Ds has another stinking food allergy

Posted on: Wed, 11/22/2006 - 11:06am
mistey's picture
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Joined: 01/18/2004 - 09:00

A couple of weeks ago my ds has a flu shot. Two hours after the shot he had a couple of hives on his face. I gave him Benedryl and they cleared. Two hours later he had two hives on face and two on the neck. I gave him a bath and they went away. Two hours after that he started coughing violently (has pretty severe asthma but we thought it was well controlled) and then vomited once. I thought it was an ana reaction and wanted to epi. After he vomited dh gave him a neb of Xopenex. He was then fine. Called the peditrician and he said to take to ER for monitoring but not to use Epi because it wasn't a serious reaction. ER docs said he was fine with observation and eventually sent home. Peditrician wanted him tested for egg allergy.

Went to the allergist, well-known doc at large children's hospital. She stated that she did feel it was an ana reaction, but also said that epi wasn't warranted because it wasn't a serious reaction. Gave him a skin test, tested positive for egg, but wanted to also RAST test since ds has always been able to eat egg in the past. She said that his asthma isn't well controlled and increased his Flovent to two puffs of 110 twice daily when well, 3 times a day when sick.

So now I just feel like an idiot. Ds is 4 years old (5 in 3 weeks)and we are just starting to feel that we have a good hold on the asthma/allergy thing. But now he develops an allergy to something that he eats almost on a daily basis?!?! His asthma isn't well controlled? And to top it all off, when to use epi and when not to use epi? I always thought that an epi is to be used when there are 2 systems involved (in this case, hives, coughing and vomiting-3). Does it matter the severity? I always worry that I will "miss" an allergic reaction and then wait until it's too late.

I have heard about so many children outgrowing milk/egg/wheat/soy allergies around the age of 4-5-6 or so. I wasn't anticipating adding another to the list.

Posted on: Wed, 11/22/2006 - 11:38am
Daisy's picture
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Joined: 01/16/2006 - 09:00

<<>>
Nothing to comment on... but there is an interesting article on the "Research" section about the Duke Egg Study. (It's like the PN study.)
Take care,
Daisy

Posted on: Wed, 11/22/2006 - 12:00pm
mistey's picture
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I did read the article with intrest. The allergist refused to tell dh what class the skin test was. She said that she wanted to see the results of the RAST test. I have no idea why. Therefore, I don't know whether or not he can have egg baked in something. Or if he is allergic to the whites or the yolks or both. Blah, blah, blah. I guess we wait.

Posted on: Tue, 11/28/2006 - 2:07am
mistey's picture
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Joined: 01/18/2004 - 09:00

Ok- the skin test came back positive for egg, but said that she wouldn't tell us the class because she wanted to see the RAST results.
Results are in.. the egg was 0.40 and she wants to do an egg challenge.
We have just been dizzy with all this. Can someone please give thoughts about this all? I have a feeling that I'm not seeing the forest for the trees on this one. It's just been very confusing.

Posted on: Tue, 11/28/2006 - 2:39am
jtolpin's picture
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Joined: 05/28/2003 - 09:00

Whats to see?
A 5 yr old boy... Had he had the flu shot before? What WERE his allergies? History, etc...
He's dx'ed with asthma as well...
Class of SPT is moot. If he's positive, to me, and he's positive on the RAST (which he is, to both), to me.. he's allergic to egg, and a oral challenge is a bad idea.
Sorry on the results. But, egg allergy is easy. If you're reading labels anyways, adding egg is fine.
The only thing you cant eat is angel food cake.
Caitlins 6 now, and not showing signs of outgrowing any time soon. In fact, within the last few mths we pulled wheat out as well (we WERE given SOME wheat - limited quantity) as everything else.
Jason
------------------
[b]* Obsessed * [/b]

Posted on: Tue, 11/28/2006 - 4:14am
mistey's picture
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Joined: 01/18/2004 - 09:00

He was allergic to wheat, now eats *some*. He's also allergic to milk and of course peanuts.
He's had flu shots every year with no problem. He's eaten egg every year with no problem. At least until this last flu shot. He had a reaction that night and then a few night later he had 2 hives on his face where mayo was on his face from his sandwich.
The doctor skin tested. It was positive. The RAST came back at 0.40. Dr. still wants to do a challenge and I am worried about it. On one hand, he didn't have an ana reaction to the mayo and we don't want to eliminate a food that he used to be able to eat safely. BUT, if he is truely allergic, I don't want to do an egg challenge and have it end badly.
Sorry I wasn't clear.

Posted on: Tue, 11/28/2006 - 5:07am
jtolpin's picture
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Joined: 05/28/2003 - 09:00

It sounds like too many variables.
Flu shot has egg, yes. But also thimersol (sp)... or maybe the latex gloves were a factor.. or that the nurse had PB on her hands... ANYTHING.
Next time -- sandwich.. Maybe the food was xcontam, right?
The only way to tell if it IS an egg alelrgy is an oral challenge.
But if he eats eggs, no problem, then maybe hes not allergic to them (unless of course it IS a 'new' allergy)
Good luck!!
Jason
------------------
[b]* Obsessed * [/b]

Posted on: Tue, 11/28/2006 - 5:12am
mistey's picture
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I getcha. So would you let your daughter oral challenge even with a .40 skin test? I guess that is the only thing I'm worried about. It's REALLY low, but still a positive. Oral challenges are new territory for me [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img] .

Posted on: Tue, 11/28/2006 - 5:16am
jtolpin's picture
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Joined: 05/28/2003 - 09:00

Would [I]? In YOUR situation? I dont know.
I know [I] wouldn't feel comfy in situation...
I guess, I wouldnt. Id be too scared.
Jason
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[b]* Obsessed * [/b]

Posted on: Tue, 11/28/2006 - 5:38am
Momcat's picture
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Joined: 03/15/2005 - 09:00

Could eating "lesser" allergens such as wheat and egg be contributing to his asthma?
Maybe it would be worthwhile to pull both of those foods for a few weeks to see if there is an improvement in the asthma.
Cathy
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Mom to 7 yr old PA/TNA daughter and 3 1/2 yr old son who is allergic to eggs.

Posted on: Wed, 11/29/2006 - 4:08am
LDR's picture
LDR
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Joined: 09/28/2001 - 09:00

Given the information available, I wouldn't assume that egg is the culprit. Certaintly it's worth checking, but many people have bad reactions to the flu shot who are not allergic to egg. It also could be exposure to something else, or cross contamination, at or around the same time as the shot. Unfortunately, there are many variables to consider. If it were me, I'd opt for the food challenge with a physician present as opposed to taking on another food to avoid, perhaps unnecessarily. Hope all goes well.

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