With the projected weather forecast allergy sufferers will really have a problem this year!”

Bielory and colleagues at the Center for Environmental Prediction have been studying the impact of climate change in New Jersey and throughout the U.S. for the potential impact of allergies. Bielory is also director of the STARx Allergy and Asthma Center in Springfield, New Jersey.

Tips for lessening the impact of seasonal allergies, says Bielory, include:
Minimize outdoor activity when pollen counts are high. Peak pollen times are usually between 10 a.m. and 4 p.m.

Shut windows in your house on days when pollen counts are high. Avoid using window fans that may draw pollen inside.

Dry laundry indoors. Sheets hanging on an outside line are an easy target for blowing pollen.

When mowing lawn or gardening, wear a filter mask.

Bielory, who provides pollen counts to the local media, is a certified member of the National Allergy Bureau (NAB) of the American Academy of Allergy, Asthma and Immunology’s (AAAAI) Aeroallergen Network that is responsible for reporting current pollen levels to the public. His responsibilities include providing up-to-date pollen information online at and to the NAB website at

The Aeroallergen Network is comprised of pollen counting stations staffed primarily by AAAAI physician volunteers who donate their time and expertise. The NAB is composed of 83 counting stations in the U.S. and three counting stations in Canada. Pollen data gathered through the network is shared with the public and is also used for research to aid in the diagnosis, treatment and management of allergic diseases.


Febuary 29

Management of Seasonal Allergic Conjunctivitis

Seasonal allergic conjunctivitis (SAC) is an inflammatory response of the conjunctiva triggered by exposure to seasonal allergens. Treatment options for SAC include artificial tears, antihistamines, decongestants, mast cell stabilizers, nonsteroidal anti-inflammatory drugs, dual antihistamine/mast cell stabilizers, immunotherapy and corticosteroids. Topical, intranasal and systemic formulations of corticosteroids have traditionally provided the most effective relief of the inflammation and signs and symptoms associated with severe, acute exacerbations of SAC. However, steroid-induced ocular and systemic side-effects have limited the prescribing of these agents. This limitation of traditional corticosteroids led to the development of modified corticosteroids that retain the anti-inflammatory mechanism of action of traditional corticosteroids with a much-improved safety profile because of their rapid breakdown to inactive metabolites after exerting their activity. The development of one such novel corticosteroid, loteprednol etabonate (LE), led to the insertion of an ester (instead of a ketone) group at the carbon-20 (C-20) position of the basic corticosteroid structure. Clinical trials assessing this C-20 ester corticosteroid have demonstrated similar efficacy to C-20 ketone corticosteroids in the prevention or treatment of the signs and symptoms of SAC but with a greatly improved safety profile, as the C-20 ester corticosteroid is less likely to elevate intraocular pressure. In addition, the ketone at the C-20 position has been implicated in the formation of cataract, while nonketolic corticosteroids do not form Schiff base intermediates with lens proteins, which is a common first step in cataractogenesis. The clinical relevance of the C-20 ester corticosteroid class, as modelled by LE, is that they provide both effective and safe treatment of the inflammation associated with SAC and relief of its signs and symptoms. Loteprednol etabonate offers a well-tolerated treatment option for patients with debilitating acute exacerbations as well as chronic forms of the disease.

Dr. Leonard Bielory is a primary author of this publication.

© 2011 The Authors. Acta Ophthalmologica © 2011 Acta Ophthalmologica Scandinavica Foundation

Febuary 17

Kissing Allergy

Most allergic responses require contact with the allergic portion of the immune system interacting between the IgE antibody and the mast cell such that when the allergens are inhaled (allergic rhinitis, asthma), eaten (food allergies, oral allergen syndromes, anaphylaxis), touched (dermatitis), or infused (intravenous drugs).


Allergic reactions associated with kissing 9”kissing allergy”) is a real phenomenon. Although allergens are more commonly associated with ocular, nasal and respiratory symptoms – oral allergy syndromes do occur from food and can even be transmitted from one person to another. Sadly, there was a reported case of a Canadian teenager who died from an allergic (anaphylactic) reaction “following a kiss from her boyfriend”. In that case it was learned that the teen was actually severely allergic to peanuts, and even though the kiss happened hours after the boyfriend ate peanut butter, it only takes a minute amount of allergenic protein to set off the reaction. In the literature and reported at our national meetings have been reports of other allergic responses developing after a kiss


Oral allergy reactions secondary to kissing can develop in individuals who are severely allergic to peanuts, tree nuts, medicine, and other substances1. Many of the allergenic proteins are heat stable and can even last for hours in the environment of the mouth with all of its enzymes to break down the foodstuffs. Interestingly as high as 5.3% reported allergic responses may occur from  kissing2 even after their partner brushed their teeth.


1.         Moehring R. Kissing and food reactions. The New England journal of medicine 2002; 347:1210; author reply 1210.

2.         Hallett R, Haapanen LA, and Teuber SS. Food allergies and kissing. The New England journal of medicine 2002; 346:1833-1834.


Febuary 16

Hypoallergenic Dogs

There are still many allergy sufferers who love the companionship of a  canine – a “house dog” and have been considering to getting the so-called hypoallergenic dog breeds, such as Samoyed ,Portuguese water dogs, Afghan hound poodles, Airedale Terrier and Malteses. However, homes in which those labeled as hypoallergenic breeds reside apparently may contain just as many allergens as houses where fuzzier breeds curl up at the foot of the bed, according to a recent study of residences performed in and around Detroit, Michigan. The researchers from the Henry Ford Health System in Detroit in conjunction with the Georgia Health Sciences University examined the content of homes for the common dog allergen Canis familiaris 1 (Can f 1) and found detectable levels of it in about 94% of the 173 homes they tested. In fact, the levels of common dog allergen, Can f 1, were not statistically different between houses inhabited by hypoallergenic dogs and those harboring other breeds.


Nicholas CE, Wegienka GR, Havstad SL, Zoratti EM, Ownby DR, Johnson CC. Dog allergen levels in homes with hypoallergenic compared with nonhypoallergenic dogs. American journal of rhinology & allergy. Jul-Aug 2011;25(4):252-256.

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Location: Springfield, NJ
Today's Date: July 04, 2020
Station Director: Leonard Bielory, M.D
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