Back from allergist...

Posted on: Wed, 10/25/2006 - 7:39am
srujed's picture
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Joined: 09/05/2003 - 09:00

with ds#2. We went in for a possible reaction to babyfood peas(he is 9 months old). So we did SPT on him for several things including the peas, eggs, peanut, and tree nut as older brother is PA and EA. The only positive wheal came back for egg. So we are dealing with 2 kids with FAs now but only 1 with PA. I was so releieved to see the peanut prick not growing, disappointed that the egg came back positive... Still got the epis and everything for him just in case. We are going to have the blood testing done when he is a year old so for now its the normal avoidance of egg which we are already used to. Just wanted to share, thanks for reading!

Posted on: Wed, 10/25/2006 - 10:13am
melissa's picture
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Joined: 07/05/2004 - 09:00

Congrats! I hesitate to post this b/c I don't want to be a downer, but feel I should share my experience w/ you just as a cautionary tale. My DS was diagnosed by skin test at 9 mos w/ egg allergy after a reaction. At the time the allergist also tested pn which was neg. So when the ped told me at 15 mos to go ahead and give him pb, I did, and he reacted. I guess the first test was wrong...so I wish I had waited until he was at least 3...not sure it would have made a difference, but still wish that..
so, again, hope I didn't "bring you down", just wanted to caution you to wait if you can on the pn...
and sorry about egg allergy #2 but you're right, at least you know how to deal w/ that already!
Melissa

Posted on: Wed, 10/25/2006 - 11:09am
srujed's picture
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Joined: 09/05/2003 - 09:00

Thanks for your response, it was not a downer but actually a reality check that I was looking for. I am not getting my hopes up yet that he is definitely not PA, for some reason my gutt just tells me to be cautious. I will not be giving him any peanut anything anytime soon, that is my plan anyways. My biggest concern will be for when he is in preschool though which will be when he is 2 so I may have to try something before then so I know how to handle it with the school... Again thanks for your response!

Posted on: Thu, 10/26/2006 - 1:24am
MimiM's picture
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Joined: 10/10/2003 - 09:00

Srujed,
Don't try peanut before he goes to preschool. He may not be allergic to peanut now but if he already has one allergy (egg) he is automatically prone to other food allergies. I would wait until he is at least 3 if not 4 before introducing peanut.
My ds (now eight) was egg allergic (diagnosed at 10 mo.) Peanut was neg at that time. We avoided egg but also nuts strictly. At age 2, he still tested mildly pos. for egg but continued to be negative to peanut.
Two months after he was tested, we were at a friend's house and while playing with the little girls' toys, found a peanut and placed it in his mouth. I tried to fish as much out of his mouth as I could but he inevitably swallowed some. He had no reaction so I felt initially relieved but also scared because we really wanted to wait until he was 3 before trying it. Now he was officially exposed. Anyway, at the advice of our ped all., we continued to avoid.
At age 3, he had outgrown the egg allergy completely and we were told that we could try introducing nuts. I gave him various tree nuts without incident but peanut, he strongly resisted. After a few attempts to get him to eat it, I noticed hives. When retested, he was + for PA.
I truly believe that if he hadn't eaten that peanut that day at our friends' house, and we were able to avoid for another year or so, he might not be allergic today. Your son just may have not been exposed to it yet and therefore tests negative.
I know it's hard, but it will be worth it in the long run.

Posted on: Thu, 10/26/2006 - 2:49am
ceross's picture
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Joined: 01/27/2004 - 09:00

srujed,
I have a very similar experience to what others have posted. DD had a reaction to egg at 9 months and was tested. She tested positive to egg but negative to peanut at the time.
I didn't care for her first allergist, so we went to a new one the following year. This allergist retested her and this time she tested positive to peanut. The wheal for peanut was larger than egg. She was almost 2 then and I'd never given her PB; however, I'd given her Ritz Bits cheese crackers (which have peanut in them) and Annie's micro mac&cheese (which is cross-contaminated but not labeled). Those items likely sensitized. She had her first (and so far to date only) analphylactic reaction 9 months after testing positive (to what we're not sure but suspect a saltine). As the others have suggested, I would definitely restrict peanuts, nuts, and other highly allergenic foods.

Posted on: Thu, 10/26/2006 - 3:06am
srujed's picture
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Joined: 09/05/2003 - 09:00

Again, thanks for all of the replies. After reading all of your stories I will definitely be waiting till after 3 and probably longer to even think about introducing peanuts or any nuts for that matter. I will just treat him his PA and EA when he does go to school, they know the drill from his older brother so it should not be a problem. Thanks again!

Posted on: Thu, 10/26/2006 - 12:48pm
MimiM's picture
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Joined: 10/10/2003 - 09:00

If this helps at all, with younger ds, we had him flagged at school as "peanut precautions" as opposed to "peanut allergy".
The whole school is basically "nut free" anyway but I still inquired about every food related activity and made it very clear which foods were and were not safe (as much as I could). I explained to the teachers that by being a sibling of a child with PA, that he was automatically at high risk. This was well received and it worked out well.
Good luck!

Posted on: Wed, 10/25/2006 - 10:13am
melissa's picture
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Joined: 07/05/2004 - 09:00

Congrats! I hesitate to post this b/c I don't want to be a downer, but feel I should share my experience w/ you just as a cautionary tale. My DS was diagnosed by skin test at 9 mos w/ egg allergy after a reaction. At the time the allergist also tested pn which was neg. So when the ped told me at 15 mos to go ahead and give him pb, I did, and he reacted. I guess the first test was wrong...so I wish I had waited until he was at least 3...not sure it would have made a difference, but still wish that..
so, again, hope I didn't "bring you down", just wanted to caution you to wait if you can on the pn...
and sorry about egg allergy #2 but you're right, at least you know how to deal w/ that already!
Melissa

Posted on: Wed, 10/25/2006 - 11:09am
srujed's picture
Offline
Joined: 09/05/2003 - 09:00

Thanks for your response, it was not a downer but actually a reality check that I was looking for. I am not getting my hopes up yet that he is definitely not PA, for some reason my gutt just tells me to be cautious. I will not be giving him any peanut anything anytime soon, that is my plan anyways. My biggest concern will be for when he is in preschool though which will be when he is 2 so I may have to try something before then so I know how to handle it with the school... Again thanks for your response!

Posted on: Thu, 10/26/2006 - 1:24am
MimiM's picture
Offline
Joined: 10/10/2003 - 09:00

Srujed,
Don't try peanut before he goes to preschool. He may not be allergic to peanut now but if he already has one allergy (egg) he is automatically prone to other food allergies. I would wait until he is at least 3 if not 4 before introducing peanut.
My ds (now eight) was egg allergic (diagnosed at 10 mo.) Peanut was neg at that time. We avoided egg but also nuts strictly. At age 2, he still tested mildly pos. for egg but continued to be negative to peanut.
Two months after he was tested, we were at a friend's house and while playing with the little girls' toys, found a peanut and placed it in his mouth. I tried to fish as much out of his mouth as I could but he inevitably swallowed some. He had no reaction so I felt initially relieved but also scared because we really wanted to wait until he was 3 before trying it. Now he was officially exposed. Anyway, at the advice of our ped all., we continued to avoid.
At age 3, he had outgrown the egg allergy completely and we were told that we could try introducing nuts. I gave him various tree nuts without incident but peanut, he strongly resisted. After a few attempts to get him to eat it, I noticed hives. When retested, he was + for PA.
I truly believe that if he hadn't eaten that peanut that day at our friends' house, and we were able to avoid for another year or so, he might not be allergic today. Your son just may have not been exposed to it yet and therefore tests negative.
I know it's hard, but it will be worth it in the long run.

Posted on: Thu, 10/26/2006 - 2:49am
ceross's picture
Offline
Joined: 01/27/2004 - 09:00

srujed,
I have a very similar experience to what others have posted. DD had a reaction to egg at 9 months and was tested. She tested positive to egg but negative to peanut at the time.
I didn't care for her first allergist, so we went to a new one the following year. This allergist retested her and this time she tested positive to peanut. The wheal for peanut was larger than egg. She was almost 2 then and I'd never given her PB; however, I'd given her Ritz Bits cheese crackers (which have peanut in them) and Annie's micro mac&cheese (which is cross-contaminated but not labeled). Those items likely sensitized. She had her first (and so far to date only) analphylactic reaction 9 months after testing positive (to what we're not sure but suspect a saltine). As the others have suggested, I would definitely restrict peanuts, nuts, and other highly allergenic foods.

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