Case+Study++Childhood+Allergy

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** Teressa Millet **
 * Medical Terminology II **
 * April 14, 2010 **

Author: V. Dimov, M.D., Fellow, Creighton University Division of Allergy & Immunology Reviewer: S. Randhawa, M.D., Fellow, LSU (Shreveport) Department of Allergy & Immunology
 * Food Allergy in a Toddler **

A 2-year-old girl is referred to an allergy and immunology clinic for food allergy. Four months ago, she ate a cashew nut-containing candy and had an immediate myxedemawhich required a dose of Benadryl. She was placed on a strict nut elimination diet. Her pediatrician prescribed an Epicene Jr. for emergency use and ordered an Immunosuppressant titor for food allergens with a panel which included eggs, milk, wheat, corn, peanuts, soy, crab, shrimp, orange, and tuna. Significantly elevated allegy antigen titor were seen with peanut and egg white, and mildly elevated titers were seen with milk, wheat, soybean, and orange. The egg and peanut titers were sufficiently high to predict definite allergy, whereas the other low positive titers had a low probability of association with clinical allergy. Unfortunately, no tree nuts were obtained in that panel. She had been consuming milk and wheat-containing products without any reaction. Currently, she is being maintained on an egg, peanut, and nut-free diet, and has had no further allergic reactions.

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