For infants under the age of 12months, if they are at high risk (+family history of peanut allergy; eczema, allergies), we are offering early introduction protocol in order to prevent them from developing a peanut allergy.
Based on the LEAP Study, regular feeding of peanut protein to children at high risk can significantly reduce the development of peanut allergy.
Make an appt for your at risk infant to be evaluated for a peanut allergy, prior to starting the introduction.
PATIENTS: Please be sure to print, complete and bring in with you to your appointment, the NEW patient and registration forms here from our website’s tab FORMS. If you were seen between August 1-October 30th, please let the staff know a week in advance of your appointment so that we may request your records prior to your appointment from Allergy Partners. * Be sure to be off antihistamine for 5 days prior to your appt*
We are upgrading our EMR system and the new ICD 10 coding system. This requires more time as we are new with the system and also because we will need to enter all your past information into the new system. We ask that you schedule an appt for your allergy shots so that we can prepare your shot vial and chart prior to your shot appointment to help reduce your wait time.
Thank you for your help and patience.
In phase 3 trials is the new peanut patch therapy. We are closely following its develop as it appears that it may be available to prescribe in the next few years. We are still awaiting for guidelines for this new therapy.
As we get underway with signing off on school forms, we are often asked about the Epipen dosing. The appropriate dosing is 0.01mg/kg however the devices (Epipen and Auvi Q) only come in 2 set doses, Jr 0.15mg and Regular 0.3mg. If your child have a severe food allergy or a nut allergy, once your child’s weight is 44lbs (20kg), we recommend moving your child up to the next dose from the Jr to regular as underdosing can lead to fatality. The increased dose may cause some transient side effects such as increased heart rate and jitteriness.
Exciting new study from England, LEAP study has shown that early introduction of peanuts (2 grams, about 8 peanuts) starting in infancy on a regular basis (3 times a week for 5 years) may be able to prevent the onset of peanut allergy for those at risk of developing a peanut allergy. The study was the first of it’s kind. Many more studies are needed to answer the numerous questions that have risen but it is a promising method that we are implementing in our practice. Recommend patients come in between 4 months and 10 months of age.
Dr. Bailey discussed this on a panel with the LEAP research physicians from London on the Diane Rehm Show WAMU 88.5FM.
This new peanut allergy study is exciting. The study treatment patients received both probiotics and oral peanut protein. At the end of the study about 80% of patients could tolerate peanuts. More research will need to be done to see if this is a permanent treatment and how oral peanut treatments can be safely provided outside of research facilities. See link below.