Robert Silge, MD

Physician in allergy/immunology in practice in Salt Lake City.

[Robert Silge, MD @DrSilge]

BOPI is a delightful acronym, and while small, suggests that boiled peanut may be safer than roasted for OIT, with comparable outcomes. #AAAAI19

[Robert Silge, MD @DrSilge]

@KhouryMD @AllergyKidsDoc It could. But if you don’t respond, how much time have you spent before you move on to something else with a better response rate? Not saying it has no place, I just think that place is really limited.

[Robert Silge, MD @DrSilge]

@alvarezperea

[Robert Silge, MD @DrSilge]

Measles infection causes significant alterations in immunological memory. Essentially erases prior vaccine response, and worth retesting titers to other vaccines in patients who contract measles. With measles outbreaks on the rise, worth knowing. #AAAAI19

[Robert Silge, MD @DrSilge]

People have been trying to find a genetic reason for poorer asthma outcomes in black patients for my whole professional life. Are we trying to ignore the verified causes of outcome disparity? Are we just contributing to the “othering” of these patients? #AAAAI19

[Robert Silge, MD @DrSilge]

You can test your own implicit biases at https://t.co/HKfGuKmQpK #AAAAI19

[Robert Silge, MD @DrSilge]

There have been no improvements in the racial disparities in asthma outcomes since the introduction of inhaled corticosteroids per Dr. Louisias. #AAAAI19

[Robert Silge, MD @DrSilge]

And a history lesson on redlining, housing conditions, and our current physicians’ implicit biases. All play a role in asthma management and healthcare disparities. #AAAAI19

[Robert Silge, MD @DrSilge]

Dr. Matsui reminding us of the complexities in managing asthma in different populations. #AAAAI19

[Robert Silge, MD @DrSilge]

Mast cell activating syndromes are the new hotness per Dr. Lieberman. If there’s no evidence of elevation in tryptase with symptoms, or high baseline tryptase, it’s really hard to say that there is any activation of mast cells involved (per me). #AAAAI19

[Robert Silge, MD @DrSilge]

@DrAnneEllis Food allergy and screen time: correlation? Go play outside kids.

[Robert Silge, MD @DrSilge]

In familial hypertryptasemia (a flavor of MCAS) can have multiple copies of gene for alpha tryptase, and level showed correlation with symptoms. We were taught beta was the important marker, but may not be wholly true. #AAAAI19

[Robert Silge, MD @DrSilge]

Current estimates are that EoE may develop in 2-5% of patients on OIT, though @ATLergist suggests this is likely underrepresented. But some studies suggest ~15% of peanut allergic pts have esophageal inflammation PRIOR to OIT. Still quite unclear. #AAAAI19

[Robert Silge, MD @DrSilge]

Reminder from Dr. Griewe: PPV of skin prick test to food in the absence of any history is only 50%. #AAAAI19

[Robert Silge, MD @DrSilge]

Am I doing something wrong, or are there basically no handouts available to download? #AAAAI19

[Robert Silge, MD @DrSilge]

In very early onset IBD anti-TNF therapy may be helpful if colon is neutrophil predominant. In lymphocyte predominant rapamycin or abatacept. #AAAAI19

[Robert Silge, MD @DrSilge]

@IgECPD @VenterCarina @DrAnneEllis Elmhurst states 5g of protein per 8oz serving in their milked almonds. Blue Diamond would be 0.8g in 8 oz.

[Robert Silge, MD @DrSilge]

Also I will once again throw out my annual plea for the option to skip the bag. I don’t want another tote bag, I don’t need a lot of advertising. How about a giant bin of lanyards and we print our badge at home? #AAAAI19

[Robert Silge, MD @DrSilge]

So this registration line… do I get a badge at the end, or do I get to ride the Matterhorn? #AAAAI19