About
Dr. Jonathan Lacombe Barrios is a dedicated Allergist / Immunologist, committed to providing expert care for patients of all ages with allergic or immunologic conditions. Practicing at the Centre Hospitalier de l'Université de Montréal (CHUM) in Montréal, QC, he is a trusted provider of specialized allergy and immunology care in the community. The clinic is dedicated to providing high-quality, patient-centered care for a wide range of allergic and immunologic conditions, utilizing up-to-date diagnostic tools and treatment strategies. Dr. Lacombe Barrios adheres to the standards set by the Collège des médecins du Québec (CMQ), ensuring his practice meets rigorous professional requirements.
He holds a Medical Degree from a recognized Canadian medical school, followed by residency training in Internal Medicine and further specialization through a fellowship in Clinical Immunology and Allergy. With over 11 years of specialized experience since 2013, he has been practicing as an Allergist / Immunologist, focusing on the diagnosis, treatment, and management of allergies, asthma, and disorders of the immune system. He has completed rigorous postgraduate training and holds the necessary certifications to practice as an Allergist / Immunologist in Quebec.
Dr. Lacombe Barrios's professional philosophy emphasizes accurate diagnosis and personalized management of allergic and immunologic conditions. He is committed to empowering patients with knowledge about their conditions and self-management strategies. Utilizing evidence-based approaches and the latest advancements in allergy and immunology, he aims to improve patients' quality of life by minimizing symptoms and preventing severe reactions. He collaborates closely with primary care physicians and other specialists to provide comprehensive, integrated treatment. Dr. Lacombe Barrios offers allergy and immunology consultations and treatments in French, ensuring clear communication and patient comfort.
Dr. Jonathan Lacombe Barrios provides expert diagnosis and management for a wide range of allergic and immunologic conditions, including:
Skin Allergies and Dermatitis
Dr. Lacombe Barrios manages management focuses on identifying triggers, skincare, topical medications, and systemic treatments for severe cases.
- Urticaria (Hives) - Acute and Chronic: Can be triggered by allergens, infections, medications, or be idiopathic (unknown cause).
- Contact Dermatitis (Allergic or Irritant): Patch testing can help identify specific allergens in allergic contact dermatitis.
- Atopic Dermatitis (Eczema): Treatment involves moisturizers, topical corticosteroids/calcineurin inhibitors, and trigger avoidance.
Respiratory Allergies
Dr. Lacombe Barrios manages management focuses on allergen avoidance, medications, and immunotherapy to control symptoms and improve breathing.
- Chronic Sinusitis (Allergy-Related): Management involves treating the allergic component and may include nasal corticosteroids or saline rinses.
- Allergic Rhinitis (Hay Fever): Treated with antihistamines, nasal steroid sprays, and allergen immunotherapy.
- Allergic Conjunctivitis: Often coexists with allergic rhinitis.
Food and Drug Allergies
Dr. Lacombe Barrios manages management involves strict avoidance of the trigger, emergency preparedness (epinephrine), and sometimes desensitization procedures.
- Anaphylaxis (Severe Allergic Reaction): Requires immediate treatment with epinephrine and emergency medical care.
- Common Food Allergies (e.g., Peanut, Tree Nuts, Milk, Egg, Soy, Wheat, Fish, Shellfish): Oral food challenges may be performed to confirm or rule out an allergy.
- Food Protein-Induced Enterocolitis Syndrome (FPIES): Common triggers include milk, soy, and grains.
This list is not exhaustive. For a comprehensive evaluation of your condition, a consultation with Dr. Jonathan Lacombe Barrios is necessary.
- Allergen Immunotherapy (Allergy Shots or Sublingual Tablets/Drops): Includes subcutaneous immunotherapy (allergy shots) for environmental allergens and insect stings.
- Food Allergy Diagnosis and Management: Evaluation for suspected food allergies using skin tests, blood tests, or oral food challenges (in a supervised setting).
- Patch Testing for Contact Dermatitis: Helps pinpoint triggers for skin rashes.
- Insect Sting (Venom) Allergy Diagnosis and Immunotherapy: Diagnosis of allergies to stings from bees, wasps, hornets, or yellow jackets.
- Management of Secondary Immunodeficiencies: Monitoring immune function.
- Allergy Skin Testing (Prick/Puncture and Intradermal): Skin tests to identify specific allergens causing respiratory allergies (hay fever), food allergies, insect sting allergies, or drug allergies.
Note: This list provides an overview. Specific diagnostic tests and treatment plans are determined after a thorough consultation with Dr. Lacombe Barrios.
All allergy and immunology services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant Canadian Society of Allergy and Clinical Immunology (CSACI) and relevant international guidelines. A referral from a physician is generally required for consultation.
Dr. Lacombe Barrios practices at the CHUM in Montréal's Ville-Marie East (Quartier Latin, Village) neighborhood. The clinic is conveniently located near the Ritz-Carlton Hotel, with accessible public transportation options via the Société de transport de Montréal (STM), including Métro and Bus services. The facility is equipped for allergy testing and consultations, providing a professional and supportive environment for patients seeking allergy and immunology care. Convenient parking options are usually available in proximity to the clinic, ensuring easy access for patients.
- Are services from Dr. Lacombe Barrios covered by provincial health insurance?
- Most specialized medical care for allergies, asthma, and immune disorders provided by Dr. Lacombe Barrios under Régie de l'assurance maladie du Québec (RAMQ) is covered. This typically includes appointments and medically indicated diagnostic tests. However, some specific treatments like allergen immunotherapy (allergy shots/drops) or certain advanced biologics may have varying coverage criteria or require special authorization. Consultations with an Allergist / Immunologist like Dr. Lacombe Barrios, as well as medically necessary diagnostic tests (e.g., skin prick tests for common allergens) and management of conditions like asthma or immunodeficiencies, are generally covered by Régie de l'assurance maladie du Québec (RAMQ). However, allergen immunotherapy (allergy shots or sublingual tablets/drops) and some newer biologic medications may have specific coverage criteria or require special authorization. It is recommended to confirm coverage details with Dr. Lacombe Barrios's office or Régie de l'assurance maladie du Québec (RAMQ).
- How does Dr. Lacombe Barrios help manage food allergies?
- Dr. Lacombe Barrios provides comprehensive management for food allergies. This includes accurate diagnosis through testing (skin tests, blood tests, or oral food challenges), developing strict allergen avoidance strategies, educating on label reading, and creating an emergency action plan, including the prescription and training for epinephrine auto-injectors (e.g., EpiPen®). He may also discuss emerging therapies like oral immunotherapy if applicable. specializing in the diagnosis, treatment, and management of allergies, asthma, and disorders of the immune system.
- Do I need a referral to see Dr. Lacombe Barrios?
- For most consultations with Dr. Lacombe Barrios that are medically necessary and covered by Régie de l'assurance maladie du Québec (RAMQ), a referral from your family doctor is typically needed. This helps in coordinating your care effectively. Some specialized allergy clinics or services might have different referral processes, so it's always good to check with their office. The clinic's fax number for referrals is typically (514) 412-7514.
- What are some common conditions treated by Dr. Lacombe Barrios?
- As an Allergist and Immunologist, Dr. Lacombe Barrios manages numerous conditions related to the immune system. These frequently include environmental allergies, food sensitivities and allergies, medication reactions, chronic sinus problems, skin rashes like eczema, and disorders where the immune system is underactive or overactive. specializing in the diagnosis, treatment, and management of allergies, asthma, and disorders of the immune system.
- What is involved in an evaluation for a possible immunodeficiency by Dr. Lacombe Barrios?
- If an immunodeficiency is suspected (e.g., due to recurrent, severe, or unusual infections), Dr. Lacombe Barrios will conduct a thorough evaluation. This typically involves a detailed medical and family history, a physical examination, and specialized laboratory tests to assess different components of the immune system (like antibody levels, white blood cell counts and function). The goal is to identify any underlying immune system weakness and develop an appropriate management plan.
CHUM
1051 rue Sanguinet
Montréal, QC H2X 3E4
Office Phone: (514) 890-8000 | Office Fax: (514) 412-7514
Dr. Lacombe Barrios is a licensed Allergist / Immunologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in Quebec. A referral from a family physician or another specialist is generally required for a consultation with Dr. Lacombe Barrios, particularly for services covered by Régie de l'assurance maladie du Québec (RAMQ).
Verify Dr. Lacombe Barrios's registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=12221