Center of Allergology-Immunology

In the Clinical Immunology and Allergology Outpatient Clinic, we diagnose and treat different immune system disorders, including allergic diseases and immunodeficiency. We are the only allergology-immunology specialty unit in all of Estonia, currently, our Center is the only one with licensed allergists-immunologists as well as a pediatric allergist.

Appointments booked via e-consultation (the general physician needs to formulate an e-consultation referral for allergology-immunology).

In the Clinical Immunology and Allergology Outpatient Clinic, we diagnose and treat different immune system disorders, including allergic diseases and immunodeficiency. We are the only allergology-immunology specialty unit in all of Estonia, currently, our Center is the only one with licensed allergists-immunologists as well as a pediatric allergist.

Our goal is to ensure that patients with allergies and primary immunodeficiency receive the best evidence-based and complex treatment in Estonia. We welcome both children and adults.

Both allergist-immunologist and pediatric allergist appointments booked via e-consultation (the general physician needs to formulate an e-consultation referral for allergology-immunology).

Diagnosis and treatment of allergic diseases

We welcome both children and adults who have already been diagnosed with or are suspected to have an allergic disease. We diagnose, treat, and advise children and adults with allergic rhinitis, asthma allergic skin rashes, urticaria, and food allergy and/or intolerance. We also study the patients for different drug allergies and, if possible, we also restore the tolerance of a drug that has caused the allergy.

To detect the cause of allergic diseases, we use skin prick tests, epicutaneous tests (application tests) as well as detecting specific antibodies from the analysis of blood. To evaluate lung capacity and airway permeability during forced breathing, we use spirography and for the evaluation of allergic inflammation of the airways, we use the determination of fractionated nitric oxide content in exhaled air (FeNO).

We have years of experience with immunotherapy when treating patients with pollen and household dust mite allergy. In addition, we perform immunotherapy for insecticide allergens. Allergen-specific immunotherapy is the only modern treatment modifying the course of a disease which develops a tolerance to the allergen causing the allergy. We offer allergen-specific immunotherapy to both children and adults.

Primary immunodeficiency

One of the goals of the clinic is the earliest possible diagnosis of patients with primary immunodeficiency and their complex treatment.

Since 2011, the East Tallinn Central Hospital is the only Jeffrey Modell Foundation diagnostics and research center in Estonia that has focused on the diagnostics and treatment of immunodeficiency. In our Center, allergist-immunologists with relevant advanced training diagnose, treat, and advise children and adults who have or are suspected to have immunodeficiency. In our immunodeficiency treatment, we implement modern methods of diagnosis and treatment and, in the case of rare forms, include specialists from external centers.

In the case of primary immunodeficiency (PID), a congenital genetic defect causes a deficiency or a functional disorder of some part of the immune system. PID may manifest itself in the form of an unusual pathogen, unusual course of a disease, or as infections with unusual duration, or as infections that repeat unusually frequently.

If a patient has two or more highlighted warning signs, we advise them to consult with a primary immunodeficiency specialist (allergist-immunologist): [Click on the photo]

• Four or more acute otitis media in a year
• Two or more acute sinus infections in a year
• Two or more consecutive months of treatment with antibiotics with no effect
• Two or more cases of pneumonia in a year
• Growth and weight gain deficiency in a child
• Repeated deep skin or internal organ pus inflammations
• Constant fungal infection in the mouth or on the skin
• To check the infections, treatment with intravenous antibiotics is required
• Two or more invasive infections, including septicemia
• Immunodeficiency in the family