The Peanut Allergy Answer Book, 3rd Ed.

The Peanut Allergy Answer Book, 3rd Ed.

by Michael C Young
The Peanut Allergy Answer Book, 3rd Ed.

The Peanut Allergy Answer Book, 3rd Ed.

by Michael C Young

eBook

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Overview

A revised and updated version of the definitive peanut allergy book.  The Most Cutting-Edge Research on Peanut Allergy Prevention, Diagnosis, and Treatment Is Here! Did you know that avoidance of peanuts early in life may actually lead to peanut allergy, the opposite of what was originally believed? Researchers now believe that continued early avoidance of peanut may be behind the steady growth of peanut allergy in the United States and other countries.
This surprising new research is among the cutting edge information you’ll find in the third edition of The Peanut Allergy Answer Book. Since its publication in 2001, rates of peanut allergy have tripled, prompting families, patients, and medical professionals to seek clear and concise answers about prevention, diagnosis, and treatment. The newest edition of this book outlines:  - Promising new treatments, including oral desensitization and Chinese herbal medicines
 - The most recent recommendations for feeding at-risk infants and young children
 - The latest laboratory tests for determining the risk of life-threatening anaphylaxis

Product Details

ISBN-13: 9781610589147
Publisher: Fair Winds Press
Publication date: 10/01/2013
Sold by: Barnes & Noble
Format: eBook
Pages: 192
File size: 1 MB

About the Author

Michael C. Young, M.D. is Assistant Clinical Professor of Pediatrics at Harvard Medical School and practices at Children's Hospital, Boston and at South Shore Allergy&Asthma Specialists in South Weymouth, MA. Dr. Young is a member of the Massachusetts Department of Education Task Force on Anaphylaxis that developed the first guidelines in the country for the management of food allergies and anaphylaxis in schools.

Table of Contents

Acknowledgments 10

Foreword 12

Preface to the third edition 14

Introduction 17

Chapter 1 Allergies in a Nutshell

What are food allergies? 19

How are food allergies related to the immune system? 21

How do you know whether you have a food allergy? 24

How do I choose an allergist? 25

What information does your doctor need to diagnose food allergies? 27

What are the different kinds of allergy tests and how do they work? 29

What is a specific IgE test? 30

Can allergy tests predict the severity of a reaction? 32

How accurate are allergy rests? 33

What are component-resolved diagnostic tests and are they more accurate than skin tests and specific IgE tests? 33

If I can eat peanuts without any problems, even though my peanut allergy tests are positive, should I stop eating them? 35

What is a food challenge? 35

What is the youngest age to undergo a food challenge? 38

What is an elimination diet? 39

Are there food reactions that aren't allergies? 41

Chapter 2 Peanut Allergy 101

What is the historical background of peanut allergy? 43

What is the history of peanut allergy in medicine? 44

How common is peanut allergy? 46

Why have peanut allergy and other allergic diseases increased so dramatically, particularly in young children? 48

What is the hygiene hypothesis and how is it related to peanut allergy? 48

Why is peanut allergy more common in the United States, United Kingdom, and Australia compared to the rest of Europe, Asia, and the Middle East? 49

How does tolerance to foods develop? 51

What are the reasons for loss of food tolerance? 52

Does early avoidance of peanut prevent or result in peanut allergy? 53

Is peanut allergy hereditary? 54

Should the sibling of a child with peanut allergy avoid peanuts? 55

At how early an age can peanut sensitization occur? 55

What is it in peanuts that make them so allergenic? 58

Is the peanut a true nut? 59

Are there nuts that do not commonly cause allergies? 61

Should you avoid all members of a food family if you are allergic to one food in that family? 61

Are peanut-allergic individuals also allergic to tree nuts? 64

Should peanut-allergic individuals avoid tree nuts? 64

Should peanut- and nut-allergic individuals avoid seeds? 64

Does soy formula cause peanut allergy in infants? 65

Can peanut protein be found in breast milk? 65

Can peanut allergy be transferred from person to person? 66

Can peanut allergy be cured by organ transplantation? 67

Will I outgrow my peanut allergy? 68

When should children undergo a peanut challenge to see whether they've outgrown their allergy? 71

Can a food challenge be wrong? 72

Is there a chance that after I outgrow my peanut allergy, the peanut allergy may come back? 72

Can allergies to tree nuts be outgrown? 73

Chapter 3 What You Need to Know about Anaphylaxis

What is anaphylaxis? 74

Is anaphylaxis always accompanied by skin symptoms? 77

What is biphasic anaphylaxis? 77

Can severe anaphylaxis be predicted? 79

What are the risk factors for fatal anaphylaxis? 80

What is the treatment for anaphylaxis? 81

Do all ambulances curry epinephrine? 84

When should antihistamines be used to treat anaphylaxis? 84

Should I use my asthma inhaler if I wheeze from an allergic reaction to food? 85

What is the EpiPen? 87

What is the correct dose of epinephrine to use? 88

How often can the epinephrine dose be repeated? 90

Would giving epinephrine unnecessarily cause harm? 91

What is the best way to store an EpiPen? 91

Is an expired EpiPen effective in treating anaphylaxis? 92

What is the newest form of the epinephrine autoinjector and how is it different from an EpiPen? 92

Can epinephrine be given in any other form besides injection? 93

Chapter 4 What Types of Allergic Reactions Result from Peanut Exposures?

What is the smallest amount of peanut that can cause an allergic reaction? 94

What is "airborne" peanut allergy? 96

Does having severe peanut allergy mean I will react to peanut vapor? 97

Can the odor of peanuts cause an allergic reaction? 97

What are the risks associated with the different types of airborne exposures? 101

Can skin contact cause anaphylaxis? 102

Can kissing cause anaphylaxis? 102

Chapter 5 Finding the Hidden Peanut Products

How can peanuts and peanut products be hidden in foods? 104

Why aren't labels foolproof? 109

Should I avoid foods with labels that state "may contain traces of peanut" or "manufactured in a facility that processes peanuts and nuts"? 110

What is the Food Allergen Labeling and Consumer Protection Act? 111

Is peanut oil safe for peanut-allergic individuals? 112

Chapter 6 Keeping Safe in a Peanut-Filled World

Should peanut snacks be banned from airlines? 114

What are some of the problems facing peanut-allergic infants and toddlers? 119

How do I keep my peanut-allergic child safe at school? 121

Why does every student with food allergies need an individual health care plan (IHP)? 123

What is a 504 plan and when should a peanut-allergic student have one in addition to an IHP? 124

Are there formal guidelines on food-allergy management for schools to follow? 124

What is the Food Allergy and Anaphylaxis Management Act (FAAMA)? 125

What is the School Access to Emergency Epinephrine Act? 125

Should peanuts be banned from schools? 126

How do I keep my peanut-allergic child safe on the school bus? 128

What are the most effective cleaning techniques for removal of peanut allergen? 129

What is the responsibility of the school to your peanut-allergic child? 130

What can parents of peanut-allergic children do to help keep the school environment safe for their children? 134

How will this allergy affect my child's emotional and social development? 138

What are some of the problems unique to the peanut-allergic adolescent? 142

Should you wear a Medic-Alert bracelet? 144

Chapter 7 Prevention of Peanut and Other Food Allergies

Should you avoid consuming peanuts and other allergenic foods during pregnancy? 146

Is breast-feeding helpful in preventing food allergies? 148

Is hypoallergenic formula safer than breast milk? 149

Can feeding with hypoallergenic formula prevent food allergies? 150

At what age should peanuts and tree nuts be introduced into a child's diet? 150

Is early introduction of peanuts and tree nuts into an infant's diet beneficial or harmful? 151

What are the LEAP and EAT studies and what questions about a child's diet will they answer? 152

What is a reasonable schedule for the introduction of foods into the diet of a potentially food-allergic infant? 153

Chapter 8 The Future of Peanut Allergy Treatment

Can peanut allergy be treated with allergy shots? 155

What is oral immunotherapy for food allergy? 157

What are the short-term and long-term risks of peanut oral immunotherapy? 158

Are the benefits of oral immunotherapy permanent? 158

What changes in the immune system result from oral immunotherapy? 159

What is sublingual immunotherapy for peanut allergy? 159

What is epicutaneous immunotherapy for peanut allergy? 160

Ts Chinese herbal medicine helpful in treating food allergy? 161

What does the future hold for the treatment of peanut allergy? 162

Appendix A Where Can I Learn More About Food Allergies? 187

Appendix B What Are the Main Take-Home Points to Remember About Peanut Allergy? 170

Appendix C Glossary 173

Appendix D References 179

About the Author 189

Index 190

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