Allergy In Childhood Flashcards
Food intolerance is?
NOT immune-mediated
But reproducible
Eg. Lactose intolerance
Alcohol
Toxins
Food Allergy is?
Immune-mediated
IgE: peanuts
or non-IgE - cow’s milk protein
Big 8 food allergy S
Egg Milk Soy Wheat Peanuts Tree nuts Fish Shellfish
High risk groups for anaphylaxis
Older age BB/ ACEi Hx of anaphylaxis, Multiple food and drug allergy Underlying Lung disease
Interpretation of +ve skin prick test?
Must correlate with history, and if in doubt, need to do food challenge test
Management of allergy
Anti-histamine S Cool compress Observation Identify trigger Allergy action Plan Education
Non IgE manifests typically? When?
GI and Skin
Hours to days later
Hard to identify
Food protein induced Enterocolitis looks like?
Meningococcal sepsis. But they recover very quickly after treatment due to fluid boluses
Eosinophilia oesophagitis features?
Regurg
PPI resistant epigastric pain
Food impaction
Failure to thrive
Risk factor for anaphylaxis for stings?
If previous anaphylaxis to something else