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Clinical Immunology and Allergy - Royal North Shore Hospital

Level 3, Acute Services Building

Royal North Shore Hospital

Reserved Road

St. Leonards

2065

Map view

Clinical Immunology and Allergy - Royal North Shore Hospital

Contact us

 

Phone: 02 9926 4108

Fax: 02 9463 1058

Email: NSLHD-Immunology-Allergy@health.nsw.gov.au

 

Primary Immunodeficiency and Autoimmunity - Clinic 6, Ambulatory Care Centre

General Allergy - Clinic 6, Ambulatory Care Centre

Paediatric Allergy - Clinic 6, Ambulatory Care Centre

HIV Clinic - Level 5, Community Health Centre

Drug Allergy - Clinic 6, Ambulatory Care Centre

Anaesthetic Allergy - Clinic 6. Ambulatory Care Centre

Immuno-Ophthalmology - Clinic 4, Ambulatory Care Centre

Neuroimmunology - Clinic 6, Ambulatory Care Centre

Opening hours

 

  • Primary Immunodeficiency and Autoimmunity- Monday 13:00- 17:00
  • General Allergy- Tuesday 08:30-12:30 and Friday 08:30-12:30
  • Paediatric Allergy- Tuesday 08:30-17:00
  • HIV Clinic- Tuesday (every second week) 08:30-12:30 in the Community Health Centre
  • Drug Allergy- Wednesday  08:30-12:30
  • Anaesthetic Allergy- Wednesday 08:30-12:30
  • Immuno-Ophthalmology- Wednesday (every 3 months) 08:30-12:30
  • Neuroimmunology- Thursday (once a month) 13:00-17:0

 What we do

The Immunology Service provides assessment and management of the following conditions:

  • Inborn errors of immunity, primary and acquired immunodeficiencies.
  • Autoimmune and autoinflammatory diseases:
    • Systemic lupus erythematosus
    • Vasculitis including giant cell arteritis, Takayasu arteritis, polyarteritis nodosa, ANCA positive vasculitis, eosinophilic granulomatosis with polyangiitis
    • Sjogren’s syndrome
    • Inflammatory myopathies
    • Autoinflammatory syndromes (e.g FMF)
    • Scleroderma
    • Evaluation and treatment for Behcet’s disease
    • Evaluation and treatment for IgG4 disease
    • Undifferentiated autoimmune conditions
  • C1 inhibitor deficiency

 

The Allergy Service provides assessment and management of allergic conditions in all age groups

  • Allergy/anaphylaxis to drugs, vaccine, insects, foods and unknown cause
  • Supervised oral allergen challenges to foods/drugs
  • Chronic urticaria refractory to antihistamines
  • Isolated angioedema
  • Eczema refractory to topical corticosteroids
  • Allergic rhinitis (hayfever) refractory to antihistamines and intranasal corticosteroids
  • Evaluation of possible allergic asthma
  • Mast cell disorders

 

The Anaesthetic Allergy Service provides assessment for patients in all age groups with perioperative reactions and investigates reactions to drugs or substances specifically associated with anaesthesia and surgery. 

The Immunology Clinic is involved in management of HIV patients.  We provide outpatient care in collaboration with Sexual Health and Infectious diseases physicians in the Community Health Centre building of RNSH.  

The Neuroimmunology Clinic is a collaborative multidisciplinary clinic to evaluate complex neuroimmunologic disease.  Referrals to this clinic are by Neurologists or Immunologists only.  

The Immuno-ophthalmology clinic provides assessment and management for patients with ocular inflammatory disease.  Referrals to this clinic are by Ophthalmologists or Immunologists only.  

 

The RNSH Immunology Clinic is unable to provide service for the following:

  • Chronic fatigue syndrome 
  • Irritable bowel syndrome
  • Elimination diets for food intolerance or behavioural manipulation

 

 What to bring

Please ensure you bring the following items/documents to your appointment

  • Images/Scans
  • Blood results
  • Results of any investigations
  • List of current medications
  • Medicare Card

 When to visit us

 How to visit us

Exit off Pacific Highway and the M1 will take you to the hospital on Reserve Road in St Leonards.

Bus Route 114 stops directly at the hospital.

The hospital is close to St Leonards Train Station

The hospital is a 5 minute walk from St Leonards Station

Street and multi storey car parking are available on the Royal North Shore hospital campus. Fees apply, so please check signage. Concession parking rates are available for patients and carers. Click here for more details.

 Referral information

The service accepts GP and specialty referral letters by:

 

All referrals must include a consultant being referred to in RNSH outpatients. If unsure, please address to Dr Suran Fernando and Associates. All referrals must include patients’ details, provisional diagnosis and reason for referral, findings/treatment to date, how this affects the patient, significant medical history, list of medications and relevant social information. Please indicate preferred language if an interpreter is required.  Please attach results of any investigations, this will help avoid unnecessary duplication of tests and delays.  


Referrals will be triaged based on the information contained in the referral letters and will be streamlined into the most appropriate clinic.  The triage process may take 1-4 weeks.  The patient will be notified of the outcome via SMS as soon as possible.  We may request further tests to assist with our assessment and management. 

The following conditions should be immediately referred to the Emergency Department:

  • Acute anaphylaxis
  • Systemic autoimmune disease with end organ damage
  • Immunodeficiency with severe infection  

 

Indications for Referral

Criterion

When to Refer

Urgent or Routine

RNSH Clinic

Autoimmunity and Immunodeficiencies

Systemic autoimmune disease

 

Autoimmunity and Immunodeficiency Clinic

 

Primary and acquired immunodeficiencies

Urgent if risk of rapid deterioration

Autoimmunity and Immunodeficiency Clinic

Drug hypersensitivities

Including consideration of delabelling for penicillin allergy

 

Drug Allergy Clinic

Anaphylaxis

Perioperative anaphylaxis and reactions

 

Anaesthetic Allergy Clinic

 

Anaphylaxis of any cause

 

Allergy Clinic

Atopic Disease

Including eczema, allergic rhinitis and asthma, refractory to primary management and requiring further investigation (skin testing) and management (including immunotherapy)

 

Allergy Clinic

Chronic urticaria +/-angioedema

Refractory to antihistamines

 

Allergy Clinic

Angioedema

 

Urgent if visceral involvement

Allergy Clinic

Complex cases requiring MDT

   

NeuroImmunology Clinic

     

ImmunoOphthalmology Clinic

 

The RNSH Immunology Clinic is unable to provide a service for the following:

  • Chronic fatigue syndrome
  • Irritable bowel syndrome
  • Elimination diets for food intolerance or behavioural manipulation

 

 Other information

Our team 


Head of Department
Professor Suran Fernando

 

Staff Specialist 
Dr. Jamma Li 
Dr. Therese Boyle 
Dr. Shruti Swamy- Paediatric Immunologist/Allergist 

 

Clinical Nurse Specialist
Reina Zaragoza 

 

Administrative Staff
Jocelyn Purisima