Management of allergy Flashcards
what do we give/
- allergen avoidance
- anti-histamine
- adrenaline injections (asthma, anaphylaxis)
- dietary advice
- optimise asthma control
high cross reaction is between what tree nut?
walnut - pecan, cashew - pistachio
risk factor for peanut
- eczema
- asthma
- egg allergy
- teenagers and young adults
peanut allergy - immunotherapy is in?
phase 3 trial
oral allergy syndrome causes what symptoms?
itching, mouth swelling
tongue discomfort
oral allergy syndrome is a cross reaction of?
tree/plant pollens and food
most common presentation to allergy clinic in infancy
egg
- tolerate well coked egg and raw egg last
- urticaria and angiodema
- usually grow out of it
Milk allergy - prognosis
IgE milk allergy
- grow out of it
IgE mediated CMA
- who is it most seen in?
rapid onset
- breast fed baby, on formula between 4 and 6 months - rapid onset of urticaria and angiooedema
- histamine based reactions
- vomiting, diarrhoea
how can IgE be identified?
SPT
or SPIgE
non IgE mediated CMA
- varied presentation - give examples?
non histamine based
- diarrhoea, vomiting, irritability , eczema, bloating, PR bleeding
mothers who remove cows milk need supplemented in ?
calcium and vitamin D
2nd line formula you can use?
EHF with/without lactose
PHF is given when?
- they are still exposed to cows milk protein to help reintroduce
severe allergy who can’t tolerate any milk protein at all?
Amino acid formulas
- puromini, nutramigen AA
