Windom Allergy, Asthma, Sinus

Common Misconceptions on Casual Exposure in Peanut Allergy

Common Misconceptions on Casual Exposure in Peanut Allergy
This week we will highlight on clinical pearls and evidence-based advice on what to do if a peanut allergic patient has casual exposure to peanut.Being near peanut butter can trigger a reaction. Ingestion is the primary trigger for significant reactions and peanut protein does not aerosolize in significant amounts from peanut butter or undisturbed peanut.Being touched by peanut can trigger a reaction. Again, ingestion as the primary trigger of significant reactions. Contact reactions may lead to no symptoms or localized ones such as a rash that often resolves when the area is washed off (exception may be direct eye exposure that...
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Useful Advise on Management of Peanut Allergy at Restaurants

Useful Advise on Management of Peanut Allergy at Restaurants
Recently the Journal of Allergy and Clinical Immunology published a great article with common sense, evidence-based advice that all allergists should be discussing with their food allergy patients. This week we will highlight improving safety at restaurants/food establishments.High-risk establishments include ice cream parlors, bakeries, and Asian restaurants. Avoid these places or use additional instructions to staff to reduce risk. Have food prepared specifically for the patient, taking into consideration cross-contact and hidden ingredientsDesserts, sauces are higher risk. Avoid these unless safety can be confirmed.Restaurant personnel are often not educated about food allergy. Educate while informing. For example, instead of saying: “I...
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OIT is Old Science

OIT is Old Science
One of the best parts about preparing for my OIT presentation at the University of South Florida was learning about the history of OIT. I hope you are as amazed as I was at this timeline. – Dr. Ly500 AD- the ancient Babylonian Talmud has instructions for treating egg sensitivity with egg white.1905- Finkelstein conceptualizes OIT – He successfully desensitizes nurslings with “milk idiosyncrasy” by gradually administering increasing drops of milk.1908- Schofield treats a 13-year-old patient with egg allergy over an 8-month period by incrementally increasing small amounts of raw egg disguised in pill form.1911- Noon & Freeman start Allergy shots...
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Windom Allergy, Asthma & Sinus
Food Allergy Center of Florida