Food Challenge - Egg

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Well, my ds's allergist wants to do a food challenge for egg in July. My son will be 3 years old. He was skin tested for egg at 9 months old (allergies run in the family and he had TONS of execma)...he was a 4+. He was then skin tested again at about 18 months and was barely a 1. The doctor said she considered it negative and I could give egg at home. Needless to say, I never did as I was too afraid...He was just blood tested (yes, CAP RAST) and it said egg was a Class 4. The allergist now wants to challenge my ds in her office. I do not find her agressive--she is very systematic and conservative, BUT I am a bit concerned. I guess I thought that the CAP RAST was the god standard for testing..so if that is saying a Class 4, I wonder? However, I have heard that skin testing can be more reliable and he went from a 4+ to a 1. Any thoughts? She just says that we do need to know if he can tolerate egg b/c we should not avoid it (dietary wise) if he is able to eat it. Thanks.

On May 5, 2004

Wow, thats a tough one. my pa ds was a class 2 for egg and his allergist told him to stay away from all egg that it is still considered serious. PA was a class 4 and I can't even imagine doing a food test for that. I wouldn't think that your ds without egg in his diet, have you done any research? I look forward to the other responses too

On May 5, 2004

Thanks for your response. I have to tell you that he tested Class 3 to peanuts and I would NEVER try that and the allergist would never as well. He has never been exposed to Peanuts as far as we know (not in pregnancy or bfeeding)...but had an analyphaltic exposure to something (cross contamination in a product that he eats all of the time). Dr. thinks it was milk or nuts. (he is touch sensitive to milk - spilled on him and got hives everywhere it touched!). Anyhow, I am going to ask my pediatrician his opinion. I really do love my allergist...but feel a bit uncomfortable with the challenge.

On May 5, 2004

I'm not sure what you should do, but just wanted to state one important fact. It is your child, and if you are uncomfortable, tell the dr. Your dr. can recommend, but you don't have to do it.

On May 6, 2004

I am going to talk to the pediatrician at my ds 3 year well visit to see what he thinks. Yes, I realize that I do not have to do this. Thanks [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

On May 6, 2004

every food challenge should be done in a hospital setting.

sarah

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