2017 Family Allergy Update

It’s been seven months since I last published anything, life seems to have got away from me in places.

Life is going well for our family, everyone is growing up, my youngest daughter is now 5 and in school full time, my eldest is 7 and is becoming more independent.

Most recently she went on a 3 day residential trip with the school which was mentally exhausting for me, but she had the time of her life.  I didn’t sleep for 2 weeks before she left and was awake every night whilst she was gone worrying about what she ate and if they were managing her medication.

We have had some progress (?) on the allergy front, after having no allergist appointment for 16 months due to the previous person retiring we got to see a new doctor.  She was very thorough and ordered some blood tests, which we haven’t had since A was 6 months old (and then they only tested for milk allergy).  The doctor was very ambitious and after taking A‘s medical history tested for

  • Milk
  • Egg white
  • Egg yolk
  • Cats (in error as I said A was allergic to dogs)
  • Tree pollen
  • Grass pollen
  • Dust Mites
  • Pineapple

I imagined A only had IgE allergies to milk and one of the pollens, but I was very surprised when her results came back as positive to everything – including a weak positive to pineapple (strange but intriguing).

allergy-test-results.jpg

So in order of severity

  • Grass Pollen and House Dust Mites
  • Milk
  • Egg White
  • Tree Pollen
  • Cat Dander
  • Egg Yolk
  • Pineapple

The doctor advised in the accompanying letter that the majority of the allergies are between Grade 5 and 6 and the triggers are to be strictly avoided.  They consider a negative result to be between 0.00 – 0.34 kU/L.

This explain why we have such a bad time in the Summer with worsening of asthma and eczema.  We have seen our GP, increased the strength of the preventer inhalers, got a new antihistamine and bought an air purifier – which I think is great and has stopped that pesky nightime asthma/hayfever cough.

So I have lots to learn this year, how to improve hayfever symptoms, what I can do about a dust mite allergy and add another unusual allergy – pineapple – to my posts… let me know about your unusual allergies.  The ones I have so far are…

Poultry —  Potatoes —  Honey

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November – Articles of Interest

Trends in contact allergy to fragrance mix I in consecutive Danish eczema patients over three decades; a cross-sectional study from 1986 to 2015

Lupin and Other Potentially Cross-Reactive Allergens in Peanut Allergy

Transcriptional Profiling of Egg Allergy and Relationship to Disease Phenotype, PLOS

THE WHEEZY INFANT AND TODDLER ASTHMATIC – A PRIMARY CARE APPROACH

Concept of Pediatric Feeding Problems from the parent perspective

Immediate systemic allergic reaction in an infant to fish allergen ingested through breast milk

The ingestion of cow’s milk formula in the first 3 months of life prevents the development of cow’s milk allergy

Allergen immunotherapy for insect venom allergy: a systematic review and meta-analysis

Eosinophilic esophagitis: unclear roles of IgE and eosinophils

Evaluation of the skin-prick test for predicting the outgrowth of cow’s milk allergy

Food Allergen Labeling and Purchasing Habits in the United States and Canada

Pharmacists’ role is key in asthma management, inhaler technique

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October – Articles of Interest

Abstract Only

Food Allergy in the Elderly – Collecting the Evidence

Iodine Status and Growth In 0-2-Year-Old Infants With Cow’s Milk Protein Allergy, Journal of Pediatric Gastroenterology & Nutrition

Is Kiwifruit Allergy a Matter in Kiwifruit-Cultivating Regions? A Population-based Study, Pediatric Allergy and Immunology

The Risk of Recurrent Anaphylaxis, The Journal of Pediatrics

Mental health associations with eczema, asthma and hay fever in children: a cross-sectional survey, BMJ Open

Halotherapy as asthma treatment in children: A randomized, controlled, prospective pilot study, Pediatric Pulmonology

BSACI guideline: prescribing an adrenaline auto-injector, Clinical and Experimental Allergy

Induction of tolerance to different types of fish through desensitization with hake, Pediatric Allergy and Immunology

Full Articles

Health service use among children with and without eczema, asthma, and hay fever, Clinical Epidemiology

Measles-Mumps-Rubella vaccine for children with egg allergy: Is admission for inpatient vaccination necessary?

Infantile Colic – A Challenge to Parenthood, International Journal of Community and Family Medicine

The Role of Vitamin D in Allergic Diseases in Children, Journal of Clinical Gastroenterology

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Articles of Interest -September

Running a bit late on this due to a lack of home wifi – Thanks Virgin Media…

There is a lot of good stuff in here this month though, including the World Allergy Organization paper on allergic reactions to vaccines (very last link).

Asthma

Recommending Oral Probiotics to Reduce Winter Antibiotic Prescriptions in People With Asthma: A Pragmatic Randomized Controlled Trial, Annals of Family Medicine

Pre-eclampsia Associates with Asthma, Allergy and Eczema in Childhood, Respiratory and Critical Care Medicine

Allergy testing in children with persistent asthma: Comparison of four diagnostic methods, Experimental Allergy and Immunology

Eczema

Diet and eczema: a review of dietary supplements for the treatment of atopic dermatitis, Dermatology Practical and Conceptual

Allergies

Subgroup differences in the associations between dog exposure during the first year of life and early life allergic outcomes, Clinical and Experimental Allergy

Egg and Milk Proteins as Hidden Allergens in Food: 5-Year (2010 to 2014) Results of Food Allergen Monitoring in Piedmont, Italy, Journal of Food Protection

Allergy to apple cultivars among patients with birch pollinosis and oral allergy syndrome, Annals of Allergy, Asthma and Immunology

Advances in GERD

Effect of acid treatment on allergenicity of peanut and egg, Journal of the Science and Food and Agriculture

Anaphylaxis at autopsy, Forensic Science, Medicine and Pathology

Allergic rhinitis causes loss of smell in children: The OLFAPEDRIAL study, Pediatric Allergy and Immunology

Lettuce allergy is a lipid transfer syndrome-related food allergy with high risk of severe reactions, Journal of Investigational Allergology and Clinical Immunology

Food allergy to wheat, soybean and cassava in Benin: Literature Review, International Journal of Multidisciplinary and Current Research

Exercise-induced inspiratory symptoms in school children, Pediatric Pulmonology

Nutrition and Health Info Sheet: Gluten, Department of Nutrition, University of California

Iodine Allergy and Contrast Administration, UCSF Department of Radiology & Biomedical Imaging

Cofactors in allergic reactions to food: physical exercise and alcohol are the most important, Immunity, Inflammation and Disease

Allergenic Milk Proteins. Friend or Foe Nutritional Proteins?

International Consensus (ICON): allergic reactions to vaccines, World Allergy Organization Journal

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August – Articles of Interest

Full Articles

Antibiotic prescription and food allergy in young children, Allergy, Asthma and Clinical Immunology

Weather conditions and climate change have an effect on allergies, Allergo Journal International

Food Dependent Exercise Induced Anaphylaxis: A Case Report from Saudi Arabia, Medical Science – An International Journal

Food Allergy to the Grain-Containing Formula in an Infant: A Case Report, Journal of Nutritional Health & Food Engineering

FROM ITCHY TO INSPIRED! ECZEMA; AN ITCHY LITTLE WORLD

Differentiating milk allergy (IgE and non-IgE mediated) from lactose intolerance: understanding the underlying mechanisms and presentations, British Journal of General Practice

Comparison of emollient efficacy – a single centre, randomised, double-blind, bi-lateral comparison of two emollients prescribed in the UK for the management of dry skin conditions such as atopic eczema, Macedonian Pharmaceutical Bulletin

Abstracts Only

Interaction Between Allergy and Middle Ear Infection, Current Allergy and Asthma Reports

Developing Probiotic Jelly Desserts with Lactobacillus Acidophilus, Journal of Food Processing and Preservation

Early Life Antibiotic Use and Subsequent Diagnosis of Food Allergy and Allergic Diseases, Clinical and Experimental Allergy

Association of tree nut and coconut sensitization, Annals of Allergy, Asthma and Immunology

Prospective, Randomized Study on the Efficacy and Safety of Local UV-Free Blue Light Treatment of Eczema, Dermatology

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Articles of Interest – July

Full Articles

Particularities of allergy in the Tropics, World Allergy Organization Journal

No association between atopic outcomes and type of pertussis vaccine given in children born on the Isle of Wight 2001-2002, The Journal of Allergy and Clinical Immunology: In Practise

Truths, Myths and Needs of Special Diets: Attention-Deficit/Hyperactivity Disorder, Autism, Non-Celiac Gluten Sensitivity, and Vegetarianism, Annals of Nutrition and Metabolism

Contact Allergy to Hair Dyes, Cosmetics

Is the Prevalence of Food Allergy Not on the Rise After All? The Journal of Allergy and Clinical Immunology: In Practise

Food Intolerance: Lactose Intolerance, Encyclopedia of Food and Health

Adults need adrenaline auto-injectors with a higher dose, Emerade

Sensitization and Clinically Relevant Allergy to Hair Dyes and Clothes from Black Henna Tattoos: Do People Know the Risk? An Uncommon Serious Case and a Review of the Literature, Cosmetics

A clinically suspected case of Anaphylactoid reaction to vitamin K injection in a child – a case report and review of literature, Indian Journal of Pharmacology

Abstracts Only

Allergic reaction from fingerprint kit attributable to unlabeled gluten, probable wheat flour, The Journal of Allergy and Clinical Immunology: In Practice

Cross-reactivity to fish and chicken meat – a new clinical syndrome, European Journal of Allergy and Clinical Immunology

Food allergy in breastfeeding babies. Hidden allergens in human milk, European Annals of allergy and clinical immunology

Time to abandon the hygiene hypothesis: new perspectives on allergic disease, the human microbiome, infectious disease prevention and the role of targeted hygiene, Perspectives in Public Health

Does adenoid hypertrophy affect disease severity in children with allergic rhinitis? European Archives of Oto-Rhino-Laryngology

IgE-associated food allergy alters the presentation of pediatric eosinophilic esophagitis, Clinical and Experimental Allergy

Thumb-Sucking, Nail-Biting, and Atopic Sensitization, Asthma, and Hay Fever, Pediatrics

Early Life Exposure to the Great Smog of 1952 and the Development of Asthma, American Journal of Respiratory and Critical Care Medicine

Inappropriate asthma therapy: a tale of two countries, Journal of Thoracic Disease

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June – Articles of Interest

Abstracts Only

Trends, Characteristics and Incidence of Anaphylaxis in 2001-2010: A Population Based Study, The Journal of Allergy and Clinical Immunology

The Relationship between Vitamin D Status and Allergic Diseases in New Zealand Preschool Children, Nutrients

Development of soybeans with low P34 allergen protein concentration for reduced allergenicity of soy-foods, Journal of the Science of Food and Agriculture

Propofol Use in Pediatric Patients With Food Allergy and Eosinophilic Esophagitis, Journal of Pediatric Gastroenterology and Nutrition

Exposure to outdoor air pollution during trimesters of pregnancy and childhood asthma, allergic rhinitis, and eczema, Environmental Research

In Utero Exposure to Aspirin and Risk of Asthma in Childhood, Epidemiology

Sensitization to food additives in patients with allergy: Based on skin test and open oral challenge, Iranian Journal of Allergy, Asthma and Immunology

Very low prevalence of IgE mediated wheat allergy and high levels of cross-sensitisation between grass and wheat in a UK birth cohort, Clinical and Translational Allergy

Hypersensitivities to Sesame and other common edible seeds, European Journal of Allergy and Clinical Immunology

Full Articles

Does Specific Fungal Allergen Really Matter? Allergy, Asthma & Immunology Research

Contact Urticaria Syndrome from Tofu, Case Reports in Clinical Medicine

Persistent Food Allergy and Food Allergy Coexistent with Eczema Is Associated with Reduced Growth in the First 4 Years of Life, The Journal of Allergy and Clinical Immunology: In Practice

Allergy tests do not predict food triggers in adult patients with eosinophilic oesophagitis. A comprehensive prospective study using five modalities, Alimentary Pharmacology and Therapeutics

The Emperor Has No Symptoms: The Risks of a Blanket Approach to Using Epinephrine Autoinjectors for All Allergic Reactions, The Journal of Allergy and Clinical Immunology: In Practice

Impact of peanut consumption in the LEAP Study: Feasibility, growth, and nutrition, Journal of Allergy and Clinical Immunology

Is Eosinophilic Esophagitis a Sugar Sensitive Disease?  Journal of Gastric Disorders and Therapy

Skin test reactivity to bee hive products (honey bees, honey, royal jelly and pollen), Jurnal Teknologi

Association between Asthma and Autism Spectrum Disorder: A Meta-Analysis, PLOS One

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