oral challenge? - Peanut Allergy Information

oral challenge?

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I just took my ten-year old daughter in for a RAST test for peanuts and tree nuts. She was diagnosed allergic to peanuts before one year old, then skin tested at three. During this test, her peanut wheal took over her entire back and wrapped around to her check and stomache. She was also positive to all tree nuts. She also had analyphysis during accidental exposures prior to the age of four.

Since four, she'd had NO reactions. We are very careful, but I am still surprised that there have been no accidents at school or with friends. Especailly considering that she had reacted to contact only before the age of four...

Last week we got her skin tested again. We went to get the environmental stuff tested and to evaluate for asthma. I was very resistive when the allergic wanted to test for peanuts/nuts especailly considering the last test. She did convince me, however, and there was no reaction whatsoever to peanuts or nuts.

So today we went for the blood draw to do the RAST testing. If that is negative, then the allergist wants to do an oral challenge. I also understand that if the oral challenge is negative, she will be required to eat peanuts on a regular basis...

My question is this... She is TERRIFIED of peanuts/nuts! All of her reactions occured before permanent memory, so I have considered it my job to terrify her. She doesn't even want to undergo the oral challenge. I won't make her, but I really think she should do it if the blood test is negative. What does everyone else think? How do we take care of our own mental health, and our kid's as well, if the physical threat is really gone?

Thanks all! Sonia (mother of Cheyenne)

On Oct 16, 2006

I would do the challenge if the blood test is negative, but make sure it is sent to a lab that tests down to 0.10, not 0.35 as so many on this board are getting sent to. I know that IBT in Kansas tests down to 0.10.

By pnkid06 on Aug 21, 2011

There are many different ways to contaminate her with peanuts to keep her immune system up if she does pass the challenge. Any thing that could make an allergic child sick can make a child that has overcome remain healthy. Mine is also drawing close to the day of challenge and she is old enough to know that even though she is nervous, it will change the way she lives her life. Good Luck! Let us know what the numbers are and if your dr. thinks you should challenge. I'm curious.