FAAAI, FAAP
Board Certified Allergist
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Allergy Conditions

Allergy Treatment

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We Offer Comprehensive Allergy Care

Allergic responses are overreactions from our immune system towards harmless substances such as pollen, dust mite, molds, cats/dogs, or food. As a result of this overreaction, our immune system produces a protein called IgE, which is the hallmark of allergic reactions. Each substance has its own specific IgE. Allergies have a genetic component, yet they can be developed at any age.

When we evaluate a person for any allergic conditions, we look for the IgE specific to that antigen. Symptoms of allergic reactions could involve many organs, the mucous membranes (in the eyes, nose, or sinuses), lungs, skin, and gut. If an allergic reaction happens in the mucous membrane of the eyes or the nose, symptoms could be itchy eyes, watery eyes, puffy eyes, a runny nose, sneezing, or an itchy nose and postnasal drip. If the reaction happens in the lungs, symptoms could include coughing, shortness of breath, chest tightness, or wheezing. If in the gut, there may be nausea, vomiting, cramps, or diarrhea. If on the skin, there may be itchiness, hives, and different kinds of rashes. Anaphylaxis is a severe allergic reaction that involves multiple organs.

The most common conditions that we manage in the office are allergic rhinitis, sinusitis (acute or chronic), allergic conjunctivitis, asthma, food allergies, hives/angioedema, eczema, contact dermatitis, bee sting, and medication allergies. Less common conditions that we also manage are Eosinophilic (EOE), Mastocytosis, mast cell activation, Latex allergies, and Anaphylaxis.
Learn more at these trusted resources:

Suffering From Allergies?

Call us to schedule an appointment.

(570) 970-1400

(570) 970-1400

Penicillin Allergies


September 28th marks National Penicillin Allergy Day, the 93rd anniversary of the discovery of penicillin by Alexander Fleming who was Scottish physician-scientist. Penicillin is instrumental in modern medicine in its ability to combat infections and remains the most efficacious and safe treatment for many life-threatening infections.


Approximately, 10 % of the United States populations report to be allergic to penicillin, Avoiding Penicillin will lead to overuse of broad-spectrum antibiotics and build resistance to more serious bacteria, recent studies show that 90% of the people who have reported penicillin allergies can take penicillin again, as some people are either mislabeled or misdiagnosed with penicillin allergies.

Evaluating a person with a history of penicillin reactions will determine either the person is at low or high risk for future use of penicillin. This risk can be determined based on the clinical history, type of reactions experienced in the past, frequency of past reactions, and the duration of avoidance. 


To evaluate future risk of penicillin use, a skin test can be performed; if it is negative there is a 95% chance that a person can tolerate penicillin well and performing a challenge dose of Amoxicillin after a negative skin test will lead to nearly 100% tolerance of future penicillin use.

Cephalosporins are a group of antibiotics related to penicillin. About 2% of people who are allergic to penicillin will react to Cephalosporins.


If you have a history of penicillin reactions and are interested in having a proper diagnosis, call our office to schedule consultation with Dr. Khoudary.


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