Children's allergy


Our children's allergy and respiratory medicine service at St Mary’s Hospital is one of very few centres in the UK to provide a comprehensive service to children with allergic and respiratory disease.

We have particular experience in treating complex, multi-system allergic disease. Patients and their families benefit from a holistic, multidisciplinary team approach which emphasises education and empowerment of patients, parents and carers. The paediatric allergy team ensure patients are looked after in the best possible way, without having to attend numerous different clinics.

Where possible we try to avoid admitting children to hospital by offering an ambulatory service on our allergy day unit.

Patients of our service benefit from:

  • a multidisciplinary team including dieticians and six clinical nurse specialists
  • close links with ear nose and throat (ENT), gastroenterology, dermatology and ophthalmology; adolescent and transition clinics
  • networking across primary, secondary and tertiary care
  • a full range of investigations and treatments

Conditions and treatments

The service provides a thorough assessment of children with the full spectrum of respiratory and allergic conditions, including:

  • any chest problem (acute or chronic)
  • asthma
  • eczema
  • allergic rhinoconjunctivitis (hay fever)
  • urticaria (hives or nettle rash)
  • angioedema (swelling)
  • food allergies

Treatments for these conditions include:

  • allergen immunotherapy to modify the immune system’s reaction to allergens
  • omalizumab and other immunomodulatory medications to treat severe asthma
  • temperature-controlled laminar airflow (TLA) to disperse allergens in the bedroom at night
  • day case treatment and review for children with severe eczema and multi-system allergic disease requiring intensive monitoring

If medications are required an action plan will be provided and we will provide training on how to use devices such as inhalers and adrenaline auto-injectors for severe allergic reactions.

Additional information

Community outreach

We have developed and are implementing a unique integrated care pathway programme with training and support for carers, nurseries, schools and health professionals to ensure consistent delivery of the highest standard of care.

Clinical trials and research

You may be asked whether you and your child are willing to participate in a study. If you do not want to participate it will not in any way affect the management of your child’s allergic problem. Current examples of our research and clinical trials relating to allergy and respiratory medicine can be found on the paediatric research unit page

Further online resources