TN reaction

Posted on: Wed, 03/29/2006 - 8:43am
lmw's picture
lmw
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Joined: 11/12/2005 - 09:00

DD has developed her nut allergies slowly - almonds/hazelnuts at 8 years, peanut and cashew at 19. Allergist wasn't worried about 'may contains' or other nuts. DD wasn't either, and thought I was getting paranoid about HER allergy.

Sunday night, DD had a couple of chocolate macadamia nuts, which she's had before. A few minutes later she told me she thought she was allergic to macadamia nuts too.

Itchy lips and throat.

Benedryl, and an hour later she went to bed, feeling okay.

When I woke her up in the morning, she was too tired to know how she felt. (benedryl hangover). I went out for an hour, she got ready for school.

When I got home, she complained of itchy skin, being HOT, shaky.

I called the doctor's office, and their opinion was that we should head to the ER, which we did.

6 hours later, by which time DD was feeling better, she spoke to the doctor. Dr. agreed it was likely an allergic reaction, and that maybe DD should give up all nuts. DD had already come to that conclusion. Dr. said to continue Benedryl for a couple of days

I think this scared her - this was by far the most serious reaction she's ever had - and it was mild, I know, by comparison to some.

Later that evening, DD noticed that she was covered in red splotches, but not itchy - just splotchy.

She has an appointment in 2 weeks with the allergist, to confirm? the nuts, test for the remaining ones she hasn't been tested for.

Any ideas on anything else we should ask the allergist? I looked at the symptom chart, but are the splotches usual?

This was definitely a new experience for us. DD asked to see the doctor, and accepted the ER suggestion without hesitation. I'm glad that she sees this more seriously now - without it having been a life-threatening situation (this time!).

Posted on: Wed, 03/29/2006 - 11:45am
Anonymous's picture
Anonymous (not verified)

Has benedryl helped with the splotches? It could be part of the reaction.
Sorry she is going through this (and you with her), but I'm glad to hear it was a wake-up call without anaphylaxis.
I don't have any suggestions of other questions - but let us know what happens with the appt.

Posted on: Tue, 04/11/2006 - 7:10am
lmw's picture
lmw
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Joined: 11/12/2005 - 09:00

DD went to the allergist today. Turns out she is allergic to macadamia nuts, (no kidding). The Dr. told her to just avoid all nuts now. He did test for pine nuts, as well, though, but she is not bothered by them. She doesn't seem overly concerned, hopefuly she will take the 'may contain' statements a little more seriously now.

Posted on: Tue, 04/11/2006 - 7:53am
Daisy's picture
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Joined: 01/16/2006 - 09:00

Hi [b]lmw[/b]
I am an adult with food allergies, but I did not develop my almond allergy until a couple of years ago. (I have not had a reaction, but was a class 2 on a RAST that was being run for other things.)
I rarely get hives with my systemic reactions. For years it was mostly GI, but now includes: itchy roof of the mouth, itchy body, increased heart rate, aura, tightness in the throat/chest, and waves of a "burning sensation" running through my veins (was told this is the histamine release). The flushing/burning comes at about 10 minute intervals, and I can actually *time* them to see when my reaction is wearing off.
The "shaky" part is scary. This can be the beginnings of shock, and may be accompanied by cold hands and feet. (Several posts here suggested laying down to keep the blood around the heart.)
Each time the Benadryl wears off, you run the risk of the reaction coming back. This is called "rebounding." I sometimes get this up to 6 hours later. Sometimes the ER will prescribe steroids for a few days to prevent this. [b]The next time she sees the allergist, you could ask the allergist for a protocol to follow when she has a reaction.[/b]
Good luck,
Daisy

Posted on: Thu, 04/13/2006 - 1:59am
TNAmom's picture
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Joined: 11/29/2005 - 09:00

They have a test for pine nuts now? Was it a skin or a blood test?
Last time my daughter went to the allergist, we were told there was not yet a test for pine nuts. I'd sure like to know her status on this one.

Posted on: Thu, 04/13/2006 - 5:10am
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Joined: 03/11/2006 - 09:00

DS was tested specifically for pine nuts (rast) over 4 years ago. (He came up allergic, darn it). Apparently some labs are able to test for this.

Posted on: Thu, 04/13/2006 - 5:33am
lmw's picture
lmw
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Joined: 11/12/2005 - 09:00

DD had the scratch/spt test done. I was kind of surprised Dr. tested for pine nuts, I'm guessing they are a relation to peanuts/treenuts? DD didn't really know what they are, so I explained, but as she is not (currently) allregic to them, she wasn't concerned.
I had thought he might test for pistachio, being one of the few nuts she hasn't yet been tested for, but I figure he felt that now being PA and TNA(4), might as well just avoid them all.

Posted on: Thu, 04/13/2006 - 11:39am
ajgauthier's picture
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Joined: 04/13/2005 - 09:00

Quote:Originally posted by lmw:
[b]DD had the scratch/spt test done. I was kind of surprised Dr. tested for pine nuts, I'm guessing they are a relation to peanuts/treenuts? DD didn't really know what they are, so I explained, but as she is not (currently) allregic to them, she wasn't concerned.
I had thought he might test for pistachio, being one of the few nuts she hasn't yet been tested for, but I figure he felt that now being PA and TNA(4), might as well just avoid them all.[/b]
hiya - last time I googled around on pine nuts I found out that they are cross-reactive with almonds and peanuts. I am allergic to both, so for all purposes until I can get tested I consider myself allergic to pine nuts. My allergist couldn't find a rast test for it though (I'm in Arizona)
Adrienne
------------------
30-year old survivor of severe peanut/tree nut allergy

Posted on: Wed, 03/29/2006 - 11:45am
Anonymous's picture
Anonymous (not verified)

Has benedryl helped with the splotches? It could be part of the reaction.
Sorry she is going through this (and you with her), but I'm glad to hear it was a wake-up call without anaphylaxis.
I don't have any suggestions of other questions - but let us know what happens with the appt.

Posted on: Tue, 04/11/2006 - 7:10am
lmw's picture
lmw
Offline
Joined: 11/12/2005 - 09:00

DD went to the allergist today. Turns out she is allergic to macadamia nuts, (no kidding). The Dr. told her to just avoid all nuts now. He did test for pine nuts, as well, though, but she is not bothered by them. She doesn't seem overly concerned, hopefuly she will take the 'may contain' statements a little more seriously now.

Posted on: Tue, 04/11/2006 - 7:53am
Daisy's picture
Offline
Joined: 01/16/2006 - 09:00

Hi [b]lmw[/b]
I am an adult with food allergies, but I did not develop my almond allergy until a couple of years ago. (I have not had a reaction, but was a class 2 on a RAST that was being run for other things.)
I rarely get hives with my systemic reactions. For years it was mostly GI, but now includes: itchy roof of the mouth, itchy body, increased heart rate, aura, tightness in the throat/chest, and waves of a "burning sensation" running through my veins (was told this is the histamine release). The flushing/burning comes at about 10 minute intervals, and I can actually *time* them to see when my reaction is wearing off.
The "shaky" part is scary. This can be the beginnings of shock, and may be accompanied by cold hands and feet. (Several posts here suggested laying down to keep the blood around the heart.)
Each time the Benadryl wears off, you run the risk of the reaction coming back. This is called "rebounding." I sometimes get this up to 6 hours later. Sometimes the ER will prescribe steroids for a few days to prevent this. [b]The next time she sees the allergist, you could ask the allergist for a protocol to follow when she has a reaction.[/b]
Good luck,
Daisy

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