Respiratory Allergies

Respiratory allergies are among the most common conditions treated by Dr. Milani. Pollen, dust mites, mold, and pet dander are among the main causes of symptoms that, if left untreated, compromise the quality of life.

Allergic Rhinitis

Runny nose, nasal itching, sneezing, and nasal congestion are typical symptoms of allergic rhinitis. Treatment involves diagnosing the causative allergen through skin prick tests or allergy tests, followed by targeted drug therapy and, where indicated, specific immunotherapy (desensitization).

Allergic Conjunctivitis

Persistently itchy, burning, and watery eyes are signs of allergic conjunctivitis. Dr. Milani evaluates the allergic cause of the condition and prescribes a personalized treatment plan with antiallergic eye drops, systemic antihistamines, or desensitization therapy.

Bronchial Asthma

Persistent dry cough, chest tightness, shortness of breath, and wheezing are the key symptoms of bronchial asthma. Specialist treatment includes a functional lung assessment, optimized inhalation therapy, and a self-management plan, with regular follow-ups.

Food Allergies and Intolerances

The body's reaction to certain foods can manifest itself in many different ways: from IgE-mediated allergies—with immediate onset of symptoms—to intolerances with chronic gastrointestinal symptoms. Dr. Milani provides precise diagnoses and personalized treatment plans for each patient.

Food Allergy

Itching and tingling in the mouth, swelling of the lips, tongue, or throat, hives, or angioedema are signs of a true food allergy. Diagnostic testing includes skin prick testing with fresh foods or standardized extracts and specific IgE testing.

Lactose Intolerance

Lactose intolerance is caused by a deficiency of the enzyme lactase, which causes abdominal bloating, cramps, diarrhea, and flatulence after consuming dairy products. Dr. Milani evaluates the symptoms and guides the patient in proper dietary management, avoiding unnecessary dietary restrictions.

Nickel Syndrome (NSAS)

Nickel food poisoning syndrome manifests itself with bloating, abdominal pain, diarrhea and constipation, chronic headaches, hair loss, brittle and flaking nails, vaginal burning and discharge, burning during urination, and weight gain with difficulty losing it. Diagnosis requires a careful clinical evaluation and a specific nickel patch test.

Gastrointestinal Syndromes from Allergies

Some food allergies manifest exclusively with gastrointestinal symptoms: nausea, vomiting, abdominal pain, or allergic-related irritable bowel syndrome. The diagnostic and therapeutic approach includes targeted allergy testing and a guided elimination-reintroduction plan.

Allergic Skin Diseases and Allergological Dermatology

The skin is often the first organ to suffer from an allergic reaction. Dr. Milani diagnoses and treats the main allergic-related dermatological conditions, using a comprehensive approach that considers both the underlying cause and the patient's clinical picture.

Contact Dermatitis

Allergic contact dermatitis manifests itself with redness, itching, blisters, and scaling in areas in contact with the allergen. Patch testing allows for the precise identification of the causative substance—cosmetics, metals, gums, preservatives—and the appropriate avoidance therapy to be established.

Food Dermatitis

Some skin reactions—eczema, urticaria, and erythema—are directly related to the ingestion of specific foods. The diagnostic process includes food prick tests and specific IgE levels to identify the causative food and guide the therapeutic diet.

Chronic Urticaria and Angioneurotic Edema

Chronic urticaria manifests as itchy skin bumps that persist for more than six weeks. Angioneurotic edema is a deep swelling of the dermis and subcutaneous tissue, which can affect the lips, tongue, and larynx. Dr. Milani evaluates allergic and non-allergic causes and defines a targeted therapy.

Hymenoptera and Drug Allergies

Allergies to hymenoptera venom (wasps, bees, and hornets) and drug allergies represent the most potentially serious allergic reactions, as they can progress to anaphylactic shock. Dr. Milani offers a comprehensive diagnostic and therapeutic approach, from precise diagnosis to desensitization.

Hymenoptera Venom Allergy

A wasp, bee, or hornet sting can trigger reactions ranging from a simple local reaction to systemic anaphylaxis. The pathway includes:

• Specialist allergy visit to evaluate the severity of the previous reaction
• Prick test and dosage of specific IgE for the venom of the responsible hymenopteran
• Intradermal reaction tests with purified venoms when necessary
• Venom-specific immunotherapy (VIT): the desensitizing treatment recognized as the only disease-modifying therapy capable of protecting the patient from future serious reactions

Drug Allergy

Adverse drug reactions can be allergic (IgE-mediated or immunological) or non-allergic. The most commonly implicated drugs are antibiotics (penicillins, cephalosporins), NSAIDs, local anesthetics, and contrast agents. The diagnostic workup includes:

• Clinical evaluation of the reaction (type, time of onset, drug taken)
• Prick test and intradermal reactions with the suspected drug
• Controlled oral provocation testing, where indicated and safe
• Drug desensitization protocols for patients requiring otherwise irreplaceable treatments

Find the Right Treatment for You

Each allergic condition requires a personalized approach. Dr. Stefania Milani offers a thorough specialist assessment to identify the cause of your symptoms and initiate the most appropriate treatment. Her office is in Monza, Via Maggiolini 9/A — appointments are available.