Transitional medicine for pediatric allergic diseases -Comments from internal medicine-

Abstract

The transition of pediatric allergic disease to internal medicine has not been satisfactorily achieved. Patients receiving treatment at a general hospital do not think that they should move to internal medicine at the same facility, and usually want to refer to the internal medicine of a nearby medical institution where they have relocated after entering college or finding employment. In addition, they want a clinic that is available on Saturdays, rather than a general hospital, so that they do not take a break from college or work after moving to another medical institution. Regarding bronchial asthma, a relatively large number of allergists are engaged in the treatment of pediatric asthma and adult asthma. Similarly, patients with atopic dermatitis transition smoothly from pediatric to dermatology. In addition, patients with allergic rhinitis (perennial and seasonal) have had no problems since they have been consulting otolaryngology since childhood. After all, the problem is food allergies. It is not because the causal food changes during the transition period, but because of the shortage of internal medicine doctors involved in treating food allergies. Among internal medicine doctors having a certification of allergy specialist, doctors who work mainly for allergic diseases are under 10%. It is hoped that policies based on laws relating to measures against allergic diseases will be realized.