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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


Map view

Clinical Immunology and Allergy - Royal North Shore Hospital

Contact us


Phone: 02 9926 4108

Fax: 02 9463 1058

Email: [email protected]


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


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


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



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