positive rast and positive skin

Posted on: Sat, 11/01/2003 - 6:51am
happymomof2amk's picture
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Joined: 11/01/2003 - 09:00

My daughter will turn three in December. She has had eczema since she was one month old. They finally did an allergy test when she was one and a half. They did the rast and it came back as severe to peanuts and cats and a one to two for the other twenty eight allergens. Then thay sent us four hours away so someone else could deal with her. They did a skin prick and scratch test for twelve of the allergens and said she was severe to peanuts. And small wheals for cats and dogs. Im still confused bt have avoided peanuts since the tests. Im confused because she has ate some form of peanuts since she was ten mos. to a year. I never realized that some things should be avoided until a certain age. She had pb sandwiches, plain peanuts, pb cookies, all kinds of things with large amounts of peanuts, reeses pb cups never once did she have any reaction. Her eczema flares up over so many things we can never tell for sure what causes that, but since she still has the flare ups it wasnt peanuts. I can't see how she is allergic if shes never had a reaction. We had another test close to a year later and it showed a larger wheal to peanuts than last year and that she is more sever to cashews and walnuts than peanuts. She also used to eat plain cashews She hasnt had tree nuts since the first tests results.
She has come into contact with peanuts 2-3 times since and one may contain. Is it normal to never have had a reaction but had three positve tests that show severe.

Sorry so long but Ive never talked to any other parents of PA children and just found your message board. I'm very excited to talk to other parents dealing with this also.
Hopefully I'm putting this in the right place I've never used a message board.
Thanks
Hunters mom

Hunter almost 3 PA, TNA, Cats, Dogs, and others I havent pinned down.
Caleb 6 no none allergies

Posted on: Sat, 11/01/2003 - 10:10am
Chicago's picture
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Joined: 04/21/2001 - 09:00

Hello and welcome. My dd is PA and TNA too. She just turned 9.
From your message I sort of thought that you had understood that avoidance at a young age was a cure. No. My dd is highest RAST for pecan which she has never had (and as we started avoiding tree nuts at age 13 months I am pretty sure nothing had cross contimination - also I did not breast feed so we are talking about womb stuff)
Please read these boards, use your docs or other local resources, call companies etc... You can make it thru this - you will learn how to manage it in your own way.

Posted on: Sun, 11/02/2003 - 8:02am
happymomof2amk's picture
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Joined: 11/01/2003 - 09:00

One of the things I'm mostly curious about is whether these tests are wrong. Most of the posts I have looked at have talked about some type of reaction their child has had. My daughter has never had a reaction. At least I've never noticed anything. We just had her checked because of her eczema. So what I'm wondering is how many other children have never ever had a reaction?
I've only seen two allergists. One in our small town. Another in Iowa City who seems very good. But I still don't see why shes never had a reaction after eating peanuts for around seven months. Any pinions would be appreciated. Thanks

Posted on: Sun, 11/02/2003 - 2:07pm
lisa from Australia's picture
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Joined: 04/02/2002 - 09:00

I have had PA all my life so when I had my dd, I knew I would have to have her tested. At 4mths (approx) she was diagnosed with Eczema. I had to go back work and I told the creche to keep p/n products away from her just in case. Anyway one day I had been at my desk 5mins when I got a call to say that she had come up in hives around her mouth. I immediately asked about Peanut butter. No she had not had any but I knew that it was possibly cross contamination (at that stage they allowed p/n butter toast which they later banned). My sister picked her up while I made my way home (no mean feet in peak hr traffic) and when I got home she seemed ok. I decided to get her tested when she was about 2 1/2. Just before test we were out to lunch. She had a cheese sandwich & I had a toasted cheese sandwich. She shared a bit of the "crust" with me and I immediately got that old "taste" in my mouth and she again had hives around mouth - cross contamination for sure (her meal was a kids pack- other kids packs had p/n butter sandwiches ugh!). We went home-fortunately we were ok. Her skin tests came back positive for P/n and eggs (which was higher). Dr did a food challenge (for p/n as she seemed to be able eat eggs that has since changed) but we only got as far as the lips before reaction took place (hives). So I have had dd tested and she has had reactions. As I have got older my reactions seem worse. It is probably true that many who do test positive to p/n and t/nuts can still eat them. The thing to remember is that may change and with a very rude shock.

Posted on: Mon, 11/03/2003 - 12:43am
BENSMOM's picture
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Joined: 05/20/2000 - 09:00

Hi Happymomof2amk, I just sent you an email but came over here to see if I could find more info about your daughter's situation. I really don't know what to tell you. If she can eat the stuff, it would seem she's not allergic--that's exactly what the FAAN email you referred to said. Diagnosis is a combination of tests and reaction history. But if her rast was really high, then it seems you're in a similar boat to me, though Ben's never ingested as much peanut as your daughter. Was the test a CAP RAST? Do you know what the score was? You might want to email FAAN. Maybe they can recommend an allergist in your area. Perhaps an oral challenge would be appropriate. The tricky thing is that reactions vary and there could even be a lack of reaction on any given occasion, but if your daughter has always eaten pb with no problem, that sounds different. Just looking back at your post, I see she's almost 3. Even if you get a diagnosis of not allergic at some point, I would avoid peanuts and nuts until age 5, since she's obviously an allergy-prone child.
For those of you who are wondering what I'm talking about, Happymom emailed me about an old post where I referred to an article that FAAN emailed me in response to a question I sent them. I'll repost part of it here:
This article appeared in the October/November 1999 issue of Food
Allergy News
Copyright 1999 The Food Allergy Network
A Member Asks
"My son tested positive for peanuts, but never had any prior reaction.
He
had eaten peanut butter sandwiches three times a week. The doctor said
he
was just 'lucky' not to have reacted and we were told to eliminate all
peanuts from his diet. Do you agree?"
The diagnosis of peanut allergy is increasing, owing both to a real
increase in its occurrence and also possibly to misdiagnoses. Peanut
allergy can only be diagnosed when characteristic symptoms (skin,
gastrointestinal, and respiratory) occur within minutes to a few hours
of
peanut ingestion.
If your child eats peanut butter sandwiches three times a week without
experiencing any symptoms, your child does not have a peanut allergy.
In a
sense, he has had negative peanut challenges thrice weekly. The
presence of
allergic IgE antibody to peanut is not sufficient to diagnose peanut
allergy without the presence of symptoms when peanut is ingested.
Allergic
antibody to peanut merely raises the possibility that peanut allergy
may
exist; symptoms associated with peanut ingestion are necessary before
diagnosis of peanut allergy can be suspected.
Studies suggest that somewhat less than half of those children below 3
years of age with positive peanut skin tests or peanut specific-IgE
really
have clinical symptoms on peanut ingestion. However, older children
with
peanut- allergic antibody may be proven allergic to peanuts.
Also, if you go to the pa.com homepage and click on Links, there's an excellent article that's always being updated called something like "Peanut allergy--where do we stand?" I recommend combing through there to see if you can find anything useful. Good luck.

Posted on: Mon, 11/03/2003 - 9:46am
happymomof2amk's picture
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Joined: 11/01/2003 - 09:00

Thanks for the replys. I have e-mailed FAAN. I haven't given her any peanuts since her first rast test. As far as I know it was only a rast not a cap rast. Then we did the skin test. I will look for her scores and post them. Even if someone told me it was okay to give PN to her I would be to afraid to do it. I'm just happy to so far not have had any reaction. I'll continue to try to avoid contact, and live every day like she's definately PA. Last night her eczema flared and appeared to have tiny hives. Not sure if it was hives or not. It was scary. I really feel for anyone who has experienced anything worse. I just kept waiting for more. Thats the worst we've had so far.
My other dillema is I keep accidently leaving the epipens in the hot car and now the too cold car. I dont always carry a purse and we dont carry a diaper bag. Our insurance does not like replacing them which I totally understand. Yet I still keep doing it. Any suggestions or threads that you guys know of would be appreciated.

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