Chelmsford, MA  North Andover, MA Nashua, NH
978-256-4531 978-689-8890 603-881-7433



The summer is coming to a close and school will back in session before we know it.   Please check with your child’s school to see if they will require any allergy or asthma forms to be filled out.   We will do our best to get these completed and returned to you as quickly as possible but please allow a week to two weeks for these forms to be completed.   We also ask that if your child has not been seen in over one year that you schedule an appointment to review their treatment with one of our providers.


Thank you and enjoy the rest of your summer!


Introduction of Peanuts to Infants

Interim Guidance from expert panel regarding early peanut introduction- (LEAP) study

There is now scientific evidence (Level 1 evidence from a randomized controlled trial) that health care providers should recommend introducing peanut-containing products into the diets of “high-risk” infants early on in life (between 4 and 11 months of age) in countries where peanut allergy is prevalent because delaying the introduction of peanut can be associated with an increased risk of peanut allergy.




Infants with early-onset atopic disease, such as severe eczema, or egg allergy in the first 4 to 6 months of life might benefit from evaluation by an allergist or physician trained in management of allergic diseases in this age group to diagnose any food allergy and assist in implementing these suggestions regarding the appropriateness of early peanut introduction. Evaluation of such patients might consist of performing peanut skin testing, in-office observed peanut ingestion, or both, as deemed appropriate after discussion with the family. The clinician can perform an observed peanut challenge for those with evidence of a positive peanut skin test response to determine whether they are clinically reactive before initiating at-home peanut introduction. Both strategies were used in the LEAP study protocol.






Meet Our Doctors

Julian Melamed, MD, ABIM, ABAI

Angela Ahuja Malik MD, ABPD, ABAI

Li Liang, MD, PhD, ABAI

Ami Mehra, MD, ABIM, ABAI


Our allergists are board certified in pediatric and adult Allergy and Immunology, and have trained at some of the top training programs in the country, including Harvard Medical School, National Jewish Respiratory Center and Albert Einstein Medical College.  We participate in the Maintenance of Certification Program. Click here to read more about this program. Dr. Melamed and Liang have both been awarded the prestigious Top Doctor Awards for 2011.




Summer is Here!


The Season of Ice Cream, Sun, Fun

and New Allergic Threats



Although tree pollen counts are on the way down, patients are literally not out of the woods in terms of their allergies.  A summer ritual for many families is their favorite ice cream stand.   Food allergic patients are at risk of reactions as a result of cross contamination of scoops with tree nuts.   Stinging insects are attracted to trash cans in these stands and the risk of a sting is probably higher for kids here than most other places.


Poor air quality is also an issue during the heat of midsummer and asthmatics are at an increased risk of flares during humid days when the mold count peaks for the year.  Physical activities should be performed in the early morning or the evening.