Who outgrows PA?

Posted on: Mon, 07/07/2008 - 1:56pm
Mom2angels's picture
Joined: 02/07/2008 - 20:14

What makes a PA child a good candidate to outgrow the allergy. I'm trying not to get my hopes up, but just wondering. My daughter developed the allergy at 27 months, after having peanut butter at least 10 times with no problems. She has no history of ezcema, asthma, or any additional food allergies. She has very mild seasonal allergies. Our allergist told us that the younger a child is when he/she develops the allergy, the more likely to outgrow. And, of course I know---strict avoidance. But what else?

Posted on: Mon, 07/07/2008 - 3:01pm
MtnDoo's picture
Joined: 04/18/2008 - 07:42

My dd wasn't diagnosed with the allergy until right before her 4th birthday. That was her first real reaction. However, she had always *hated* peanuts and pb, so my guess is that she's actually been allergic this whole time...but had no noticeable reactions during the gazillion times she had been exposed before.
Her rast #'s were very low ("unknown clinical significance", a 1 on a scale from 0-5). She does have slight asthma (that only flares up when she's sick...she's slightly allergic to our dogs...as am I). Peanuts/dogs are her only allergies. And the asthma is really b/c of the dogs-it did not show up on it's own.
They told me that b/c of her history and her rast #'s, that she could have better odds of outgrowing the allergy. We were told to strictly avoid...that if she has no reactions that she may be more likely to outgrow. I'm not holding my breath, but it made me feel slightly better!
I hadn't heard that age would have an impact on whether or not you outgrow...but I had kind of thought that b/c my dd wasn't diagnosed until age 4, that maybe she'd be unlikely to outgrow, but the allergist told me that if she did outgrow, it'd probably be around age 7-8ish. We don't go back to the allergist for 3 years, assuming we have no issues.

Posted on: Tue, 07/08/2008 - 1:16am
Heidi52974's picture
Joined: 06/02/2008 - 13:30

My son was diagnosed at 11 months after having a reaction to a taste of a desert that had only been cross contaminated with peanuts. That's the only contact with peanuts he's had. He's only had the skin test to confirm, but the size of the hive was quite significant. I was also told that because the allergy developed at such a young age it increased his chances of outgrowing it. But he's also allergic to eggs and soy, and from everything I've read having multiple food allergies and other factors such as eczema and asthma (both of which he's been diagnosed), his chances of outgrowing seem slim. Our allergist basically said there was clinically a 20% chance of outgrowing, but he thinks he has more like a 50% chance. I'm still confused as to why he thinks his chances are higher after everything I've read. All I can do right now is avoid like crazy and pray a lot.

Posted on: Tue, 07/08/2008 - 6:41am
nomorenutz's picture
Joined: 10/28/2005 - 09:00

My son outgrew, and was a good candidate to outgrow.
I was told that a low RAST, no other allergies, no asthma, and young at diagnosis raised his chances.
He had a .83 on RAST (<.35 being negative), no other allergies, no asthma, and was diagnosed at 15 months after severe lip/eye swelling upon eating peanut butter.
We practiced total avoidance (no may contains either), and were extremely lucky that he had outgrown it totally by his second birthday. It was nothing short of a miracle!
We still do not allow him to eat peanut butter if he's not with us, b/c I'm still fearful of the allergy coming back (he just turned 4) and his other caregivers not handling it properly. We are just now going to introduce tree nuts and shellfish which he has always tested negative to but has never eaten. We're praying no more allergies creep up.
Food allergies are very difficult to deal with as parents. I wish you all the best in managing the allergy as well as outgrowing!

Posted on: Tue, 07/08/2008 - 9:57am
qdebbie1's picture
Joined: 02/10/2005 - 09:00

A hope and a prayer!
My son outgrew his allergy.
I didnt know to get a rast test done. He had 3 positive spt and maybe 5 or so reactions by age 5. They were all GI reactions with intense vomiting except for the last reaction he had at just over age 5 where he thought he was choking on something(his throat) then vomited.
His dr said around puberty age we would do a rast tast. at age 10, he was negative(still brings tears to my eyes) and past a spt and a food challenge. The allergist suggested he eat some form of peanuts at least once a month to remind his body that it is ok.
He eats whatever whenever wherever and I am grateful.
Miss you all!

Posted on: Tue, 07/08/2008 - 12:38pm
SkyMom's picture
Joined: 10/27/2001 - 09:00

qdebbie1, thanks for the post! Stories like yours are our hope for our children. Glad your son is doing well.

Posted on: Tue, 07/08/2008 - 1:05pm
Mom2angels's picture
Joined: 02/07/2008 - 20:14

Thanks for all the input. It's great to hear some success stories. I try not to have any false hope, but I have to have just a little hope, deep down! Does the fact that my DD developed the allergy after safely eating peanut butter several times decrease her chances of outgrowing? I should've asked our allergist, but didn't think of it. Thanks again!

Posted on: Thu, 07/10/2008 - 4:11pm
new2PA's picture
Joined: 10/18/2003 - 09:00

DS was dx'd w/PN allergy at 11 months, after a reaction to egg. Positive for both at the time. Eventually, he was OK'd to have processed egg, and then later, any kind of egg, although he still had a postive blood test.
Last year, his IgE level was .82, down from 4.59 (?) over about 3 years. The allergist suggested a food challenge, b/c "his level has come down significantly, and we were made aware of the allergy b/c of the SPT, not b/c of a reaction." Great! Dr thought it was a good time since he'd not had any reactions, his level was so low, and he was entering kindergarten.
I counted the days til the food challenge, got there, and they did a SPT...and it reacted. I was devastated, although I knew it was for the best.
This year when we had the bloodwork done, it was .72. Down, but not significantly I thought, and the allergist agreed. I asked him when he'd do another food challenge and he said basically "when his IgE comes down more, or when the SPT is less significant." I said "OK, when will you do another SPT?" He said "We can do it today".
So ... they did the SPT ... we waited for the 15 minutes... no reaction. They did another one ... we waited 15 minutes, no reaction. The dr said "well, that would certainly encourage one to consider a food challenge."
We have the food challenge scheduled for next Monday, 6/14. I'm not really all that excited about it this time. If he passes it, he passes it...if not, life as we know it goes on, nothing changes.
I asked the allergist before if he had a better chance of outgrowing since he'd not had any reactions. The allergist said "no necessarily"
Last year, we found out that DS is allergic to cats and grass. We have 2 cats in the house (and have for 2 years) and grass doesnt seem to be a problem for him either.

Posted on: Fri, 07/11/2008 - 10:46am
Newallergymom's picture
Joined: 03/09/2008 - 15:23

New2 PA,
what were his wheal sizes at all of his SPT's?

Posted on: Fri, 07/11/2008 - 11:36am
Mom_of_Olivia's picture
Joined: 05/30/2008 - 09:18

My daughter just outgrew her egg and peanut allergy after 4+ years. She was diagnosed at 18 months. She is now 5 1/2. We did 100% avoidance, very careful, when in doubt, went without. No bakeries, no ice cream shops,no Chinese food, no "may contains" or "shared equipment." All of her schools were peanut free. We hardly ate out and never ate at restaurants with peanut butter on the menu. That is how I handled it. Coincidentally, there was a boy that outgrew his allergies there today too.
She was prick tested many times and always got a gigantic wheel, rated as a 4+ wheel (the biggest size on her test), but her RAST numbers were just over the "allergy" mark, they were low numbers.
She was oral challenged today to PB in the Dr's office! They did prick and RAST tests a month or so ago and they came back negative. While her allergist was 95% sure she had outgrown them, he highly recommended an oral food challange, which was done today. She is NOT allergic any more!
Any "chance" to outgrow a food allergy is a "chance" and that, together with "hope" is what kept me going every day - hope that maybe, just maybe she may be one of the "lucky ones."
Statisically speaking, and this was true for my daughter, if your child has never had an anaphylactic reaction, does not have asthma and has lower numbers on the RAST, they are a good candidate to outgrow their allergy. With PB, it's less than a 20% chance, but to break it down, it's 1 out of every 5 children. So why not your child....keep hope alive, think POSITIVE and do everything you can to educate everyone involved in your child's life and practice 100% avoidance...that is my advice, it worked for us.
I hope you the best. Keep doing what you are doing and think positive. The way we looked at it is, if she has not outgrown it, we'll keep doing what we are doing, no big deal. It has become who we are, it's our life and it's managable. It was important for us to know that either way, we would be okay. Good luck!

Posted on: Fri, 07/11/2008 - 12:06pm
SkyMom's picture
Joined: 10/27/2001 - 09:00

Mom_of_Olivia, congratulations!!!!! I am so happy for your family. Thanks for sharing your wonderful news.


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