Oral Challenge

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Dr. Burks recommends an oral challange for my son!!

Last year his RAST was down to around 2 and he was just blood tested last week and is now a .8. He recommends that we do an oral challenge in August!

I am nervous but feel like we should do this. Any advice/experience w/ this?

I should mention that 3 years ago my son was a Class 6!

[This message has been edited by robinlp (edited June 27, 2006).]

On Jun 27, 2006

Wow! How exciting to even consider it... you must be so nervous.

Here's a recent thread about a successful challenge.

[url="http://uumor.pair.com/nutalle2/peanutallergy/Forum1/HTML/007913.html"]http://uumor.pair.com/nutalle2/peanutallergy/Forum1/HTML/007913.html[/url]

On Jun 27, 2006

Wow Robin! How exciting! We go to Dr. Burks as well. Was he surprised that your son's numbers dropped so much? We've done a "modified" challenge at Duke as part of the research study but I don't have any experience unfortunately w/ a challenge of this sort. Sorry I can't be of more help. Can you give us some more background info? your son's age? Other allergies? RAST scores in the past? Thanks, and good luck and keep us posted when you do the challenge! I do know they will be ultra cautious! Melissa

On Jun 27, 2006

Thanks Melissa!

Here is some background on him:

He was first diagnosed at 18 months (Jordan is now 5 1/2)...he had 2 anaphylactic reactions that required hospital stays...1 to PB and 1 to Kiwi fruit both around 18 months.

Oh, we don't test until August 22nd...so it'll be a long summer!

He also had severe eczema which we later contributed to an egg allergy of a high class 2. He also had a slight reaction (facial swelling and hives stopped w/ benadryl) to chicken and turkey and tested class 4 to poultry.

Now he is 5 and has outgrown all allergies but PB and Kiwi. So we are hopeful but cautious!

[This message has been edited by robinlp (edited June 27, 2006).]

On Jun 27, 2006

WOW!! We're hoping you get great results.

Can you share any special things you did with your child that may have helped to outgrow?

Keep us posted!

On Jun 27, 2006

The only thing special was that we stayed FAR away from any peanuts and any may contains. We didn't even let him around anyone eating it.

On Jun 27, 2006

DO NOT let the doctor do an oral challenge unless you SPT beforehand!!!

Since I haven't had a reaction for close to 20 years, I had a RAST to see if I had maybe outgrown. My RAST was .52, so I went to an allergist to get skin tested just to make sure before an oral challenge.

My peanut wheal was something huge, like 20 mm or something (I have to look at the sheet again). I asked her and she said wheals that size are definately positive and no way was it a false negative. So please don't test your child orally unless the SPT comes back negative or only slightly positive.

On Jun 27, 2006

yes, we will start that morning w/ a skin prick test and than do the challenge.

They tried to do the skin prick last visit before the blood test but they could not get a histamine reaction...so they'll do it in August before the food challenge.

Thanks!

On Jun 27, 2006

Quote:

Originally posted by robinlp: [b]yes, we will start that morning w/ a skin prick test and than do the challenge.

They tried to do the skin prick last visit before the blood test but they could not get a histamine reaction...so they'll do it in August before the food challenge.

Thanks![/b]

Good [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img] And good luck!

On Jun 29, 2006

Does your child have asthma? Just curious.

On Jun 29, 2006

Congrats! What amazing news. I have no experience with food challenges, but I wanted to offer my congratulations and best wishes with the food challenge.

On Jun 30, 2006

Quote:

Originally posted by mistey: [b]Does your child have asthma? Just curious.[/b]

No he does not have asthma.

On Jul 1, 2006

I am very interested in different allergist testing procedures. I have heard a lot of great things about Dr. Burk and Duke, so I trust what they say. It confuses me, though, because isn't anything about .35 a positive? My own allergist won't test my ds until his number are below the .35. (His is 0.5 right now)

Once again, I am not saying your doctor is wrong in any way. I'm just confused (as usual!! [img]http://uumor.pair.com/nutalle2/peanutallergy/wink.gif[/img] )

On Jul 1, 2006

Hoping all goes well!

On Jul 3, 2006

Quote:

Originally posted by mistey: [b]I am very interested in different allergist testing procedures. I have heard a lot of great things about Dr. Burk and Duke, so I trust what they say. It confuses me, though, because isn't anything about .35 a positive? My own allergist won't test my ds until his number are below the .35. (His is 0.5 right now)

Once again, I am not saying your doctor is wrong in any way. I'm just confused (as usual!! [img]http://uumor.pair.com/nutalle2/peanutallergy/wink.gif[/img] )[/b]

Well, I really can't answer w/ specifics but Jordan was a Class 4 for Poultry and last year tested in a high class 1. Dr. Burks felt that he probably was no longer allergic so we did a food challenge and he has been safely eating turkey and chicken for over a year now. We have had great experience w/ Dr. Burks and he has a fabulous reputation so I fully trust him and his advice.

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