@VenterCarina @APAAACI22 This looks very interesting! What was the talk on? Potential route to sensitisation? Would love to see more slides from this if you have any 🙏
Not every rash is allergy.
Not every rash is from food.
Not every rash is dangerous.
Not every rash will get worse.
Not every rash needs Benadryl.
Not every rash needs me.
Rashes happen- sometimes.
Sincerely,
Allergist
82% of parents stated they would not do early introduction of peanut without skin/blood test screening #napaac22 This is a problem because of false positive results
Dr Abrams reviews the following: https://t.co/RWRHDb1Tko
Should breast feeding moms remove food from their diet for babe’s IgE mediated allergy to avoid anaphylaxis? This systematic review looks at this. Answer: Based on evidence we have today the probability is LOW! #napaac22
#napaac22 Dr. Abrams - Are siblings of peanut-allergic individuals truly at higher risk? It is probable that the risk is primarily affected by intentionally delayed peanut introduction or irrelevant screening
@AllergydocSA giving a brilliant lecture about what underpins rural urban differences in food allergy outcomes in the SAFFA study #ALLSA@VenterCarina Check out published data in @jacionline. Excellent to see outgoing work and excited about coming outputs.
It's nice when a study confirms your priors. Here, we see that IgE-mediated food allergy (FA) is common in pts w/Atopic Derm. However, only a small percentage of AD pts' eczema was exacerbated by FA (single digits). IT'S NOT ZERO MY DERMATOLOGY FRIENDS! But it is uncommon.
Baby led weaning: a method of introducing complementary foods to infants in which the infant feeds themselves hand-held foods instead of being spoon-fed by an adult.
NOT recommended for babies with eczema.
NOT recommended for allergenic solids.
NOT recommended by allergists.
Dr. Hourihane makes a very strong argument AGAINST baby-led weaning. It puts children at risk for food allergy. #eaaciasn22
(The reason: the dual allergen exposure hypothesis— when food introduced through skin it triggers immune system to sensitize — esp when baby has eczema)
Breastfeeding alone is unfortunately not an effective strategy to prevent food allergy. @VenterCarina reviews in part why: In studies w Mom feeding on common allergens, like egg, only 75% will have detectable egg in breastmilk. Peanut: only 50% have detectable levels #eaaciasn22
12/
Add-on:
Soy contain glycinin/conglycinin which may trigger, rarely, allergic reactions. In fact, soy allergy is relatively uncommon in both children/adults.
Soy beans contain insoluble fibers, cause flatulence/diarrhea in sensitive persons - avoid in IBS patients
Summary🔽
Routine consumption of "may contain"s:
-is NOT immunotherapy
-does not indicate tolerance to all 'may contains'
-does not indicate a high threshold reactor
-does not mean others should be fine with that too
-is a nuanced discussion
-is never a quick question
#allergy#anaphylaxis