faye harrison

Clinical research dietitian. Lover of fine food, good wine & long holidays! Dislikes pseudoscience and false claims. Views are very much my own

[faye harrison @faye_harrison]

@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 🙏

[Mariam Hanna MD @PedsAllergyDoc]

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

[Laura Durcan @Rheum2improve]

This is an awesome slide. @Lupusdoc

[David Fischer, MD @IgECPD]

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

[David Fischer, MD @IgECPD]

The likelihood of breast milk containing food allergens like milk and egg at high enough levels to cause a reaction is <1/1000 #napaac22

[Mariam Hanna MD @PedsAllergyDoc]

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

[Dr. Douglas Mack @DrDougMackMD]

#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

[Carina Venter PhD RD @VenterCarina]

Very nice slides re studies on "screening" #ALLSA2022

[Jonny Peter @JonnyPeter7]

@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.

[Matthew Bowdish MD @MatthewBowdish]

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.

[Mariam Hanna MD @PedsAllergyDoc]

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.

[WendySueSwanson MD, MBE @wendysueswanson]

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)

[WendySueSwanson MD, MBE @wendysueswanson]

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

[PAI @pai_eaaci]

Cross-reactivity of each fraction among cereals in children with wheat allergy.

Read the article by Takei et al here 👉https://t.co/tBgf9QuBkW

#PAI_journal #allergy #FoodAllegy #WheatAllergy #BarleyAllergy #RyeAllergy #CrossReactivity

[TheLiverDoc™ @theliverdoc]

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🔽

[Kate Khaleva @KateKhaleva]

#GAFA key conclusions from Gideon Lack about prevention of food allergy @GoAllergy @GA2LEN_ANACARE

[faye harrison @faye_harrison]

@AlastairMcA30 Amazing! Congrats Dr Al 😎

[Carina Venter PhD RD @VenterCarina]

and my current (unpublished) data with @liam_OMahony1 shows similar data for maternal pregnancy diet and food allergy by 2 years. #EAACI22

[Mariam Hanna MD @PedsAllergyDoc]

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