Interesting information from allergist today!

Posted on: Thu, 11/11/2004 - 4:14am
Carefulmom's picture
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Joined: 01/03/2002 - 09:00

DD who is 9 saw the allergist today for her cranberry challenge which she passed. While we were talking during the twenty minutes between bites, he said her chances are 50% of outgrowing the pa. I was really surprised as she is a class 4 CAP RAST, and I know she is really sensitive because she had a reaction to a product made on shared equipment with peanuts and not stated. Anyhow, he said that the 20% of people who outgrow pa is for ALL people allergic to peanuts, but if there are no exposures the chance is actually 50% of outgrowing it. He said he has patients who, for example, decide to give their child a small bite of pb to see if the child is still allergic, and those people are the ones unlikely to outgrow the pa. But he said if you are very careful to avoid exposures, new research shows that your chance of outgrowing it is 50%. He is on staff at UCLA and is always quoting the latest studies and Dr. Sampson, so I think this information is probably correct. He also is doing studies on Xolair and pa, and said it looks really promising. He thinks in 3 to 4 years it will be available to the public for pa.

Posted on: Thu, 11/11/2004 - 5:29am
michaelsmom's picture
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Joined: 11/10/2004 - 09:00

Congratulations on the successful cranberry challenge. The news on the chances of outgrowing the allergy is wonderful. My son (6 years old) does not seem to be very sensitive to peanuts. Although he is a class 6 CAP RAST and a 4+ skin test, he has had very few real world incidents. As a result, our comfort zone is significantly wider than that for many people who post on this board. While I am pretty confident that he does not ingest peanut products, he may get topical exposure. He does not sit at peanut free table at school, he has gone to a base ball game with peanuts everywhere, etc. Did your allergist define what is meant by "exposure".

Posted on: Thu, 11/11/2004 - 5:40am
Carefulmom's picture
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He did not actually define it, but from the examples he gave I think he means ingestion. He was referring to people letting their kids try peanut butter, or taking a chance on food in a restaurant without checking ingredients, etc. He didn`t say anything about airborne or contact exposures. My daughter does sit at a peanut free table, so I did not really ask him about that.

Posted on: Thu, 11/11/2004 - 7:07am
mcmom's picture
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Joined: 06/15/2004 - 09:00

Thanks for sharing that! I like to hear stuff like that, it helps me explain to people (read: mother-in-law!) why I am hyper vigilant with my son.
Congrats on your daughter passing her challenge! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Thu, 11/11/2004 - 7:19am
mommyofmatt's picture
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Joined: 03/12/2004 - 09:00

Interesting tidbit. I like those statistics MUCH better [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img] Here's to hoping our kids outgrow no matter what the statistic!!!
Congrats on another food challenge passed [img]http://uumor.pair.com/nutalle2/peanutallergy/biggrin.gif[/img]
------------------
***[b] ALLERGY ELIMINATOR*** [/b]
Meg, mom to:
Matt 2 yrs. PA,MA,EA
Sean 2 yrs. NKA

Posted on: Thu, 11/11/2004 - 8:34am
Sarahfran's picture
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Joined: 06/08/2000 - 09:00

This strikes me as the sort of information that could be helpful when dealing with schools who are unwilling to do much in the way of accomodating children with allergies. They are obviously not moved by how dangerous it can be for our children to be around peanut products, so maybe they'd be moved by how *beneficial* it can be to reduce the risk of exposure. The obvious benefit is to the kids themselves, but in the long run, the school would benefit by having fewer children with allergy problems.
I would define "exposure" not to just eating peanut products, but to anything that causes an allergic reaction since obviously the body is responding regardless of whether the food was ingested or not. If that's the case, we're doomed--my DD has been breaking out in hives around her mouth whenever she is in the Catholic school cafeteria (which is where the kids gather to go to religious ed. classes on Sundays and where lots of other group activities take place).
Sarah

Posted on: Sat, 11/13/2004 - 8:05am
Darkmage's picture
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Joined: 10/01/2004 - 09:00

I love hearing this stuff! However I am going to assume that my son won't outgrow it, and then if he does I will be wildly happy! [img]http://uumor.pair.com/nutalle2/peanutallergy/biggrin.gif[/img]
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[i][b]Allergy Patrol Novice[/b][/i]

Posted on: Sat, 11/13/2004 - 8:39am
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Joined: 05/28/2009 - 16:42

Awesome news, carefulmom!!! What a celebration to cross an allergy off the list. About the possiblity of outgrowing PA, you give us a little hope too....
Since I am new to this, I wonder about the breastmilk exposure thing-like if that will be against us being in that hopeful percentage. Did you happen to expose you child through breastmilk? Or, hopefully for me, you doc means from the point of diagnosis regardless of prior exposure, if you can keep future exposures nill you have that hope?

Posted on: Wed, 11/17/2004 - 9:47am
deegann's picture
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Joined: 07/27/2003 - 09:00

What is the name of your allergist? I'm in Orange County and wouldn't mind the drive when I have my son retested in a few years. It would be nice to go to a doctor who really knows his "stuff" about PA.

Posted on: Wed, 11/17/2004 - 1:16pm
Carefulmom's picture
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Joined: 01/03/2002 - 09:00

Little Noah`s Mommy, I did expose her through breast milk. Way back then (9 years ago) they did not know that peanut protein is excreted in breast milk. And she has all those exposures from the product on shared equipment and not stated. After the reaction 2 1/2 years ago, she has had no exposures since---and I am really pretty sure of that.
Deegan, his name is Dr. Howard Schanker. Phone is (310) 312-5050. He is in West L.A. He is awesome, and definitely worth the drive.

Posted on: Thu, 11/18/2004 - 12:10am
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Joined: 05/28/2009 - 16:42

So Carefulmom, it sounds like you are thinking that due to the exposures thru breastmilk, your daughter may not be in that glorious 20% to 'outgrow' PA? And her other exposures were due to having a food that was x contaminated due to shared equipment? I am sure you posted about these at the time, but may I ask what she had & how you found out later it was xcontam? And to think it sent her into a reaction---did she need the epi and the ER? Knowing a bit about it may help me explain to the inlaws and family the seriousness of even having something that may have been on shared equipment & x contaminated....and how having that happen could maybe affect the child's future allergy prognosis. Thanks for sharing!

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