Allergy

Question 1

What are the most common allergic diseases in children?

Answer 1

Allergic rhinitis, asthma, eczema, food and Venom allergy.

Question 2

What is this describing?

Inflammation of the inside of the nose as a result of the immune reaction to an allergen, usually an aeroallergen.

Answer 2

Allergic rhinitis

Question 3

What are the allergens responsible for allergic rhinitis?

Answer 3

Grass and tree pollens, weeds, fungal spores, house dust mite faces, animal hair, moulds.

Question 4

What is this a presentation of?

Sneezing, rhinorrhoea, red itchy watering eyes. Nasal speculum shows polyps, enlarged turbinates, inflamed mucosa.

Answer 4

Allergic rhinitis

Question 5

What is the management of allergic rhinitis?

Answer 5

1. Allergen avoidance
2. Topical nasal corticosteroids
3. Antihistamines
4. If severe - temporary oral steroid cover and allergen immunotherapy

Question 6

What is the difference between IgE and non-IgE mediated food allergy?

Answer 6

1. IgE - symptoms occur within 60 minutes of ingestion

2. Non-IgE - symptoms occur 24-hours to days after ingestion

Question 7

Which foods commonly cause an allergic reaction?

Answer 7

Milk, eggs, peanuts, tree nut, soy, wheat, fish and shellfish.

Question 8

What is this a presentation of?

Angioedema, urticaria, wheezing, coughing, anaphylaxis, vomiting, diarrhoea, abdominal cramps.

Answer 8

Food allergy

Question 9

What is the management of a food allergy?

Answer 9

1. Avoid allergen
2. Use of antihistamines
3. Adrenaline autoinjector pen