Unique Challenges of Atopy Treatment in the Correctional Facility System: A Case Study

The United States houses one of the largest populations of incarcerated individuals in the world. By extension, the healthcare needs of incarcerated individuals are molded by the unique environmental and institutional circumstances that are less often a concern for the general nonincarcerated community. Conjugal visits pose a distinctive challenge for administration and physicians alike as this presents an intersection between the isolated, controlled correctional facility system and the broader, outside world. Here we present a case of severe urticaria and anaphylaxis associated with a patient’s conjugal visits as well as the challenges in management and treatment of atopy relative to the correctional facility system.