Reply to Is there anything new in the nut allergy treatment world?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Hi OP, I work in food allergy.

And since I'm here, please help get this message out, EARLY INTRODUCTION IS ESSENTIAL. All the top allergens into the diet in age-appropriate forms when your child is ready for solids at 4-6 MONTHS OF AGE. Yes, that early. If there is any hesitation (bc of eczema, sibling/family history, etc), get to an allergist for support, but don't unilaterally take it out of your child's diet. We now know this has the possibility to potentiate an allergy and there is for many a window on immune plasticity.

Thanks for indulging the PSA, best of luck OP.[/quote]

UGH this is SUCH BS. Look, early introduction works for kids who don’t have food allergies because they DON’T HAVE FOOD ALLERGIES. Statistically speaking very few kids have food allergies but those who do, it is NOT because their parents didn’t introduce the food early enough. It is simply luck of the genetic draw.

While we are at it, let us set aside the myth that farm kids are hardier when it comes to asthma. Every farming community has kids with severe asthma. Yes, in a family of farmers there can be a few family members who get severe respiratory troubles with the harvest season. There is nothing inherently alllergy protective about being raised on a farm, again—it is just genetics.[/quote]

This is a really harsh response. There was a well known study that came out in 2015 that showed scientific evidence that introduction of peanuts at 4-6 months reduced the risk of kids developing peanut allergies. I get it - my daughter was born in 2014 and I wish I would have known this before she developed her own peanut she developed her peanut allergy. Allergies aren’t the fault of any parent doing the best they can with available evidence, and there’s absolutely a major genetic component to it. But when my younger DS was born, I spent a lot of time with my DD’s allergist going over the evidence, and I was absolutely convinced that it made sense to introduce common allergens to him at 4 months.

https://www.foodallergy.org/resources/learning-early-about-peanut-allergy-leap[/quote]

I have a peanut allergic kid born 2008, and I gave peanuts to her at 15 months (per the ped) and I have a kid with no allergies born 2011 that didn’t get nuts until age 3 (per our allergist.) So, I’m skeptical. [/quote]

4-6m is the recommendation. We also were told to touch our infants with hands after touching peanuts earlier than 4-6m because the skin can increase exposure.

Not everyone is going to develop your allergy. Your 2011 kid probably was never going to develop one. But in kids who might develop an allergy, early exposure has shown a reduction in allergies. [/quote]

As I understand it, there is a body of research that suggests oral exposure is good, but skin exposure is actually what may lead to the development of allergies (and thus possible the allergy/eczema connection).  I would not try early introduction via skin routes.[/quote]

Yeah, don't do this.  I'm a PP with food allergies (and 2 DD's with FA).  When she was still a baby, our younger DD's allergist told us to avoid any risk of skin exposure to potential allergens specifically for this reason (she had severe eczema on her face, and he was concerned she may come into contact with potential allergens through that vector before we started oral introduction).[/quote]

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