Food allergies

Question 1

Common food allergies in infants?

Answer 1

Cow milk
Egg
peanut

Question 2

Common food allergies in older children

Answer 2

Peanut
fish
shellfish

Question 3

What is oral allergy syndrome

Answer 3

Getting allergic after intially not being allergic

Question 4

IgE mediated allergy symptoms?

Answer 4

Urticaria
Angioedema
Nausea
Wheeze

Anaphylaxis in 10-15 mins

Bad

Question 5

Non IgE mediated allergy symptoms

Answer 5

Erythema
Atopic eczema
Change in stools
food aversion
abdominal pain

Question 6

Test 1 and test 2 done to investigate allergies?

Answer 6

1st do skin prick test

2nd measure specific IgE antibodies (RAST)

Question 7

When to refer to specialist?

Answer 7

Faltering growth with a GI symptom

Severe atopic eczema

Multiple allergies

Acute systemic or delayed reaction

Question 8

How to manage / allergy action plan

Answer 8

Written information/leaflet + adequate training

· Explain what an allergy is

· Explain some children grow out of allergies (i.e. cow’s milk protein)

• Mild attacks à antihistamines (i.e. loratadine)
• Severe attacks à EpiPen (IM adrenaline)

Question 9

How does cow milk allergy present?

Answer 9

usually presents in first 3m of life in formula-fed children

Question 10

3 month baby that vomits and has diarrhoea after every feed’

Answer 10

Cow milk allergy

Question 11

How to manage cow milk allergy

Answer 11

Trial elimination for 2-6 weeks

Consider 1g calcium and 10mcg vitamin D

Replace milk : hypoallergenic infant formula

Question 12

What is the milk ladder?

Answer 12

Re-evaluate tolerance to cows’ milk protein (every 6-12 months) à re-introduce cows’ milk protein into the diet à if tolerance is established, greater exposure of less processed milk is advised with ‘Milk Ladder’

Question 13

Herediary angioedema?

Answer 13

C1 esterase deficiency

= recurrent facial swelling and abdo pain

Question 14

How to manage anaphylaxis?

Answer 14