Discover and read the best of Twitter Threads about #foodallergyawarenessweek
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As #FoodAllergyAwarenessWeek winds down, it is important to discuss exciting recommendations about PREVENTION of #foodallergy. Wouldn't it be great if we could curb the rise? This thread will address interventions that may impact this (if adopted on a wide scale) ⬇️
Introducing allergenic foods such as peanut, egg, wheat, milk into a baby's diet early - beginning around 4-6 months AND keeping in the diet is:
-SAFE
-Beneficial
-In line with current recommendations from Allergy orgs and @AmerAcadPeds pediatrics.aappublications.org/content/143/4/…
-SAFE
-Beneficial
-In line with current recommendations from Allergy orgs and @AmerAcadPeds pediatrics.aappublications.org/content/143/4/…
Current U.S. guidelines recommend early introduction of safe forms of peanut to all infants beginning at 4-6 months (once they are tolerating solids).
Testing for peanut allergy should ONLY be considered for infants at high risk for allergy. Great info: niaid.nih.gov/sites/default/…
Testing for peanut allergy should ONLY be considered for infants at high risk for allergy. Great info: niaid.nih.gov/sites/default/…
Epinephrine is the ONLY effective treatment for anaphylaxis.
It is:
-Safe
-Fast
-Effective for all symptoms
There should be no question to use epi for anaphylaxis. But, deciding whether anaphylaxis is present is the tricky part. I'll address here⬇️ #FoodAllergyAwarenessWeek
It is:
-Safe
-Fast
-Effective for all symptoms
There should be no question to use epi for anaphylaxis. But, deciding whether anaphylaxis is present is the tricky part. I'll address here⬇️ #FoodAllergyAwarenessWeek
Anaphylaxis is a rapidly progressive, systemic allergic reaction that can occur from allergies to food, medication, venom, etc.
Easiest definition is any combo of 2 or more organ systems:
Skin=hives/swelling
Lungs=cough/wheeze
GI=vomiting
Nose=congestion
aaaai.org/Aaaai/media/Me…
Easiest definition is any combo of 2 or more organ systems:
Skin=hives/swelling
Lungs=cough/wheeze
GI=vomiting
Nose=congestion
aaaai.org/Aaaai/media/Me…
Anaphylaxis generally occurs quickly after allergen exposure - within minutes and rarely longer than 2 hours later.
Wake up with hives the next day? Not likely anaphylaxis.
Vomiting in setting of fever, feeling unwell - think viral illness.
Hives with viral illness - very common
Wake up with hives the next day? Not likely anaphylaxis.
Vomiting in setting of fever, feeling unwell - think viral illness.
Hives with viral illness - very common
I thought I'd start #FoodAllergyAwarenessWeek by describing how I (a board certified pediatric allergist) establish the diagnosis of #foodallergy.
This is a life altering diagnosis & it's important to get it right;unfortunately many are misdiagnosed. Follow this thread ⬇️ #FAAW
This is a life altering diagnosis & it's important to get it right;unfortunately many are misdiagnosed. Follow this thread ⬇️ #FAAW
When I first meet a family with concern about #foodallergy, I introduce myself 😁 and ask "How can I help you today?". Then I let them talk...uninterrupted.
I then learn what concerns they have and gain insight into foods, symptoms, etc. #FoodAllergyAwarenessWeek
I then learn what concerns they have and gain insight into foods, symptoms, etc. #FoodAllergyAwarenessWeek
The clinical history is the MOST important test in diagnosing #foodallergy. I need to know:
What foods cause concern
Timing of symptom onset
Types of symptoms
Duration
Treatment?
Does it happen every time
#FoodAllergyAwarenessWeek
What foods cause concern
Timing of symptom onset
Types of symptoms
Duration
Treatment?
Does it happen every time
#FoodAllergyAwarenessWeek
