The Division of Pediatric Allergy, Immunology & Rheumatology is the first academic program with this focus in the Sacramento region.  We offer comprehensive inpatient and outpatient evaluations and follow-up for various disorders of allergy and immune regulation in children. Our physicians are regularly sought out for their consultation services by health care professionals in Northern California and Nevada.

Pediatric Allergy

Our Allergy team offers evaluations and management of various allergic disorders, including seasonal allergies, food allergies, drug allergies, allergic asthma, stinging insect allergy, and urticaria/anaphylaxis. The team utilizes skin prick testing, spirometry, laboratory analysis, and family education/training to further aid in the development of their treatment plans. Food and Drug challenge clinics are conducted weekly in order to help delineate the establishment of tolerance to these exposures. 

Pediatric Immunology

Our Immunology service sees patients and offers treatment recommendations for children with a history of recurrent, severe, or unusual infections, recurrent fevers, low immunoglobulins, and for immune dysregulation syndromes. Because of the complexity of many of these patients, the Immunology team has established a multidisciplinary presence within the healthcare system. Specialty clinics are offered in conjunction with other services and include 22q11.2 deletion syndrome clinics (with ENT, Genetics, PT/OT, and Developmental Peds), Early Onset Inflammatory Bowel Disease clinics (with GI), as well as Recalcitrant Cytopenia clinics (with Hematology).  In addition, we are now a primary Newborn Screening (NBS) Immunology Center, performing evaluations of children who have a concern for an immune deficiency based on their newborn screening results.

Pediatric Rheumatology

Our Rheumatology service is available to evaluate and manage patients with suspected or diagnosed juvenile idiopathic arthritis, systemic lupus erythematosus, juvenile dermatomyositis, vasculitis, systemic sclerosis, and periodic fever syndromes, among other rheumatologic conditions. Comprehensive articular exams, along with laboratory analysis and imaging, are all offered in our clinics to help with treatment plans.

Victoria Dimitriades, MD

Division Chief, Pediatric Allergy, Immunology & Rheumatology

Featured on PBS Food for Though- Food Allergies

Food for Thought – Food Allergies