FCAAIA Notes: Children drink less milk than they did a generation or so ago. Even children without milk allergy have a very high rate of vitamin D insufficiency and deficiency as was the case in this study. However, the cow’s milk allergic patients in this study had lower bone mineral density than non-allergic controls. Their calcium intake was significantly lower.
If your child has cow’s milk allergy, check with your pediatrician about supplements Continue reading “MILK ALLERGY TIED TO LOWER BONE DENSITY IN CHILDREN”
FCAAIA Notes: The EAT study described here was a natural follow-up to last year’s LEAP study. Unfortunately, the protocol was very difficult to follow as it required that some 3-6 month old children were given a relatively large amount of several highly allergenic foods under a strict schedule. So the majority of enrollees didn’t get enough of the foods that the authors could examine the data as they had hoped. All babies were breast fed and the control group was given no solids before 6 months old.
Nonetheless, there was still a lower incidence food allergy overall and of peanut and egg allergy in in particular in those who were given the solids early Continue reading “EARLY INTRODUCTION OF FOOD ALLERGENS GETS MIXED RESULTS”
FCAAIA Notes: Oral food desensitization (oral immunotherapy, OIT) is not without risk. In fact 5-10% of patients undergoing food OIT experience significant reactions, including anaphylaxis in some cases. Asthma is a risk factor for OIT reaction. I don’t see this as a real surprise, as asthma (especially poorly controlled asthma) is a risk factor for more severe food allergy reactions in general. Peanut OIT has received the most attention recently. One cannot necessarily extrapolate the findings for one food to another, but we have no reason to suspect risk factors vary from one food to another.
Food OIT is still a research tool and should not be undertaken at home. Continue reading “ASTHMA PATIENTS AT RISK FOR MORE REACTIONS DURING FOOD OIT”
FCAAIA Notes: Milk is an excellent source of nutrition for people of all ages. Those who do not drink milk miss out on an exceptional dietary source of calcium and vitamin D. In combination, this creates a risk of osteoporosis. The seeds of osteoporosis are planted early, so even toddlers with milk allergy need to be sure of getting calcium and vitamin D from other sources. As children grow up, girls are at greater risk than boys. I picture my grandmother and her dowager’s hump…it is hard to convince adolescents that their behavior can affect their adult health, but this is an important topic for you or your doctor to discuss with your children.
(Source: http://www.healio.com/allergy-immunology/drug-food-insect/news/online/%7Bf13f5b15-882c-4546-aa33-5bfd4be52f85%7D/young-adults-with-ige-mediated-cows-milk-allergy-faced-osteoporosis-risk August 5, 2014. Adapted from Nachshon L. J Allergy Clin Immunol. 2014;doi:10.1016/j.jaci.2014.06.026)
Young adults with IgE-mediated cow’s milk allergy had significantly reduced bone mineral density and a significant risk for early osteoporosis that appeared to be reversible Continue reading “YOUNG ADULTS WITH IGE-MEDIATED COW’S MILK ALLERGY FACED OSTEOPOROSIS RISK”