Hello and questions

Posted on: Tue, 07/13/2004 - 11:55am
Laifong's picture
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Joined: 07/12/2004 - 09:00

Hello!
I became a member a few months ago. My 2 year old son tested positive for PA by RAST and the skin prick test. He's had eczema since he was 4 months old and that was why he was tested for food allergies. His RAST result for peanut was 2. He has never eaten peanuts so we don't know how he would actually react to it. I've been living like his PA is life threatening, but the uncertainty of the severity of his PA really bothers me. His allergist said that he should only be tested again in a few years. As long as the skin prick is positive, the food challlenge is not an option. I understand that the immune system is not fully developed until age 5 or so, but after that, if he's still positive (but with low peanut-specific IgE), can food challenge be considered? Is anyone in a similar situation? We're seeing a new allergist next week (I selected him thanks to some recommendations from this discussion board) and I will discuss these issues with him, but I'd appreciate another parent's thoughts on this.
Thanks!
Laifong

Posted on: Wed, 07/14/2004 - 12:10am
cooper's picture
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Joined: 12/20/2002 - 09:00

Laifong, My son's PA/TNA situation is very different, so I'm sorry I don't have any words of wisdom for you. Just wanted to say hello and welcome from a fellow Massachusetts poster.

Posted on: Wed, 07/14/2004 - 1:08am
California Mom's picture
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Joined: 07/14/2000 - 09:00

laifong, I think you have gotten good advice from your child's doctor thus far. I know it is tempting to look into the future and try to plan a course of action. However, my advice is to continue to live the way you are: as though his pa is life threatening, and wait to make your next move until he is five. You never know what may happen between now and then.
He may end up with an accidental exposure which would give you further information. I'm not recommending this, believe me. Just noting that these things do happen.
If he has no exposure before age five I would suggest having another RAST test done. If that is negative then I would probably go ahead with a medically supervised food challenge. (Our allergist believes that a skin test can continue to give a "false" positive even after an allergy has been outgrown.)
Good luck, I know that the thought of a life long, life threatening condition feels overwhelming and the desire is strong to plan and hope for the best outcome. My hopes have been dashed enough by now (my pa and tna daughter is nine) that I am pretty well resigned to a permanent situation.
Take care,
[img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img] Miriam
P.S. If it is any consolation: although my daughter has had some severe reactions to peanuts and walnuts, none have been life threatening. (Knock on wood) We are always prepared but have not had to use an epipen. As time passes I feel that her allergies are much more manageable than I had feared when she was younger. She is able to do just about everything the other kids can - she just has to be more cautious about what she eats and always have her epipen with her. I have been pleasantly surprised a number of times that events/activities that I thought would be difficult for her have turned out to be fine. So, in my experience it does get easier.
[This message has been edited by California Mom (edited July 14, 2004).]

Posted on: Wed, 07/14/2004 - 11:34am
happymomof2amk's picture
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Joined: 11/01/2003 - 09:00

Hi! My dd's situation is somewhat similar. She has had eczema since she was 6 weeks old. We never knew food allergies could cause eczema or irritate until sometime after she was a year old.
I now know that this wasn't a good idea but we gave her things containing peanuts and other nuts a lot until we found out about her allergy. At 18 mos we finally got her rast tested and she was a 4 or 5 to peanuts. She had a few high scores to other things and low scores to almost everything she was tested for. Then she had skin or scratch testing I think she had both types. She had a large wheal to peanuts, cashews, and walnuts.
We treated her as if she had severe allergy to peanuts and treenuts. For a year we did this and I always doubted that she had any allergies because she had never had any reactions. So she had a food challenge at 3 years old. When she ingested the peanut butter she got a huge hive that covered her cheek. Ever since that stupid food challenge she has been getting hives with no explanation.
Allergies are the most confusing frustrating thing ever. I hope some of this info helps you. Good luck!
Angie &
Hunter PA, TNA, possible pet and enviromental allergies

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