ALLERGY DERMATOLOGIST DOCTOR IN VERO BEACH & PORT SAINT LUCIE
ALLERGY DERMATOLOGIST DOCTOR IN VERO BEACH & PORT SAINT LUCIE
As an independent community physician trained at Johns Hopkins, Dr. Wein has been an allergy specialist on staff at our local hospitals for over 20 years. Dr. Wein has provided the highest quality of allergy care and research in the field of allergies, asthma, dermatology, and immunology for over 20 years in Vero Beach. Dr. Wein is board-certified by the American Board of Allergy. He received advanced allergist and immunologist training at Johns Hopkins. He now serves as an expert in the diagnosis and treatment of allergic, asthmatic, dermatologic, and immunologic diseases. Dr. Wein holds staff privileges and all three local hospitals but is not employed by any single hospital - he serves you! To schedule a consultation, call 772-299-7299.
Dr. Michael Wein is an allergy specialist on the medical staff at both local hospitals. He comes to our community from the Johns Hopkins Division of Allergy & Immunology. He is not employed by any hospital, so you can call us directly! If you have any questions or would like to schedule a consultation, please feel free to call 772-299-7299 and indicate which office you prefer (Vero Beach or Port Saint Lucie West)
Allergic rhinitis, commonly known as hay fever, can result in sneezing, runny nose, nasal congestion, cough, and feel like you have a cold. Instead of a cold, it may be an allergic reaction. The best way to know is to visit Dr Michael Wein, an allergy specialist right here in Vero Beach or Port Saint Lucie.
Allergies are an immune reaction , this occurs when your body’s immune system mistakenly identifies an otherwise harmless substance as dangerous to the body and begins mounting an immune response. There are a wide range of allergies: food allergies, skin allergies, drug allergies, eye allergies and of course allergic rhinitis.
At our office, you’ll find a true allergy specialist: Dr Michael Wein. Dr Wein and a team of experienced staff will help you conquer your allergies. Providing expert, compassionate, comprehensive care for families throughout Vero Beach and Port Saint Lucie is our goal.
Dr Michael Wein is an allergy specialists who lives right here in Vero Beach and believes that providing expert, comprehensive, compassionate care for families throughout the community is the top priority.
Dr Michael Wein specializes in allergy, asthma and immunology. He is board certified by American Board of Allergy and Immunology. He is not only a member but also a Fellow of the American Academy of Allergy, Asthma & Immunology. Dr Wein’s years of studies, certifications and experience make him the best allergy expert in the area. If you need to have some allergy testing, we recommend that you schedule an appointment with us.
Once we confirm that you suffer from allergies and to which substances you react, we can help device a plan to make you healthy again. Let us help you with avoidance measures, simple over the counter solutions,prescription medication such as antihistamines, decongestants, inhaled nasal steroids, asthma inhalers, anti-leukotrienes,and other anti-inflammatory medicines.
This approach is often enough for most people, but when sufficient relief isn’t achieved, allergy injections are a form of immunotherapy (allergy shots). This is an FDA approved treatment which has been used for many years to help and may considerably reduce and in some cases even completely remove allergy symptoms. This is known as allergy desensitization and can last for many years after the treatment is discontinued .
So, what are you waiting for? Call our office to schedule an appointment with an allergy specialist who trained at Johns Hopkins Hospital.
Vero Beach office: Phone: (772) 299-7299 Address: 3375 20th Street, Vero Beach, FL 32960
Port Saint Lucie office: Phone: (772) 621-9992 Address: 322 NW Bethany Drive, Port Saint Lucie FL 34986
We Have two locations in Indian River County and Saint Lucie County for your convenience. You can find us on 20th Street in Vero Beach and also behind Public on Saint Lucie West Boulevard.
Dr. Wein has served as allergist on faculty at FSU for 10 years
Dr. Wein has served on faculty at AOCD for 3 years
Dr. Wein has published research on Epipen
LIKE US ON FACEBOOK
LIKE US ON FACEBOOK
Six of these are bees. Hint: Number 8 is not a bee, it is a wasp, resembling a large, hairy ant. The common name velvet ant is tricky - it is not an ant.
Trees begin pollinating in spring, which in Vero Beach begins mid-January. Then grasses, typically release pollen in summer. Weeds follow in the fall. In Port Saint Lucie, February through April is the most severe pollen season due to extremely high tree pollen.
If you have allergic rhinitis, your immune system mistakenly identifies a typically harmless substance as an intruder. This substance is called an allergen. The immune system responds to the allergen by releasing histamine and chemical mediators that typically cause symptoms in the nose, throat, eyes, ears, skin and roof of the mouth.
Seasonal allergic rhinitis (hay fever) is most often caused by pollen carried in the air during different times of the year in different parts of the country.
Allergic rhinitis can also be triggered by common indoor allergens such as the pets, dust, mold and other particles. This is 'perennial' allergic rhinitis, as symptoms typically occur year-round.
In addition to allergen triggers, symptoms may also occur from irritants such as smoke and strong odors, or to changes in the temperature and humidity of the air. This happens because allergic rhinitis causes inflammation in the nasal lining, which increases sensitivity to inhalants.
Many people with allergic rhinitis are prone to conjunctivitis (eye allergy). In addition, allergic rhinitis can make symptoms of asthma worse for people who suffer from both conditions.
Allergic rhinitis symptoms include:
Hay fever symptoms tend to be in spring and fall. Perennial allergic rhinitis occurs year-long.
An allergy doctor has specialized training and experience to diagnose which allergens trigger your illness, or to determine if your symptoms are non-allergic. Your allergist will take a thorough health history often followed by allergy testing.
Sinus infections, sneezing, congestion, and runny nose... symptoms of allergic rhinitis (hay fever),
Over 50 million people in the United States have allergy. Take back control of your life. See an allergist to find a solution for your allergies or asthma. A test for allergies can help with tree, grass and weed pollen, indoor and outdoor molds, dust, pets such as dogs and cats, venom from insect stings, foods, and some antibiotics or medications. Patch testing is also possible, for chemicals, cosmetics, metals, antibiotics, preservatives and many other items.
Allergy testing is a helpful way to find out if a specific substance is causing inflammation or other symptoms, such as hives, rashes, stomach problems, sinus infections or itchy eyes. An allergist can test for sensitivity to a wide variety of substances commonly found in the home or at work, found in your everyday environment.
A skin test can be done in many different ways in an allergist and immunologist office, usually this is a way to checks for immediate allergic reactions to many different substances . This test is usually done to identify allergies to pollen, mold, pet dander, dust mites and foods and is usually done on the forearm. Other types of skin tests are also available, such as patch tests, intradermal tests, and others.
All medical testing involves at least some risk. The risk with allergy skin tests, even allergy tests that do not use needles, is that allergy symptoms might occur during the test. The most common symptoms resemble a mosquito bite - itching and swelling of the skin at the site of the test. In rare cases, a more serious reaction can occur. That is why skin tests should be done by a board certified allergy specialist. The risk with allergy blood tests is pain or bleeding at the needle mark. Also, some people feel faint or even lose consciousness briefly during or immediately after blood collection.
Adults and children at any age can be skin tested for allergies. There is no minimum or maximum age.
Allergy testing are usually done with a plastic device that scratches the surface of the skin, without using a needle. The test takes just few minutes, and results are available in about 15-20 minutes so that the allergist can discuss the results with you the same day.
Blood tests, and even skin tests, must be interpreted. The test results alone do not diagnose allergy – it is common for parents to bring children to the office with a positive blood test for peanut, but the child does not have a peanut allergy and can safely eat peanuts and peanut butter too. All test results, from either type of test, must be interpreted together with the medical history.
There are several types of skin tests. During the most common type of skin test, a drop of a suspected allergen is pricked on the surface of the skin. The test is performed on the back or forearm. Many suspected allergens are tested at the same time. If you are allergic to one of the tests, you will have redness and swelling at the test spot, similar to a mosquito bite.
Skin testing at the allergist office is quick, results are generally ready within 15 - 20 minutes at our offices in Vero Beach and Port Saint Lucie. IN rare cases redness and swelling can occur several hours after skin testing. This type of delayed reaction usually disappears in 24 to 48 hours, but should be reported to the allergy doctor.
One common theme about allergy skin testing is you get information about what you’re allergic to during your first visit to the allergist. You don’t have to wait two weeks for lab tests to come back. So with your first consultation you can get skin tested. Your allergist can then sit down and tell you what you’re allergic to and what you can do about it.
All types of skin tests have little or no pain. However, for those who are allergic, positive reactions may cause annoying itching red bumps which look and feel like mosquito bites. The itching and usually go away in just a few minutes. Your allergist may apply a cream to your skin to help resolve the reaction more quickly. Intradermal testing does require needles, but it is the least common type of skin test.
Some medicines do interfere with allergy skin tests. Ask your doctor if you must to change your medicine before allergy skin testing.
Allergic Vasomotor Rhinitis
Anaphylaxis - Dr Wein has published on this topic
Anti-ige Injection Therapy
Aspirin Challenge and Desensitization
Chronic Obstructive Pulmonary Disease (COPD)
Food Challenge Test
Peak Flow Meter
Penicillin Allergy Testing
Post Nasal Drip
Pulmonary Function Testing
Subcutaneous Immunoglobulin Therapy
Pollen are microscopic seeds which can fertilize plants. Pollen from flowers usually do not trigger allergies. These rely on insects, not air, to move the pollen. Allergenic plants produce lightweight pollen that are easily carried by wind. These pollen cause allergy symptoms.
Each plant has a period of pollination that does not vary much from year to year. However, the weather can affect the amount of pollen in the air at any time. Seasonal allergic rhinitis is often caused by tree pollen in the early spring. During the late spring and early summer, grass pollen often cause symptoms. Late summer and fall hay fever is caused by weed pollen. In warmer places, pollination can be year-round.
Molds are simply fungi, related to mushrooms but they do not have stems, roots or even leaves. Molds can be found everywhere, including soil, plants and rotting wood. Their spores float in the air, much like pollen. They can be found year-round in Vero Beach and Port Saint Lucie.
EPIPEN can be a life-saving tool, but it does not always work. Sometimes the dose is too low, sometimes it does not work quickly enough, and sometimes other medications are also needed. Another approach, venom-specific immunotherapy, is highly effective and well tolerated.
Yellow jackets form nests that resemble paper-maché material and are usually underground, but sometimes be found in the walls of frame buildings, cracks in masonry or woodpiles.
Honeybees are not aggressive and in general only sting when provoked. However, Africanized honeybees ( "killer bees") are more aggressive and sometimes sting in swarms. Domesticated honeybees live in man-made hives, while wild honeybees live in colonies or "honeycombs" often in trees or abandoned buildings.
Paper wasps form nests are that look like a circular comb of cells and opens downward. The nests can be located under eaves, behind shutters, or in discarded areas.
Hornets nests are gray or brown in color, can be football-shaped and are usually elevated above ground on branches, in shrubbery.
Fire ants construct large mounds of dirt in the ground and are found on golf courses in Port Saint Lucie and throughout Vero Beach.
Venom immunotherapy. Remember that epinephrine is a rescue medication only, and you must still have someone take you to an emergency room immediately if you are stung. Those with severe allergies may want to consider wearing a bracelet or necklace that identifies the wearer as having severe allergies, or they might be able to receive FDA-approved allergy injections to prevent future reactions.
Food allergies begin in the immune system. For example, if you have food allergy to peanut, the immune system identifies a protein found in peanuts as an allergen. The immune system reacts by producing IgE (antibodies of the type called Immunoglobulin E). These antibodies attach to specific cells (called mast cells and basophils). If someone comes in contact with the allergen, the cells release a wide variety of proteins and chemicals including histamine, which cause food allergy symptoms such as itching, hives, swelling, diarrhea, wheezing and a potentially life-threatening reaction called anaphylaxis. Unless immediate treatment is given—an injection of epinephrine and expert care—anaphylaxis can in rare cases be fatal.
It is important to note a difference between food allergy and intolerance. Food allergy involves the immune system while food intolerance, such as lactose intolerance, does not. Food intolerance typically involves the GI tract, causing symptoms like abdominal pain, nausea, vomiting and diarrhea. There is yet another type of reaction, caused by immune reaction, called "celiac", which can also lead to food reactions. It can in fact required advanced testing to determine the cause.
IN the USA, the most common food allergens are cow milk, egg, peanut, wheat, soy, fish, shellfish and tree nut. Sometimes an allergy to one member of a food family may result in the person being allergic to other members of the same group. This is known as cross-reactivity.
Most food allergens can cause allergic reactions even after they are cooked or have undergone digestion in the intestines, but in some cases cooking destroys the allergen.
IN genreal symptoms of food allergy occur within 2 hour, but within the past few years a new type of food allergy has been found by allergists and published in the New England Journal of Medicine, it is called alpha gal, with symptoms that may be delayed.
An allergy doctor, often referred to as an allergist, has specialized training and expertise to determine if your symptoms are caused by a food allergy or due to other food-related disorders such as food protein-induced enterocolitis syndrome (FPIES) or eosinophilic esophagitis (EoE).
Allergy skin tests may determine which foods, if any, trigger your allergic symptoms. In skin testing, a small amount of extract made from the food is placed on the back or arm. If a raised bump or small hive develops within 20 minutes, it indicates a possible allergy. If it does not develop, the test is negative. It is uncommon for someone with a negative skin test to have an IgE-mediated food allergy.
When the immune system is either absent or not functioning properly, it can result in an immune deficiency disease. When the cause of this deficiency is hereditary or genetic, it is called a primary immunodeficiency disease (PIDD). There are over 300 different kinds of PIDD.
The immune system includes white blood cells. These cells start in the bone marrow and move through the bloods and lymph nodes to defend against bacteria and fungi. Antibodies are another part of the system, they are proteins that are made in response to infection and help fight infections. Complement is yet another part of the system, a blood protein that plays a protective role in the immune system.
In the most common types of PIDDs, cells or proteins are missing or do not function. This results in repeated infections, which might affect the skin, sinus, lungs, ears, the brain or stomach. Sometimes an immune deficiency results in an "autoimmune" disorders.
Allergist on medical staff at both local hospitals
Trees which release allergenic pollen include ash, bald cypress, box elder, elm, hickory oak, and pecan.
ANEMOPHILUS is wind pollination. Almost all gymnosperms are wind pollinated. Plants which transmit pollen by insects (ENTYMOPHILUS), are less of a problem for allergic people.
Bald cypress, mulberry, and oak are important allergenic trees on the Treasure Coast and tend to start pollinating before the grasses.
Bahia, Bermuda and Johnson are important grasses for pollen allergy, they are especially prevalent in Vero Beach and Port Saint Lucie
Lilies are Angiosperms (flowering plants). Angiosperms account for 90% of all plant species. Echinacea purpurea are in the sunflower family, and are also angiosperms.
Baccharis, spiny pigweed, and ragweed are prevalent in Port Saint Lucie and Vero Beach and produce pollen which becomes airborne, unlike the Tiger lily which uses insects to pollinate
Swallowing large amounts of any part of the azalea plant can cause life-threatening symptoms
Chronic rhino-sinusitis is a common medical condition. It results in inflammation of the nose and sinus and sometimes even nasal polyps. Nasal polyps are massive accumulations of eosinophils that may block air flow. Nasal polyps can be on one or both sides of the nose, and might be mistaken for malignant nasal or sinus tumors.
The exact cause might be related to elevated allergic type of cells known as eosinophils (read more about Dr Wein’s research on eosinophils). Infection may also play a role. When they occur in children, polyps might be a sign of cystic fibrosis.
Symptoms include nasal drainage, nasal congestion, facial pressure or pain, and a decrease in sense of smell (which also occurs with covid-19). Of all the symptoms, nasal congestion and loss of smell tend to be the most troublesome. Polyps tend to recur, even after they are removed surgically, so surgery is usually a last resort.
The diagnosis of nasal polyps is based on a combination of history, physical examination and often a sinus CT scan. The history of nasal congestion and loss of smell points to nasal polyps. Asthma occurs in many patients with polyps, and worsening nasal symptoms or with use of aspirin or ibuprofen. Allergic fungal rhinosinusitis is related to mold, and seems to return even after sinus surgery.
Management and Treatment
Medical treatment of includes both topical nasal steroid sprays, nasal saline rinses, and sometimes monoclonal antibodies. Steroid sprays help reduce polyp size and improve symptoms. Short courses of oral steroids can also help shrink nasal polyps and have shown to improve symptoms including sense of smell, however they should be used cautiously given the risk of steroid side effects. Sinus surgery to remove polyps is an option if nasal polyps are bothersome despite oral and/or corticosteroid sprays. Unfortunately, polyps often recur despite surgery and long-term treatment with nasal steroids or large volume steroids are often necessary.
A biologic medicine called dupilumab, which has been approved to treat moderate to severe asthma, has also gained approval to treat polyps. Dupilumab is given as an injection every other week and has been shown to reduce the need for surgery and treatment with oral steroids. Future therapy is also under investigation.
Community physician for over 20 years
Allergic Reactions to Drugs
Allergy symptoms - a reaction in the immune system. One type of immune reaction is due to antibodies called Immunoglobulin E (IgE). These antibodies trigger cells that release chemicals, which causes symptoms in the nose, lungs, throat, stomach and skin. This usually rapidly.
The most common immune response to a drug is not due to IGE, but rather due to the expansion of T cells, a type of white blood cells. These T cells orchestrate a delayed immune response that can affects the skin, causing itchy rashes, and often occurs days to weeks after exposure to the drug.
The most severe form of immediate allergic reactions is anaphylaxis. Symptoms of anaphylaxis include hives, facial or throat swelling, wheezing, light-headedness, vomiting and even shock.
Antibiotics and foods are a common trigger of anaphylaxis, but other triggers have also been shown to induce anaphylaxis. Other severe reactions, which are not anaphylaxis, include Stevens Johnson Syndrome, Toxic Epidermal Necrolysis, and Acute generalised exanthematous pustulosis,
You should seek medical help immediately if you experience any of these. Many medications can cause these severe delayed reactions including antibiotics, medications for epilepsy (seizures), depression and gout.
If you take angiotensin converting enzyme (ACE) inhibitors for high blood pressure, you may develop a cough or facial and tongue swelling. This can be related to increase in bradykinin levels.
Another type of drug reaction is serum sickness. This is a Type III reaction. Immune complexes can deposit in your body, often in your joints or kidneys but also in the skin. Sometimes this can also involve the complement components. Complement is a system of plasma proteins that can be activated directly by bacteria or sometimes by a drug or antibody, leading to a cascade of reactions.
In addition, some people are sensitive to aspirin, ibuprofen or other non-steroidal anti-inflammatory drugs (NSAIDs). One type of aspirin or NSAID sensitivity may cause a stuffy nose, wheezing and difficulty breathing. This is most common in adults with asthma and in people with nasal polyps.
Non-allergic reactions are much more common than drug allergic reactions. These reactions are usually based on the properties of the drugs involved. Symptoms of non-allergic drug reactions vary, depending on the type of medication. People being treated with chemotherapy often suffer from vomiting and hair loss. Certain antibiotics irritate the intestines, which can cause stomach cramps and diarrhea.
An allergist-immunologist specializes in caring for people with allergies, asthma, allergic skin rashes, and other diseases of the immune system. Allergists-immunologists require advanced training and should be board certified by the American Board of Allergy & Immunology (ABAI). Allergy specialists take care of both adults and children. Known commonly as allergists, these specialists are highly skilled in the diagnosis and treatment of immune system disorders and in helping people take an active role in preventing and treating allergy symptoms.
An allergist typically:
An allergist-immunologist may also be known by the following names: allergist, allergist and clinical immunologist, allergy doctor, immunologist, asthma specialist, and allergy specialist. Not all of these are BOARD CERTIFIED, so be sure to check.
Dr Michael Wein is the allergy specialist on medical staff specializing in Allergy & Immunology at both local hospitals.
Practical tips for allergy relief, featuring Dr. Michael Wein, in a recent article from Vero News April 2021. CLICK HERE
Recent advances in allergy treatment, featuring Dr. Michael Wein, in a recent review published in Vero 32963. CLICK HERE
Review of latest asthma solutions features Dr Michael Wein allergy expert in Wall Street Journal article. CLICK HERE
Update on eczema treatment for patients with skin problems, features Dr. Michael Wein. CLICK HERE
National website features Dr. Michael Wein with advice on skin allergy. CLICK HERE
International forum on food allergy quotes experts, including Dr. Michael Wein. CLICK HERE
Allergist at Cleveland Clinic