skin testing

Posted on: Fri, 05/10/2002 - 9:17pm
LI-LIAN's picture
Joined: 05/11/2002 - 09:00

pMy daughter has been diagnosed with a peanut allergy. She had a reaction when she shared her brother's (not pa)peanut butter sandwich at 10 months of age. She was then confirmed to have the allergy when she was skin tested at 15 months. They did the test on her forearm (a huge number of allergens seemed to be tested) and she showed up a 8X6mm weal with the peanut allergen. I was not offered a RAST or CAPRAST test for her (perhaps she's too young?). Reading the literature on the net and the discussion questions on this site has led me to question the accuracy of the test for future reference ie if she gets tested again and the weal is smaller or the same, does it mean anything? I may ask her allergist about the CAPRAST when I next see him (probably in a year's time to test her again) - am praying real hard that she is one of the 20% that outgrows it./p

Posted on: Sat, 05/11/2002 - 1:39am
kcmom's picture
Joined: 12/18/2001 - 09:00

Welcome to the boards Li-Lian!!
Actually my daughter was RAST tested when she was 12 months, so she probably is not too young. I am also hoping my dd is one of the 20% who outgrow but we are living as if she will never outgrow because it is such a small chance. They are now even finding that some kids thought to have outgrown are having problems with the allergy reoccurring later in life. Not to be the bearer of bad news but just to let you know. Now this is only my opinion but I will not have my dd scratch tested again for quite a long time. I plan on having her CAP RAST tested yearly to keep an eye on her numbers but the scratch test is out. The reason why is that is considered an exposure and they say the key to outgrowing is absolutely no exposure at all for a couple of years. Maybe if she has a few years of negative RAST scores and they want to do a scratch test before a food challenge I would allow that but that is the only way. As far as your question of if she does get scratch tested and the wheals get smaller, the one thing I keep reading about this allergy is it's unpredictability! So the next reaction may be smaller but it really doesn't mean much. Just keep those hopes up! This board has helped me more than anything else! It keeps you informed and lets you know you have people who understand all your frustrations! We're all here for each other! Take care! [img][/img]

Posted on: Sat, 05/11/2002 - 6:30pm
LI-LIAN's picture
Joined: 05/11/2002 - 09:00

thanks for the info kcmom and encouragement that came with it. I'm heading off to singapore in June and face it with fear and trepidation knowing full well that there will be countless opportunities where she will be exposed. sigh. we're heading back for my grand-dad's big 84th birthday and with the lack of knowledge about potentially fatal allergies in asia, it's hard to explain it to well-meaning friends and relatives. take my mother-in-law who thinks that it's just a rash producing allergy so it doesn't matter that the soup contains peanuts, you can just drink the soup and not eat the peanuts...I can't get the message across and can't hope to...I will ask the allergist about RAST and CAPRAST testing (by the way, we live in Ozzieland) - he may not have offered it to us because it was a first consultation and already the fee was $200 so I cannot imagine what it would've cost us if he had included the blood test. I will be regularly reading replies in this discussion board. It's lovely to know that I'm not just a paranoid mother and that there are lots of mums all over the world going through the same angst.

Posted on: Sun, 05/12/2002 - 4:05am
smack's picture
Joined: 11/14/2001 - 09:00

Hi, just wanted to let you know if you have an allergist that believes not to Rast or Cap Rast till (I believe 2 or 3?) that's because some don't believe the blood tests are
accurate until then.
Some that do go through with such tests may have false positives.

Posted on: Sun, 05/12/2002 - 5:23am
momjd's picture
Joined: 02/24/2002 - 09:00

Unfortunately, skin testing can be inaccurate for children under the age of 2 as well- particularly those with eczema. Both tests improve considerably when combined with your observations and a good case history. As I understand it, many allergist simply don't believe in RAST testing which is dependent upon the skill of the lab analysing the results. Skin testing is accurate in *most* patients and is less costly so is often the test of choice. A CAP RAST (must be CAP brand) is said to be more accurate than the RAST with regard to peanut, egg and some other foods. If you want a baseline measure for future comparisons, the CAP is probably the way to go. BUT, you'll need to do your research and be able to talk to your doctor with real facts and figures or he or she may not take you seriously. It's been my experience that telling them that "someone online" told you about a test isn't as effective as saying "I read in Dr. Wood's book that...". The Peanut Allergy Answer Book is a hand guide for PA; for multiple food allergies and a good overall analysis of the science involved J. Brostoff's Food Allergies and Food Intolerances is pretty helpful. Also, there is a link in the research section here to an article title "Where We Stand"- it summarizes almost every major PA study done in recent years. After you've read that study you'll have some idea regarding just how up to date your own doctor is.

Posted on: Thu, 01/30/2003 - 2:06pm
cynde's picture
Joined: 12/10/2002 - 09:00

I personally would re-schedule, or could they do a blood test?
Have fun at Disney (like it's possible not to). [img][/img]

Posted on: Wed, 09/24/2008 - 11:43pm
mom0810's picture
Joined: 03/30/2007 - 09:00


Posted on: Thu, 09/25/2008 - 1:02am
pfmom2's picture
Joined: 01/22/2006 - 09:00

For my child who has anaphylaxis to contact, I would not do skin testing. I have read too many stories where someone has needed Epipen after skin testing.
You have to do what you feel is right for you. If your rasts have always been zero, then why the reactions? What I mean is maybe the rast is a false negative. Go with your gut on how you feel, don't be forced into something you are not comfortable doing.
Best of luck with your decision.

Posted on: Thu, 09/25/2008 - 1:51am
mom0810's picture
Joined: 03/30/2007 - 09:00

I have heard of false positives with RAST, but not false negatives.
The reason I am even considering the skin test is the anxiety I feel all the time regarding accidental exposure. I know this is something all pa p-eople and parents have to deal with, but if I am doing it for no reason, it would be good to know. If my rast and skin test are both negative, he says I have a 99% chance of no allergy. It would be good to know if it is, in fact, gone since I only had issues while pregnant/breastfeeding that child.

Posted on: Thu, 09/25/2008 - 2:01am
pfmom2's picture
Joined: 01/22/2006 - 09:00

With my youngest child, the Rast has been negative to all things and then skin test is done and we get some positives. My second child has allergies, not to the extent of my first, however, Rast is negative to things and then we get positives with the Skin Testing. I know there are allergies because of the symptoms. I always figured that the Rast can have false negatives.
I understand what you are saying though that you want to know. At least you know that you are in the right place should you have a reaction with skin testing.
Best of luck. Let us know how it goes.

Posted on: Thu, 09/25/2008 - 2:14am
MommyOfTwo's picture
Joined: 11/08/2007 - 09:44

I had my DS SPT when he was 4 months old then again at 16 months. He didn't have a RAST done at 4 months so I can't compare the numbers to his RAST at 16 months. At 16 months his RAST is barely over the positive mark at .40. His SPT results though are much higher.
At 4 months his SPT wheal for pn was 9mm and at 16 months it was 10.5mm. Personally he never had any issue with either SPT. He was of course a little itchy but after being cleaned up and I gave him some benedryl (also since he was off his Zyrtec and benedryl for a few days leading up to the SPT) he was fine. I won't be doing anymore SPT though unless he falls below the negative level and I certainly will NOT do a food challenge unless he were to have a negative SPT.
You have to do what you are comfortable doing and certainly don't let anyone pressure you into anything. If your RAST came back negative I would certainly say the SPT would be the next step. If feel comfortable from that you can then decide to do the food challenge. Take it in baby steps and do what you feel comfortable with. Keep us posted on what you decide and how it goes! :-)

Posted on: Thu, 09/25/2008 - 2:20am
mom0810's picture
Joined: 03/30/2007 - 09:00

Thank you both so much for the info. I am just really scared and don't know if I will even do it. With my RAST showing nothing, I feel a bit more confident, but still, I have no known exposures since the PB sandwich for my hubby and that was 2 years ago.
What prompted my thinking of going is two incidents recently where I could have been exposed and they scred the heck out of me. One was at the store and the other was at a doctor's (Doctor's!) office where the receptionist was eating peanuts and handing stuff to me. I was scared to death to touch that stuff.
So, I figured rather than dwelling on all of this for the rest of my life, I should go and confirm. Allergy or none. And move on with my life.

Posted on: Thu, 09/25/2008 - 4:35am
momto4boys's picture
Joined: 06/06/2007 - 09:00

I would do the skin test if I were you. If your rast was negative, a negative spt might put you at ease. The only thing is that the only way to prove that you are not allergic is to do a food challenge (in the proper setting of course with dr. approval). My ds had a borderline + SPT for shrimp at 3 years old and then at his 4 year old visit the SPT was negative. My allergist still considers him as allergic until we do a food challenge. Good Luck and try not to stress to much. I know that is easier said than done :-)

Posted on: Thu, 09/25/2008 - 9:30am
mom0810's picture
Joined: 03/30/2007 - 09:00

I think if I do the skin test and it's negative, I might stop there. He told me that even with a negative rast not to worry to much but the spt would put me at ease a little more.

More Community Posts

Peanut Free and Nut Free Community

create a new community post
Latest Post by blprestangen Mon, 09/16/2019 - 1:06pm
Comments: 12
Latest Post by mom2two Mon, 09/16/2019 - 1:03pm
Comments: 18
Latest Post by Kathryn Mon, 09/16/2019 - 1:02pm
Comments: 7
Latest Post by TheDaddy Mon, 09/16/2019 - 1:01pm
Comments: 9
Latest Post by desmond Mon, 09/16/2019 - 1:00pm
Comments: 1
Latest Post by desmond Mon, 09/16/2019 - 12:58pm
Comments: 19
Latest Post by desmond Mon, 09/16/2019 - 12:55pm
Comments: 1
Latest Post by TeddyCan Mon, 09/09/2019 - 4:32pm
Comments: 10
Latest Post by DTurner Mon, 09/09/2019 - 4:31pm
Comments: 5
Latest Post by B.M.18 Mon, 09/09/2019 - 4:30pm
Comments: 3
Latest Post by abolitionist146 Mon, 09/09/2019 - 4:28pm
Comments: 2
Latest Post by nutfreenyc Mon, 09/09/2019 - 4:19pm
Comments: 4
Latest Post by AllergicTeen2 Mon, 09/09/2019 - 4:18pm
Comments: 2
Latest Post by Fri, 09/06/2019 - 1:52pm
Comments: 1
Latest Post by mom1995 Fri, 09/06/2019 - 1:52pm
Comments: 2
Latest Post by mom1995 Fri, 09/06/2019 - 1:52pm
Comments: 35
Latest Post by Fri, 09/06/2019 - 1:52pm
Comments: 2
Latest Post by abolitionist146 Fri, 09/06/2019 - 1:52pm
Comments: 2

More Articles

Do you think you may have a food intolerance? Many people make it to adulthood without realizing they have a food intolerance because they have...

With only a casual understanding of Oral Immunotherapy (OIT) some people assume that simply feeding children a bit of their problem food, in order...

Babies usually show the same peanut allergy symptoms as older children as adults. It is estimated that up...

If you have a mold allergy, you’ve likely been advised to remove all sources of mold from in and around your house. But it doesn’t stop there....

You may be surprised to find that peanut butter is used to make many products. Someone who has a peanut...

More Articles

More Articles

What if, while attending a summertime family picnic, a food-allergic child shows signs of anaphylaxis. In a panicked instant, adults realize the...

Are the signs of nut allergies different than those of peanut allergies? Many people who have an allergic reaction after eating a peanut butter...

There is much buzz in the news about the potential health benefits of fecal transplants, and some of that benefit may extend to people with food...

If you or your child has a food allergy, a doctor or allergist might have talked to you about “co-factors.” Allergy co-factors are substances,...

An epinephrine auto-injector provides an emergency dose of epinephrine (adrenaline) to treat life-threatening allergic reactions. Those who have...

Oyster sauce is used for a variety of recipes, including as an earthy dressing for noodles, vegetables, and stir-fries, or as a base for other...

The high incidence of food allergy in children, and the reason many kids eventually...

Parents of children with food allergies often share tips about safe foods, allergy-friendly restaurants, and other experiences and challenges of...

Because food allergies are so common among children today, a great idea for sharing information with other classmates is to incorporate the topic...

When a child is diagnosed with peanut allergy, the implications ripple past the parents to rattle the rest of us - older siblings, grandparents,...

Your best defense against anaphylactic shock is to know what you’re up against. Anaphylaxis is a severe, life-threatening allergic reaction....

Inhalers Sometimes Contain Soy

Many people use inhalers to take the drug albuterol to help their asthma or allergies, and those with COPD...

Some people with shellfish allergy have concerns about consuming sea salt that might be contaminated with traces of shellfish. Though there are...

Nearly 25 percent of children with a peanut allergy will outgrow it. However, there is a small risk...