SlideShare a Scribd company logo
1 of 23
ALLERGY
By:
SANJAY SIR
GOVERNMENT COLLEGE OF NURSING
NEW CIVIL HOSPITAL
SURAT
Definition
Allergy is defined as an exaggerated
immune response to the presence of
certain foreign substances.
The foreign substances that produce
allergy are called allergens.
Causative Factors
 Atopic or
Hereditary
 Host Defence
 Nature of the
allergen
 Route of entry of
allergen
Pathophysiology
 Allergic reaction occurs in two stages:
1. Sensitivity
2. Hypersensitivity
Pathophysiology
Signs & Symptoms
Diagnostic Tests
 Detailed History
 Thorough Physical
Examination
 Common Allergy
Tests
Common Allergy Tests
 Skin Testing
 Radio Allergy Sorbent
Test (RAST)
 Fleuroenzyme
Immuno Essay Test
(FEIA)
 Pulmonary Function
Test to diagnose
asthama.
 Blood Essays for IgE
levels.
Treatment
 Identification of
specific allergen
 Control of
environment
 Immunotherapy
 Desensitization
Nursing Management
1. Detailed history taking:
When, Where, What, Why?
2. Identification of allergen
3. Health Education
Definition
 Also known as dermatitis. It is not a
specific disease but a group of
disorders with a characteristic clinical
appearance.
Types of Eczema
Atopic
Dermatits
Xerotic
Dermatits
Contact
Dermatits
Pathophysiology
 Exposure to allergens
 IgE antibodies
production
 Release of histamine,
cytokines, platelet
activating factors
 Sign & symptoms
appear
Typical Sites of Eczema
Characteristic Signs of
Eczema
Clinical Manifestations
Acute Stage
• Intense
Prurits
• Erosions with
Exudates
Sub Acute
Stage
• Erythematous
Skin
• Scaling
Papules
Chronic
Stage
• Thickened
Skin and
Cracks
• Fibrotic
Papules
Stages of Eczema
Chronic Stage
 Acute Stage
 Sub Acute Stage
Treatment
 Medications
◦ Topical
corticosteroids
◦ Occlusives ,tar
preparations,
emollients etc.
◦ Systemic
Medications like
antibiotics and
antihistamines
Nursing Management
 Assess the client with dermatitis for bathing
habits, use of moisturizers, medication
regiment, exposure to known allergens,
environmental exposure.
 Hydrate the skin:
Daily skin care that hydrates and lubricates
the skin should be done.
 Remove Allergens:
Allergens, food, aeroallergens and emotional
stress
Allergy
Allergy
Allergy

More Related Content

What's hot (20)

Skin infections
Skin infectionsSkin infections
Skin infections
 
Dermatitis
DermatitisDermatitis
Dermatitis
 
Drugs used in skin disorders- Mr. Panneh
Drugs used in skin disorders- Mr. PannehDrugs used in skin disorders- Mr. Panneh
Drugs used in skin disorders- Mr. Panneh
 
Allergy
AllergyAllergy
Allergy
 
Alopecia
Alopecia Alopecia
Alopecia
 
Wound healing
Wound healingWound healing
Wound healing
 
Eczema
EczemaEczema
Eczema
 
Alopecia
Alopecia Alopecia
Alopecia
 
Skin diseases disorders conditions
Skin diseases disorders conditionsSkin diseases disorders conditions
Skin diseases disorders conditions
 
Psoriasis
PsoriasisPsoriasis
Psoriasis
 
Psoriasis
PsoriasisPsoriasis
Psoriasis
 
Inflammation
InflammationInflammation
Inflammation
 
Psoriasis
PsoriasisPsoriasis
Psoriasis
 
Alopecia
AlopeciaAlopecia
Alopecia
 
Acne vulgaris
Acne vulgarisAcne vulgaris
Acne vulgaris
 
Inflammation
InflammationInflammation
Inflammation
 
Leukemia
LeukemiaLeukemia
Leukemia
 
Introduction to allergy
Introduction to allergyIntroduction to allergy
Introduction to allergy
 
Dermatitis
Dermatitis Dermatitis
Dermatitis
 
Frost bite
Frost biteFrost bite
Frost bite
 

Similar to Allergy

Ig e mediated diseases dr. ihsan alsaimary
Ig e mediated diseases dr. ihsan alsaimaryIg e mediated diseases dr. ihsan alsaimary
Ig e mediated diseases dr. ihsan alsaimarydr.Ihsan alsaimary
 
Allergic reactions.pptx
 Allergic reactions.pptx Allergic reactions.pptx
Allergic reactions.pptxhayatalakoum1
 
Allergic or Hypersensitivity Reactions.pptx
Allergic or Hypersensitivity Reactions.pptxAllergic or Hypersensitivity Reactions.pptx
Allergic or Hypersensitivity Reactions.pptxSIRAJUDDIN MOLLA
 
Immuno disorders
Immuno disordersImmuno disorders
Immuno disordersArifa T N
 
Allergy and Anaphylaxis..pptx
Allergy and Anaphylaxis..pptxAllergy and Anaphylaxis..pptx
Allergy and Anaphylaxis..pptxssuser71d7b1
 
Hypersensitivity (Allergy) - Drug allergy, Contact dermatitis, Allergic asthma
Hypersensitivity (Allergy) - Drug allergy, Contact dermatitis, Allergic asthmaHypersensitivity (Allergy) - Drug allergy, Contact dermatitis, Allergic asthma
Hypersensitivity (Allergy) - Drug allergy, Contact dermatitis, Allergic asthmaAvinandan Jana
 
Hypersensitivity seminar.ppt
Hypersensitivity seminar.pptHypersensitivity seminar.ppt
Hypersensitivity seminar.pptGomathi Gomu
 
Immunity, immune def, hypersensitivity
Immunity, immune def, hypersensitivityImmunity, immune def, hypersensitivity
Immunity, immune def, hypersensitivityRaNa MB
 
Immune system disorders
Immune system disorders Immune system disorders
Immune system disorders deepak patel
 
Hypersensitivity Reactions with an Overview on Anaphylaxis
Hypersensitivity Reactions with an Overview on AnaphylaxisHypersensitivity Reactions with an Overview on Anaphylaxis
Hypersensitivity Reactions with an Overview on AnaphylaxisVarshil Mehta
 
hypersensitivityreactionscld-130203182150-phpapp01.pptx
hypersensitivityreactionscld-130203182150-phpapp01.pptxhypersensitivityreactionscld-130203182150-phpapp01.pptx
hypersensitivityreactionscld-130203182150-phpapp01.pptxSanskriti Shah
 
Allergy Power Point Presentation
Allergy Power Point PresentationAllergy Power Point Presentation
Allergy Power Point Presentationguestc513e4b
 

Similar to Allergy (20)

Ig e mediated diseases dr. ihsan alsaimary
Ig e mediated diseases dr. ihsan alsaimaryIg e mediated diseases dr. ihsan alsaimary
Ig e mediated diseases dr. ihsan alsaimary
 
Allergic reactions.pptx
 Allergic reactions.pptx Allergic reactions.pptx
Allergic reactions.pptx
 
Unit IV
Unit IVUnit IV
Unit IV
 
Allergic or Hypersensitivity Reactions.pptx
Allergic or Hypersensitivity Reactions.pptxAllergic or Hypersensitivity Reactions.pptx
Allergic or Hypersensitivity Reactions.pptx
 
Immuno disorders
Immuno disordersImmuno disorders
Immuno disorders
 
Allergy and Anaphylaxis..pptx
Allergy and Anaphylaxis..pptxAllergy and Anaphylaxis..pptx
Allergy and Anaphylaxis..pptx
 
Hypersensitivity (Allergy) - Drug allergy, Contact dermatitis, Allergic asthma
Hypersensitivity (Allergy) - Drug allergy, Contact dermatitis, Allergic asthmaHypersensitivity (Allergy) - Drug allergy, Contact dermatitis, Allergic asthma
Hypersensitivity (Allergy) - Drug allergy, Contact dermatitis, Allergic asthma
 
food Allergy.pptx
food Allergy.pptxfood Allergy.pptx
food Allergy.pptx
 
Hypersensitivity
HypersensitivityHypersensitivity
Hypersensitivity
 
allergy.pptx
allergy.pptxallergy.pptx
allergy.pptx
 
Hypersensitivity seminar.ppt
Hypersensitivity seminar.pptHypersensitivity seminar.ppt
Hypersensitivity seminar.ppt
 
Introduction of Allergy official.pptx
Introduction of Allergy official.pptxIntroduction of Allergy official.pptx
Introduction of Allergy official.pptx
 
Immunity, immune def, hypersensitivity
Immunity, immune def, hypersensitivityImmunity, immune def, hypersensitivity
Immunity, immune def, hypersensitivity
 
Immune system disorders
Immune system disorders Immune system disorders
Immune system disorders
 
allergies due to food
allergies due to foodallergies due to food
allergies due to food
 
Hypersensitivity Reactions with an Overview on Anaphylaxis
Hypersensitivity Reactions with an Overview on AnaphylaxisHypersensitivity Reactions with an Overview on Anaphylaxis
Hypersensitivity Reactions with an Overview on Anaphylaxis
 
Hypersensitivity
HypersensitivityHypersensitivity
Hypersensitivity
 
hypersensitivityreactionscld-130203182150-phpapp01.pptx
hypersensitivityreactionscld-130203182150-phpapp01.pptxhypersensitivityreactionscld-130203182150-phpapp01.pptx
hypersensitivityreactionscld-130203182150-phpapp01.pptx
 
Allergy Power Point Presentation
Allergy Power Point PresentationAllergy Power Point Presentation
Allergy Power Point Presentation
 
Excuse Me, Is this Allergen Free
Excuse Me, Is this Allergen FreeExcuse Me, Is this Allergen Free
Excuse Me, Is this Allergen Free
 

More from SANJAY SIR

UNIT-5: CONGENITAL MALFORMATION IN PAEDIATRIC
UNIT-5: CONGENITAL MALFORMATION IN PAEDIATRICUNIT-5: CONGENITAL MALFORMATION IN PAEDIATRIC
UNIT-5: CONGENITAL MALFORMATION IN PAEDIATRICSANJAY SIR
 
UNIT- II, SKELETAL SYSTEM BY SANJAY SIR
UNIT- II, SKELETAL SYSTEM BY SANJAY SIRUNIT- II, SKELETAL SYSTEM BY SANJAY SIR
UNIT- II, SKELETAL SYSTEM BY SANJAY SIRSANJAY SIR
 
Unit iv -NERVOUS SYSTEM- SANJAY SIR
Unit  iv -NERVOUS SYSTEM- SANJAY SIRUnit  iv -NERVOUS SYSTEM- SANJAY SIR
Unit iv -NERVOUS SYSTEM- SANJAY SIRSANJAY SIR
 
PREVENTION OF CORONA VIRUS INFECTION AMONG HEALTH WORKERS & PATIENTS
PREVENTION OF CORONA VIRUS INFECTION AMONG HEALTH WORKERS & PATIENTSPREVENTION OF CORONA VIRUS INFECTION AMONG HEALTH WORKERS & PATIENTS
PREVENTION OF CORONA VIRUS INFECTION AMONG HEALTH WORKERS & PATIENTSSANJAY SIR
 
Unit 10 body mechanics foundation
Unit  10 body mechanics foundationUnit  10 body mechanics foundation
Unit 10 body mechanics foundationSANJAY SIR
 
Dimension of health
Dimension of healthDimension of health
Dimension of healthSANJAY SIR
 
RESEARCH PROPOSAL
RESEARCH PROPOSALRESEARCH PROPOSAL
RESEARCH PROPOSALSANJAY SIR
 
BED SIDE MANAGEMENT OF PATIENT
BED SIDE MANAGEMENT OF PATIENTBED SIDE MANAGEMENT OF PATIENT
BED SIDE MANAGEMENT OF PATIENTSANJAY SIR
 
Basic Antenatal Care
Basic Antenatal Care Basic Antenatal Care
Basic Antenatal Care SANJAY SIR
 
2. unit no iii dynamic of disease, Community Health Nursing
2. unit no iii dynamic of disease, Community Health Nursing2. unit no iii dynamic of disease, Community Health Nursing
2. unit no iii dynamic of disease, Community Health NursingSANJAY SIR
 
Care of normal new born baby
Care of normal new born babyCare of normal new born baby
Care of normal new born babySANJAY SIR
 
Congenital anomaly of urinary system.
Congenital anomaly of urinary system.Congenital anomaly of urinary system.
Congenital anomaly of urinary system.SANJAY SIR
 
Job discription(Role & Responsibilities) of Nursing Officer/Nursing staff
 Job discription(Role & Responsibilities) of  Nursing Officer/Nursing staff Job discription(Role & Responsibilities) of  Nursing Officer/Nursing staff
Job discription(Role & Responsibilities) of Nursing Officer/Nursing staffSANJAY SIR
 
PREVENTION OF ACCIDENTS AMONG CHILDRENS.
PREVENTION OF ACCIDENTS AMONG CHILDRENS. PREVENTION OF ACCIDENTS AMONG CHILDRENS.
PREVENTION OF ACCIDENTS AMONG CHILDRENS. SANJAY SIR
 
Unit 2 healthy child
Unit 2 healthy childUnit 2 healthy child
Unit 2 healthy childSANJAY SIR
 
Baby friendly concept
Baby friendly conceptBaby friendly concept
Baby friendly conceptSANJAY SIR
 
Elderly care-in-india-changing-perspectives
Elderly care-in-india-changing-perspectivesElderly care-in-india-changing-perspectives
Elderly care-in-india-changing-perspectivesSANJAY SIR
 
STRESS & ITS MANAGEMENT
STRESS & ITS MANAGEMENTSTRESS & ITS MANAGEMENT
STRESS & ITS MANAGEMENTSANJAY SIR
 
Counselling of people living with HIV/AIDS
Counselling of people living with HIV/AIDSCounselling of people living with HIV/AIDS
Counselling of people living with HIV/AIDSSANJAY SIR
 

More from SANJAY SIR (20)

UNIT-5: CONGENITAL MALFORMATION IN PAEDIATRIC
UNIT-5: CONGENITAL MALFORMATION IN PAEDIATRICUNIT-5: CONGENITAL MALFORMATION IN PAEDIATRIC
UNIT-5: CONGENITAL MALFORMATION IN PAEDIATRIC
 
UNIT- II, SKELETAL SYSTEM BY SANJAY SIR
UNIT- II, SKELETAL SYSTEM BY SANJAY SIRUNIT- II, SKELETAL SYSTEM BY SANJAY SIR
UNIT- II, SKELETAL SYSTEM BY SANJAY SIR
 
Unit iv -NERVOUS SYSTEM- SANJAY SIR
Unit  iv -NERVOUS SYSTEM- SANJAY SIRUnit  iv -NERVOUS SYSTEM- SANJAY SIR
Unit iv -NERVOUS SYSTEM- SANJAY SIR
 
PREVENTION OF CORONA VIRUS INFECTION AMONG HEALTH WORKERS & PATIENTS
PREVENTION OF CORONA VIRUS INFECTION AMONG HEALTH WORKERS & PATIENTSPREVENTION OF CORONA VIRUS INFECTION AMONG HEALTH WORKERS & PATIENTS
PREVENTION OF CORONA VIRUS INFECTION AMONG HEALTH WORKERS & PATIENTS
 
Unit 10 body mechanics foundation
Unit  10 body mechanics foundationUnit  10 body mechanics foundation
Unit 10 body mechanics foundation
 
Dimension of health
Dimension of healthDimension of health
Dimension of health
 
RESEARCH PROPOSAL
RESEARCH PROPOSALRESEARCH PROPOSAL
RESEARCH PROPOSAL
 
BED SIDE MANAGEMENT OF PATIENT
BED SIDE MANAGEMENT OF PATIENTBED SIDE MANAGEMENT OF PATIENT
BED SIDE MANAGEMENT OF PATIENT
 
Basic Antenatal Care
Basic Antenatal Care Basic Antenatal Care
Basic Antenatal Care
 
2. unit no iii dynamic of disease, Community Health Nursing
2. unit no iii dynamic of disease, Community Health Nursing2. unit no iii dynamic of disease, Community Health Nursing
2. unit no iii dynamic of disease, Community Health Nursing
 
Care of normal new born baby
Care of normal new born babyCare of normal new born baby
Care of normal new born baby
 
Thalassamia
ThalassamiaThalassamia
Thalassamia
 
Congenital anomaly of urinary system.
Congenital anomaly of urinary system.Congenital anomaly of urinary system.
Congenital anomaly of urinary system.
 
Job discription(Role & Responsibilities) of Nursing Officer/Nursing staff
 Job discription(Role & Responsibilities) of  Nursing Officer/Nursing staff Job discription(Role & Responsibilities) of  Nursing Officer/Nursing staff
Job discription(Role & Responsibilities) of Nursing Officer/Nursing staff
 
PREVENTION OF ACCIDENTS AMONG CHILDRENS.
PREVENTION OF ACCIDENTS AMONG CHILDRENS. PREVENTION OF ACCIDENTS AMONG CHILDRENS.
PREVENTION OF ACCIDENTS AMONG CHILDRENS.
 
Unit 2 healthy child
Unit 2 healthy childUnit 2 healthy child
Unit 2 healthy child
 
Baby friendly concept
Baby friendly conceptBaby friendly concept
Baby friendly concept
 
Elderly care-in-india-changing-perspectives
Elderly care-in-india-changing-perspectivesElderly care-in-india-changing-perspectives
Elderly care-in-india-changing-perspectives
 
STRESS & ITS MANAGEMENT
STRESS & ITS MANAGEMENTSTRESS & ITS MANAGEMENT
STRESS & ITS MANAGEMENT
 
Counselling of people living with HIV/AIDS
Counselling of people living with HIV/AIDSCounselling of people living with HIV/AIDS
Counselling of people living with HIV/AIDS
 

Recently uploaded

Call Girls Hyderabad Kirti 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Kirti 9907093804 Independent Escort Service HyderabadCall Girls Hyderabad Kirti 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Kirti 9907093804 Independent Escort Service Hyderabaddelhimodelshub1
 
Russian Call Girls in Hyderabad Ishita 9907093804 Independent Escort Service ...
Russian Call Girls in Hyderabad Ishita 9907093804 Independent Escort Service ...Russian Call Girls in Hyderabad Ishita 9907093804 Independent Escort Service ...
Russian Call Girls in Hyderabad Ishita 9907093804 Independent Escort Service ...delhimodelshub1
 
VIP Call Girl Sector 25 Gurgaon Just Call Me 9899900591
VIP Call Girl Sector 25 Gurgaon Just Call Me 9899900591VIP Call Girl Sector 25 Gurgaon Just Call Me 9899900591
VIP Call Girl Sector 25 Gurgaon Just Call Me 9899900591adityaroy0215
 
Hot Call Girl In Ludhiana 👅🥵 9053'900678 Call Girls Service In Ludhiana
Hot  Call Girl In Ludhiana 👅🥵 9053'900678 Call Girls Service In LudhianaHot  Call Girl In Ludhiana 👅🥵 9053'900678 Call Girls Service In Ludhiana
Hot Call Girl In Ludhiana 👅🥵 9053'900678 Call Girls Service In LudhianaRussian Call Girls in Ludhiana
 
indian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana Tulsi
indian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana Tulsiindian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana Tulsi
indian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana TulsiHigh Profile Call Girls Chandigarh Aarushi
 
Call Girls LB Nagar 7001305949 all area service COD available Any Time
Call Girls LB Nagar 7001305949 all area service COD available Any TimeCall Girls LB Nagar 7001305949 all area service COD available Any Time
Call Girls LB Nagar 7001305949 all area service COD available Any Timedelhimodelshub1
 
Call Girl Hyderabad Madhuri 9907093804 Independent Escort Service Hyderabad
Call Girl Hyderabad Madhuri 9907093804 Independent Escort Service HyderabadCall Girl Hyderabad Madhuri 9907093804 Independent Escort Service Hyderabad
Call Girl Hyderabad Madhuri 9907093804 Independent Escort Service Hyderabaddelhimodelshub1
 
Jalandhar Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...
Jalandhar  Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...Jalandhar  Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...
Jalandhar Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...Call Girls Service Chandigarh Ayushi
 
VIP Call Girls Sector 67 Gurgaon Just Call Me 9711199012
VIP Call Girls Sector 67 Gurgaon Just Call Me 9711199012VIP Call Girls Sector 67 Gurgaon Just Call Me 9711199012
VIP Call Girls Sector 67 Gurgaon Just Call Me 9711199012Call Girls Service Gurgaon
 
Call Girl Raipur 9873940964 Book Hot And Sexy Girls
Call Girl Raipur 9873940964 Book Hot And Sexy GirlsCall Girl Raipur 9873940964 Book Hot And Sexy Girls
Call Girl Raipur 9873940964 Book Hot And Sexy Girlsddev2574
 
Call Girl Chandigarh Mallika ❤️🍑 9907093804 👄🫦 Independent Escort Service Cha...
Call Girl Chandigarh Mallika ❤️🍑 9907093804 👄🫦 Independent Escort Service Cha...Call Girl Chandigarh Mallika ❤️🍑 9907093804 👄🫦 Independent Escort Service Cha...
Call Girl Chandigarh Mallika ❤️🍑 9907093804 👄🫦 Independent Escort Service Cha...High Profile Call Girls Chandigarh Aarushi
 
hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...
hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...
hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...delhimodelshub1
 
Vip sexy Call Girls Service In Sector 137,9999965857 Young Female Escorts Ser...
Vip sexy Call Girls Service In Sector 137,9999965857 Young Female Escorts Ser...Vip sexy Call Girls Service In Sector 137,9999965857 Young Female Escorts Ser...
Vip sexy Call Girls Service In Sector 137,9999965857 Young Female Escorts Ser...Call Girls Noida
 
Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...
Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...
Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...Niamh verma
 
Leading transformational change: inner and outer skills
Leading transformational change: inner and outer skillsLeading transformational change: inner and outer skills
Leading transformational change: inner and outer skillsHelenBevan4
 
Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7
Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7
Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7Miss joya
 

Recently uploaded (20)

Call Girls Hyderabad Kirti 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Kirti 9907093804 Independent Escort Service HyderabadCall Girls Hyderabad Kirti 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Kirti 9907093804 Independent Escort Service Hyderabad
 
Russian Call Girls in Hyderabad Ishita 9907093804 Independent Escort Service ...
Russian Call Girls in Hyderabad Ishita 9907093804 Independent Escort Service ...Russian Call Girls in Hyderabad Ishita 9907093804 Independent Escort Service ...
Russian Call Girls in Hyderabad Ishita 9907093804 Independent Escort Service ...
 
#9711199012# African Student Escorts in Delhi 😘 Call Girls Delhi
#9711199012# African Student Escorts in Delhi 😘 Call Girls Delhi#9711199012# African Student Escorts in Delhi 😘 Call Girls Delhi
#9711199012# African Student Escorts in Delhi 😘 Call Girls Delhi
 
VIP Call Girl Sector 25 Gurgaon Just Call Me 9899900591
VIP Call Girl Sector 25 Gurgaon Just Call Me 9899900591VIP Call Girl Sector 25 Gurgaon Just Call Me 9899900591
VIP Call Girl Sector 25 Gurgaon Just Call Me 9899900591
 
Hot Call Girl In Ludhiana 👅🥵 9053'900678 Call Girls Service In Ludhiana
Hot  Call Girl In Ludhiana 👅🥵 9053'900678 Call Girls Service In LudhianaHot  Call Girl In Ludhiana 👅🥵 9053'900678 Call Girls Service In Ludhiana
Hot Call Girl In Ludhiana 👅🥵 9053'900678 Call Girls Service In Ludhiana
 
indian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana Tulsi
indian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana Tulsiindian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana Tulsi
indian Call Girl Panchkula ❤️🍑 9907093804 Low Rate Call Girls Ludhiana Tulsi
 
Call Girls LB Nagar 7001305949 all area service COD available Any Time
Call Girls LB Nagar 7001305949 all area service COD available Any TimeCall Girls LB Nagar 7001305949 all area service COD available Any Time
Call Girls LB Nagar 7001305949 all area service COD available Any Time
 
Call Girl Hyderabad Madhuri 9907093804 Independent Escort Service Hyderabad
Call Girl Hyderabad Madhuri 9907093804 Independent Escort Service HyderabadCall Girl Hyderabad Madhuri 9907093804 Independent Escort Service Hyderabad
Call Girl Hyderabad Madhuri 9907093804 Independent Escort Service Hyderabad
 
Jalandhar Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...
Jalandhar  Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...Jalandhar  Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...
Jalandhar Female Call Girls Contact Number 9053900678 💚Jalandhar Female Call...
 
College Call Girls Dehradun Kavya 🔝 7001305949 🔝 📍 Independent Escort Service...
College Call Girls Dehradun Kavya 🔝 7001305949 🔝 📍 Independent Escort Service...College Call Girls Dehradun Kavya 🔝 7001305949 🔝 📍 Independent Escort Service...
College Call Girls Dehradun Kavya 🔝 7001305949 🔝 📍 Independent Escort Service...
 
VIP Call Girls Sector 67 Gurgaon Just Call Me 9711199012
VIP Call Girls Sector 67 Gurgaon Just Call Me 9711199012VIP Call Girls Sector 67 Gurgaon Just Call Me 9711199012
VIP Call Girls Sector 67 Gurgaon Just Call Me 9711199012
 
Call Girl Raipur 9873940964 Book Hot And Sexy Girls
Call Girl Raipur 9873940964 Book Hot And Sexy GirlsCall Girl Raipur 9873940964 Book Hot And Sexy Girls
Call Girl Raipur 9873940964 Book Hot And Sexy Girls
 
Call Girl Chandigarh Mallika ❤️🍑 9907093804 👄🫦 Independent Escort Service Cha...
Call Girl Chandigarh Mallika ❤️🍑 9907093804 👄🫦 Independent Escort Service Cha...Call Girl Chandigarh Mallika ❤️🍑 9907093804 👄🫦 Independent Escort Service Cha...
Call Girl Chandigarh Mallika ❤️🍑 9907093804 👄🫦 Independent Escort Service Cha...
 
hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...
hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...
hyderabad call girl.pdfRussian Call Girls in Hyderabad Amrita 9907093804 Inde...
 
Call Girl Lucknow Gauri 🔝 8923113531 🔝 🎶 Independent Escort Service Lucknow
Call Girl Lucknow Gauri 🔝 8923113531  🔝 🎶 Independent Escort Service LucknowCall Girl Lucknow Gauri 🔝 8923113531  🔝 🎶 Independent Escort Service Lucknow
Call Girl Lucknow Gauri 🔝 8923113531 🔝 🎶 Independent Escort Service Lucknow
 
Vip sexy Call Girls Service In Sector 137,9999965857 Young Female Escorts Ser...
Vip sexy Call Girls Service In Sector 137,9999965857 Young Female Escorts Ser...Vip sexy Call Girls Service In Sector 137,9999965857 Young Female Escorts Ser...
Vip sexy Call Girls Service In Sector 137,9999965857 Young Female Escorts Ser...
 
Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...
Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...
Call Girls Service Chandigarh Gori WhatsApp ❤9115573837 VIP Call Girls Chandi...
 
Leading transformational change: inner and outer skills
Leading transformational change: inner and outer skillsLeading transformational change: inner and outer skills
Leading transformational change: inner and outer skills
 
Russian Call Girls South Delhi 9711199171 discount on your booking
Russian Call Girls South Delhi 9711199171 discount on your bookingRussian Call Girls South Delhi 9711199171 discount on your booking
Russian Call Girls South Delhi 9711199171 discount on your booking
 
Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7
Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7
Vip Kolkata Call Girls Cossipore 👉 8250192130 ❣️💯 Available With Room 24×7
 

Allergy