Allergy, Asthma, Immunology, and Rheumatology

University Pediatricians | Michigan

About the Division of Allergy, Asthma, Immunology, and Rheumatology

The Allergy, Asthma and Immunology Division at Children’s Hospital of Michigan at the Detroit Medical Center has a long history of excellence in care for asthmatic, allergic and immune deficient children.

The division offers evaluation and treatment for asthma and a wide range of allergies, including food allergy, environmental allergy, drug and vaccine allergy, insect sting allergy, angioedema, anaphylaxis, hives, eczema and other allergic skin conditions. Advance treatment plans are available for your specific conditions including allergen immunotherapy and monoclonal antibody treatment.

The high risk asthma clinic is supported by a grant from Children’s Hospital Foundation offering medical and psychosocial support to children with severe and/or high risk asthma.  Research studies with emphasis on assistance with adherence to medication and identification of stressors that influence asthma are available to those clients, and any other interested families with asthmatics.

The asthma and allergy physicians on the medical staff and asthma nurse educators see every asthmatic patient admitted to the Children’s Hospital of Michigan. This assures that all asthmatic children and families are offered the highest standard of care for their asthma, with particular emphasis to follow-up daily care, education, and action planning.

Pavadee Poowuttikul, MD – Division Chief

The Chief of Allergy, Asthma, Immunology and Rheumatology Division, Pavadee Poowuttikul, MD, along with six board certified allergists/immunologists and two board certified pediatric rheumatologist, all have faculty appointments at Central Michigan University College of Medicine. All faculty are actively involved in teaching medical students from Central Michigan University and Wayne State University, pediatric and internal medicine residents, and allergy/immunology fellows. The division also includes specialized allergy/immunology/rheumatology nurse practitioners, nurses, and social workers.

The focus of the Allergy, Asthma, Immunology and Rheumatology Division at the Children’s Hospital of Michigan is to:

Provide compassionate, state-of-the-art diagnosis and treatment for patients of all age with allergic and immunologic diseases, including asthma, and children with autoimmune and rheumatologic diseases.
Train physicians for academic careers in allergy, asthma, and immunology or subspecialty clinical practice.
Promote and conduct basic, clinical, and translational research in allergy, asthma, clinical immunology and rheumatology.
Be a local, regional, and national source for the specialty and collaborate with others  to expand and share knowledge in allergy, asthma, clinical immunology, and pediatric rheumatology.

Our Clinical Programs

Pediatric Rheumatology Section

We offer a rheumatology clinic and vasculitis clinic for children and adolescents. Conditions evaluated and treated include childhood autoimmune diseases such as juvenile idiopathic arthritis, systemic lupus erythematosus, vasculitis and juvenile dermatomyositis; and autoinflammatory disorders such as periodic fever syndromes, and autoinflammatory disorders of the bones. 

Immunology Section

We offer a Primary Immune Deficiency Clinic for children and adults, diagnosing and treating a range of conditions including agammaglobulinemia, CVID, IgA deficiency, SCID, and more. We also serve as a referral center for complex immune system disorders and coordinate Michigan’s Primary Immunodeficiency Newborn Screening Center.

Asthma, Allergy and Immunology Section

We treat children and adults with asthma and a wide range of allergic conditions, including food, environmental, drug, and insect allergies, as well as eczema, hives, and anaphylaxis. Our clinic offers evaluations, in-office testing (pulmonary function, FeNO, and skin tests), and advanced treatments like allergen immunotherapy, oral immunotherapy, and monoclonal antibody therapy. Research study opportunities are also available.

Our faculty are familiar with the most recent advances and recommendations in the management of allergic, immunologic, and rheumatologic conditions and offer comprehensive and patient-centered services geared towards their diagnosis and treatment. The team of dedicated nurses work on obtaining prior authorizations for expensive medications deemed necessary for management of the patients in order to provide them the most cost-effective therapy. Outpatient appointments are available Monday-Friday and some Saturdays. Same-day appointments are available for patients requiring urgent evaluations.

Our Specialized Clinics Include

Appointments with the Allergy, Asthma and Immunology experts are available at five convenient Children’s Hospital of Michigan locations throughout the metropolitan area listed below. Pediatric Rheumatology appointments are available at Children’s Hospital of Michigan Specialty Center – Detroit and Troy location. Families can call 313-745-KIDS or 313-832-8550 to schedule an appointment.

Our Team is Dedicated to You

Allergy Immunology Rheumatology Attendings

Learn about our University Pediatricians Attendings

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Assistant Professor

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Associate Professor

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Associate Professor

Advanced Practice Providers

Want to learn more about our distinguished specialists? Click the button below to be taken to our Faculty Directory.

Education

At the Children’s Hospital of Michigan, our goals are to prepare our fellows to pursue future careers in academic medicine or subspecialty clinical practice and to qualify for the American Board of Allergy and Immunology.

The program is ACGME accredited and offers comprehensive, balanced clinical training in allergy/immunology in both adults and pediatric patients, with emphasis on evaluation and management of allergic disorders, asthma and primary immunodeficiency disorders. We prepare our fellows for a strong foundation in the basic and clinical immunology important to understanding and managing allergic/immunologic disorders.

The institution is a major pediatric tertiary referral center and is the coordinating center for the Severe Combined Immune Deficiency Newborn Screening Program for the State of Michigan. Fellows gain additional experience in dedicated clinics for inner-city asthma, eosinophilic esophagitis, and primary immunodeficiency disorders with specialized nursing staff and social workers. Elective rotations in ENT, dermatology, rheumatology, pulmonology, and infectious disease are available in both adult and pediatric specialties. Other elective rotations include clinical immunology laboratory and allergen extract preparation. Fellows will be proficient in allergen immunotherapy, monoclonal antibody treatments, immunoglobulin replacement therapy, and other treatment modalities available for primary immunodeficiency disorders.

Fellows will learn to design and conduct allergy and/or immunology research under the supervision of research mentor(s) who are fellowship program faculty. Research resources are available through the Children’s Research Institute of Michigan and the Children’s Hospital Foundation. Fellow research projects are involved in QI, translational, and clinical research. Fellows are expected to present their research at national meetings and in peer-reviewed publications.

For more information, please refer to the Allergy/Immunology Fellowship Training Website—click here or on the button below to visit the site.

About our Fellowship Offerings

Trainees Accepted Each Year: 2 per year

Duration of Fellowship: 2 years

Number of Graduates Last 5 Years, and Subsequent Career Choice: 2018-2023
8 graduates (5 academic, 3 private practice)

Application Deadline: Please refer to the National Resident Matching Program (NRMP) website for fellowship match information in regards to the fellowship timeline, application deadlines and additional important dates.

Electives for Residents and Students: Yes

Special Requirements: ABIM or ABP eligible or certified

Division of Allergy, Immunology, and Rheumatology
Children’s Hospital of Michigan
3950 Beaubien Blvd.
Detroit, MI 48201

Phone: (313) 745-5751 and (313) 832-8506
Fax: (313) 993-7118
Email: ppoowutt@dmc.org

Program Website: https://www.childrensdmc.org/health-professionals/just-for-doctors/fellowships/allergy-immunology

Program Director
Pavadee Poowuttikul, MD
Phone: (313) 745-5751, (313) 832-8506
Email: ppoowutt@dmc.org

Associate Program Director
Dr. Aishwarya Navalpakam

Program Coordinator
Dionne Weathers
Pediatric Graduate Medical Education
Phone: 313-745-5751
313-832-8506 Specialty Center
Email: Dweather@dmc.org
Fax: 313-993-7118

Research

Our faculty and fellows are committed to research involving the diagnosis and management of patients with inner-city asthma, primary and secondary immunodeficiency diseases, autoimmune, rheumatologic, and other immunologic diseases, food allergies and other atopic disorders through basic, translational, and clinical research.

Our active clinical research trials/projects include:

The Use of an Electronic Monitoring Device for Wheezing (Wheezo) and a Remote Monitoring Program (RMP) to Improve Asthma Outcomes in Inner-City Children
Extent of Immunosuppression from Oral Steroid Bursts in Inner-City Asthma Children
The Evaluation of Treatment and Outcomes in Patients with Eosinophilic Esophagitis
Clinical Markers for Likelihood of Admission to Pediatric Intensive care unit (PICU) due to Anaphylaxis
Anaphylaxis and Asthma Education in Schools
Predictors for Low TRECs in infants without SCID or severe thymic defects
Outcomes of TREC based SCID Newborn Screening in Michigan: 10-year data
Geomapping High-Risk Zip codes in Detroit for social determinants of health
Risk Factors Associated with Poor Asthma Control Utilizing National Dataset
A Randomized, Double-blind, Multicenter, Parallel-group, Phase IIIb 52 Week Study Evaluating the Efficacy and Safety of PT027 Compared with PT007 Administered As Needed in Participants 12 to < 18 Years of Age with Asthma (ACADIA)
A Validation Study of the Pediatric Asthma Impairment and Risk Questionnaire (AIRQ)
A Multicentre, Randomized, Double-Blind, Parallel-Group Placebo-Controlled, Phase 3, Efficacy and Safety Study of Tezepelumab in 5 to <12 Year Old Children with Severe Uncontrolled Asthma (HORIZON)
Penicillin de-labeling program
Asthma in-patient discharge quality improvement project
Evaluation for post-transplant secondary immunodeficiency
Evaluation for secondary immunodeficiency with immunosuppressive medications
The Impact of Food Insecurity in Food Allergic Populations
Inpatient community health worker program for poorly controlled pediatric asthma

Clinical Trial:
52-week, multicenter, randomized, double-blind, placebo-controlled study of remibrutinib (LOU064) for IgE-mediated food allergy (adults and adolescents)

Recent Publications and Recent Areas of Focus

Advocacy & Other Special Areas of Focus

Our faculty are committee members in the American Academy of Allergy, Asthma, and Immunology (AAAAI), American College of Allergy, Asthma and Immunology (ACAAI), American Board of Allergy and Immunology (ABAI)

AAAAI Leadership Institute

Leadership project with AAAAI Website, Internet, and Related Technologies (WIRT) to lead an innovative project on implementing picture-based asthma action plan for AAAAI and School-based Asthma Management Program.

AAAAI Committee on the Underserved with an interest in food insecurity and patients living in inner-city with food allergies.

Women’s Health in Allergy/Immunology: with an interest in creating educational modules for health care providers caring for pregnant people with asthma

Fellow-In-Training Examination Committee: 2 of our faculty members were selected to write questions for the Fellow-In-Training Examination questions

Test Writing Committee of the ABAI: one of our faculty members was selected to write questions for the ABAI

One of our faculty members was selected to be an ABAI ambassador

Central Michigan University College of Medicine (CMUCOM)

Our faculty members are involved in the Central Michigan University College of Medicine (CMUCOM) and Children’s Hospital of Michigan committees including:

One of our faculty members is the Vice Chair of the Bylaw Review Committee for CMUCOM

One of our faculty members is on Central Michigan University Pediatric Department’s Academic Promotion Committee and the University Pediatricians Advisory Board

The Division participates in the American College of Allergy, Asthma and Immunology Asthma (ACAAI) Screening Camp.

Immune Deficiency Foundation (IDF)

We also participate in the Immune Deficiency Foundation (IDF) activities, including organizing IDF walk yearly in Detroit, Michigan. IDF is a non-profit organization that seeks to improve diagnosis, treatment, and quality of life for people with primary immune deficiency (PID) by fostering a community empowered by advocacy, education, and research. The IDF achieves their goals as a resource for education materials, publications, conferences, provider referrals, research, public policy advocacy, and through health care provider education. The IDF walk is a community event that supports and connects the PID community and also is a major fundraiser to support the mission of the IDF. Our staff coordinated and held the walk on our campus beginning in 2018. We started as a local walk and are now recognized as a national walk site. Our Immunology nurse serves on the Nurse Advisory Committee of the IDF.

IDF/United States Immunodeficiency Network (USIDNET)

The Division also participates in the IDF/United States Immunodeficiency Network (USIDNET) registry. The USIDNET is a research consortium established to advance scientific research in the field of primary immunodeficiency diseases with current focus on the primary immunodeficiency disease registry, education and mentoring for young investigators. The USIDNET registry is a national patient consented registry for individuals with primary immunodeficiency diseases. The goals are to advance research in the field and to improve the quality of life of patients. It is managed by leading immunologists and administered by the Immune Deficiency Foundation (IDF). Our faculty and nurses have enrolled patients into the USIDNET/FILL registry, have supported registry development, and the Children’s Hospital of Michigan was the first enrolling site in Michigan. Our faculty serves on the Severe Combined Immunodeficiency Disease specific work group of the USIDNET – IDF.

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