Skin test for PA

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I really need some opinions/advice.

My son has never been blood tested for PA but has had the skin testing two times. The last time he has the skin test, red welts starting going up his arm and they stopped the test after 7 minutes (instead of leaving it for 15 mins).

He goes to the allergy dr. in August...when I called to make the appt., I asked if my son could have the blood test and not the skin test (due to what I've read about exposure, reactions, etc). She called me back and said the Dr. will NOT do a blood test unless he ALSO does the skin test on the same day to compare them.

I don't know wether to let my son get tested at all, seeing he won't just do the blood test. I'm very nervous about him getting the skin test again.

Thanks!!

------------------ Mommy to: Jake~ 5 yrs. old- allergic to peanuts, cat dander and dust mytes.

Sam~ 3 yrs. old- NKA

On Apr 13, 2005

From what I was told when my son was skin tested 15 years ago a skin test is an exposure. Once the allergist saw the size of DS first skin test reaction he said DS should never have another skin test or he would react.

Isn't one skin test enough? Can you get the results from the first doctor and send them to the allergist?

Do you consider your son PA? If you do then treat him as such and tell the allergist that you do not want another skin test. I really think no allergist will want to do another skin test once seeing or hearing the results of the first.

You can always refuse.

Peggy

On Apr 13, 2005

I would find a new Dr if he will not let your son have a blood cap-rast test!

I will NEVER let dd get skin tested again! After the second time when she need Epi and Zyrtec because the Dr thought her welts were too big!

No way-

I should say the only time I would allow skin prick is if you were going to be doing a food challenge.

On Apr 13, 2005

It is the same allergist who did his skin test the first two times. I have asked in the past for my son to be blood tested and he didn't because he doesn't feel they are accurate.

But, not feeling comfortable with the skin test...I asked the nurse if my son could just get the blood test this time. She asked the dr. and called me back and told me he wouldn't do the blood test without also doing the skin test.

I don't know what to do especially if the skin test exposes him or there is a chance he could have a serious reaction.

??????

On Apr 13, 2005

I think that once you get in the office alone with the doctor you can better come to an understanding of what he plans to do.

I'm pretty sure an allergist would not subject a PA child to a third skin test when the last one had such a big reaction.

You can refuse. For sure you can. In any case why does your son need another skin test? Skin tests are for diagnosis right? He's already been diagnosed...

The person answering the phone who passed the info from you to the doctor and then back to you again may not have the full picture.

Peg

[This message has been edited by Peg541 (edited April 13, 2005).]

On Apr 13, 2005

IMO...

You do NOT need a SPT.

Do you even need a RAST? It sounds like, based on the SPT, he's PA.

Did you test for other nuts as well?

My discussion with the doc would start with something like 'I do NOT want a SPT on ym child. I want a RAST for all the nuts possible - I do NOT want to submit my child to the pain of going through the SPT again', and if he refuses to do a rast, tell him you'd find an allergist that will do what you ask, kwim?

You're the paying customer, right? You want what you want... dont listen to him on the 'accuracy' of either test. Neither is 100%... But a rast would measure the score, and each yr (or wahtever) youd like to see the number 'drop', and theres no touching of peanuts for a child with a rast, kwim?

JMHO

Jason

------------------ [b]* ENRICHED * [/b]

On Apr 13, 2005

I agree with most of the reply's

In my dd case,I will not subject her to any more SPT for Peanuts or treenuts.

She had blood drawn at 18-19 months old,and SPT at 5years old.

After I saw the reaction and the way she cried and asked for the epi-pen,I will not subject her to that again. Only blood drawn,comming up soon.

Jodi2boys,You can only do what is right for your family.If you decide to do this,have epi-pen in hand.Good luck on your decision,I know it will be a hard one.(((hugs)))

------------------ Love this site Synthia

On Apr 13, 2005

I agree with what Peg has to say. Go to the allergist, hear him out. If he still wants a skin test (which I really can't imagine why he needs another) , you can refuse. I have heard of some testing negative on the rast but positive on the skin, but I would want to see what the numbers were out of curiousity and to see if there is a chance of outgrowing (although probably very slim)

After you talk to the doctor you will know if both of you are on the same page. If you have hesitations with this doctor after your visit, it is perfectly understandable to look for another allergist.

Good luck

renny

On Apr 13, 2005

My son had the skin test at age two. Last year (age 5) I took him to a new allergist -he didn't even want to do a new skin test - said that he had already had one and to just go on to the blood test. I can't see why the dr can't just do a cap rast if that's what you want.

On Apr 13, 2005

My allergist also said he would never do another skin test on my son. It is an exposure. Someone else already said it. YOU ARE THE CUSTOMER. You do not have to do anything you are not comfortable with. That Dr. is just a person with an opinion, and if I were you I would certainly get another opinion. Best Wishes.

On Apr 13, 2005

Jason has only ever had RAST tests done for nuts and peanuts. His first round of testing was all RAST because his eczema was so bad. The second round was done as RAST because of his previous RAST scores. None of us feel safe doing SPT for nuts, peanuts or shellfish on him, and I would walk right out of the office of any allergist that wanted to.

Ask his pediatrician to order a RAST test. My kids pediatrician has always been willing to do this for us.

[This message has been edited by solarflare (edited April 13, 2005).]

On Apr 13, 2005

Thanks for all your replies...it helped! I have already been considering changing allergy dr.'s due to another subject we didn't agree on.

I will just tell him on my son's visit that I do NOT want the skin test so if he can't just do the blood test then I don't want him tested at all. The reason I even wanted the blood test is just to monitor his levels from year to year.

Great idea asking his pediatrian...he goes to him in June and I will be asking him.

Thanks again!

------------------ Mommy to: Jake~ 5 yrs. old- allergic to peanuts, cat dander and dust mytes.

Sam~ 3 yrs. old- NKA

On Apr 13, 2005

I think the blood testing is easier on the kid(s), and it doesn't require an exposure. My allergist wanted to do the skin prick test on my son first, and then the blood test. We went along with that. Once the results were back from the skin test, she said that she wouldn't do another skin test unless the numbers from future blood tests went way down.

When we brought my daughter in for testing, she was only 12 months. We insisted on just the blood test. They tried to talk us into skin testing, but we held our ground, and they didn't put up much of a fight. I think some of the reason they want to do the skin testing is that it is done in-office and they get the money for it. The blood testing is done off-site, and they see no $$ from it. Too cynical?

------------------ [i][b]Allergy Patrol[/b][/i]

On Apr 13, 2005

Quote:

Originally posted by Jodi2boys: [b]He goes to the allergy dr. in August...when I called to make the appt., I asked if my son could have the blood test and not the skin test (due to what I've read about exposure, reactions, etc). She called me back and said the Dr. will NOT do a blood test unless he ALSO does the skin test on the same day to compare them.[/b]

You need to get a new allergist!!!

------------------ Jean one son peanut & watermelon allergies; one son seasonal allergies & oral allergy syndrome

On Apr 13, 2005

Forgot to mention that my son had a RAST test done at age 4...it was negative for peanuts. Scratch test was instantly positive. Real world experiences show he is allergic to peanuts, unfortunately.

There are no foolproof tests. There are false results with scratch, and with RAST.

I'm not going to have my son retested for several years.

------------------ Jean one son peanut & watermelon allergies; one son seasonal allergies & oral allergy syndrome

On Apr 13, 2005

Jodi2boys, I just emailed you an article from peanutallergy.com from '99. Very interesting thought you might want to read it. I didn't know how to send it to this site, if you know how it would be good info for others also. Hope this helps your decisions. Personally, my pediatrician said she would not skin test my dd, because she did not want to be personally responsible for the outcome, which would be very bad.

On Apr 14, 2005

Hi there, I too insisted on a blood test, b/c I was told we would know EXACTLY how reactive she is to peanuts. The allergist didn't want to do it until dd's 5th bday. She said it was pointless to do until right before Kindergarten b/c my fears were mostly "what happens if she is touching peanut butter at school? Will she die? Have a rash?" So, I had my family physician do it, and it came back the worst category (level 6) possible. I called the allergist to report the results, they said "well, with the size of her welt on the first and second skin tests, that doesn't surprise us at all" and they went on to say they prefer to go by skin reactions vs. what the blood test says. I agree..... If they had to stop your son's test, it's bad. You may want to re-test in a year or two to compare, but as they grow, they welts can too grow. PLEASE NOTE THIS..... I insisted they test dd for bean allergies since she was allergic to peanuts. They suggested testing for nuts, but I wanted beans too. She wasn't allergic to any nuts, but was also allergic to pinto beans. They measured the diameter and height of the welt on my daughter the first and second skin test. They don't like repeating those tests often, that's for sure, but I had hopes she would have outgrown her allergy since she had zero exposure since her first reaction at age 18mos. Follow your gut instinct.... it will help you more than you know. You're questioning your doc already, maybe it's time to do what you think is best [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img] Angela

On Apr 16, 2005

Quote:

Originally posted by Love my babies: [b]Jodi2boys, I just emailed you an article from peanutallergy.com from '99. Very interesting thought you might want to read it. I didn't know how to send it to this site, if you know how it would be good info for others also. Hope this helps your decisions. Personally, my pediatrician said she would not skin test my dd, because she did not want to be personally responsible for the outcome, which would be very bad.[/b]

Thank you for sending me an article but the e-mail address listed on here is no longer my current address. I didn't know how to change it on here.

I am definately going to ask his pediatrician in June to do a skin test to monitor his levels each year. Changing allergists isn't as easy as it sounds...in this area anyway. This group is suppose to be the best around; I don't even know where I'd turn.

Again, thanks for everyone's input! My gut tells me "NO skin test!!!"

------------------ Mommy to: Jake~ 5 yrs. old- allergic to peanuts, cat dander and dust mytes.

Sam~ 3 yrs. old- NKA

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