Top Tweets for #ask2020
#ASK2020 Tsai: Canadian Preschool Peanut OIT study (Authors E. Chan, @DrDougMackMD @KylaHildebrand1 @PedsAllergyDoc @allergydoc4kidz &others I'm sure I missed)
117 Preschoolers had a 1 year maintenance oral challenge to peanut - 78% passed the exit challenge of 4gm (~16 peanuts)
#ASK2020 Myths about Oral Immunotherapy (OIT)
When you are "done" OIT patient is able to eat the food Ad Lib
For older children, adolescents and adults, you are never "done"
Need to keep food in diet regularly to maintain non-responsiveness
#ASK2020 Patients with egg and milk allergy - 70% can tolerate baked versions of milk or egg products. Those who can tolerate are much more likely to outgrow so we recommend regular ingestion of the same
#ASK2020: Tsai: React to fresh tuna but not canned tuna? How is this possible?
Canned tuna is so heavily processed its practically not tuna any more, so many people with tuna allergy can pull this off. But be cautious as allergy (as always) is unpredictable to a degree
#ASK2020 Another Myth - peanut and tree nuts are cross reactive
Peanut is a legume
Tree Nuts are tree nuts
Cross Contamination can occur however so be mindful
#ASK2020: Myth: The smell of the food will cause anaphylaxis. One must actually ingest protein or inhale raw protein. So stay away from a pot of boiling shrimp or lobster if you are allergic, but once it's cooked you can sit next to someone eating it.
#ASK2020: Tsai: Patients at "high risk" for food allergy can still safely introduce peanut at home
#ASK2020 Tsai: Previous reactions to a food unfortunately doesn't predict severity of future reaction
Can be:
1) The Same
2) Worse
3) Milder
Unfortunately our diagnostic tests only confirm that one is allergic, can't predict severity of future reactions upon re-exposure
#ASK2020 Good catch Dr. Tsai - can't just say "EpiPen" anymore in Canada when it comes to a requirement to prescribe an epinephrine autoinjector. We have 3 options in Canada now! (finally)
EpiPen (0.15mg, 0.3mg)
Allerject (0.15mg, 0.3mg)
Emerade (0.3mg, 0.5mg)
#ASK2020 Tsai: Chronic rhinitis/sinusitis symptoms have been described to occur with milk ingestion but all those who have been formerly tested do not show evidence of IgE mediated reactivity to the same
#ASK2020 Tsai: Don't skin test people to food they eat regularly and are tolerating. High rate of false positives just confusing
#ASK2020: Gold standard for the diagnosis of food allergy is what happens when you eat it
#ASK2020 Tsai: (and me as well) Please don't order the IgG food testing "sensitivity panel" Costs the patient lots of $, doesn't correlate to pathology, and really reflects what foods they eat most often.
Remember: IgG is the NORMAL immune response to any non-human protein
#ASK2020 Food intolerance can produce uncomfortable symptoms - but it's not an allergy, not at risk for #anaphylaxis and don't need an epinepherine autoinjector
Mehn watching the Royalty wedding #ask2020 on someoneβs instastory and I kept on saying waoh waoh...it is truly a royalty wedding π₯°π₯°π₯°
Thanks to Dr. Emily Kay for tonight's #ASK2020 session, "Epinephrine should be saved for severe anaphylaxis and other myths about #anaphylaxis".
Thank you @DrAnneEllis for moderating and for all of your hard work on this series!
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