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    An estimated 10% to 30% of the global population has an allergic disease.1 The most common reasons that family physicians request a consultation for allergy testing are recurrent or persistent respiratory symptoms, skin rashes, repeated infections, and adverse reactions to foods, medications, and insect stings.2 Family physicians should consider referring patients to an allergist when there is an inadequate response to treatment or when a more accurate diagnosis would help with management.

    When Should Allergy Testing Be Considered?

    Clinical presentations of allergic diseases, respiratory infections, and autoimmune conditions have similar features.

    When the frequency, duration, and sequelae of upper respiratory infections exceed the norm or when rhinosinusitis or asthma symptoms persist despite treatment, further evaluation for allergic, anatomic, and immunologic causes should be considered.3 Allergy evaluation and testing should also be considered when it is important to determine the trigger for atopic dermatitis (eczema), contact dermatitis, urticaria, angioedema,

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