Teal Pumpkin Project

The Teal Pumpkin project was created to support kids with food allergy by identifying houses with safe treats for you with food allergies.  To learn more and support this project please visit www.tealpumpkinproject.org

 

Sanofi announced recall of Auviq devices

Sanofi just announced a recall for Auviq devices both 0.15 and 0.30 due to possible incorrect dosage administration.

Patients should call this number for the disposal/inquiry/reimbursement for their devices: 866-726-6340.

Their website announcing the information is https://auvi-q.com.

You can download the form here to request a new epinephrine auto-injector from us.

LEAP Study (Learning Early About Peanut Allergy Trial)

The results from the LEAP study (Learning Early About Peanut Allergy Trial) were just presented at the American Academy of Allergy, Asthma, and Immunology. This trial produced some breathtaking findings about peanut allergy. A group of 640 children with eczema and/or egg allergy (the group that is traditionally the highest risk for peanut allergy development) was divided into 2 different interventions: one group followed the current recommendation of peanut avoidance and the other group was given peanut protein if they did not have large positive peanut skin tests at the screening visit. The group receiving peanut protein ingested 2gm 3x week. The results demonstrated that the group consuming peanut protein had an 86% reduction in peanut allergy for the 4 year study period if they had negative skin testing to peanut at age 12 months. If the children already had a small positive skin test to peanut (defined as a skin test wheal of 4mm or less to peanut) AND they were able to tolerate over 2gm of peanut protein at the beginning of the study, a 70% reduction in peanut allergy over the 4 year study period was seen. These findings were consistent across all races. If children already had a large positive skin test to peanut they were excluded from the study.

 

The bottom line: there may be a window of time in which peanut introduction is ideal, especially for children at high risk of developing peanut allergy. Here is the suggested approach from the study. PLEASE NOTE, YOUR CHILD’S HEALTHCARE PROFESSIONAL MUST BE INVOLVED IF YOU HAVE A CHILD WHO IS AT RISK OR HAS ESTABLISHED ALLERGIC DISEASE (ECZEMA, OTHER FOOD ALLERGIES, ASTHMA, SIBLING WITH FOOD ALLERGY)

For infants without atopic dermatitis (eczema), or any risk factors, peanut butter or flour may be introduced between 4-6 months. The study recommends 2gm of the peanut protein 3x week.

For infants with atopic dermatitis it is recommended to screen them with skin prick tests and if they have a 4mm or less skin test wheal to peanut then introduce peanut 2gm 3x week into the diet. The first ingestion of peanut butter is recommended to be in the health care provider’s office.

 

Here are some additional links

Grateful Foodie Caroline Moassessi  Click Here for her website

– See more at: http://www.gratefulfoodie.com/breaking-news-peanut-allergy-prevention/#sthash.f9u4Bm4v.dpuf

Huff’s Epi-Pen Bill is Now Law: Will Save Kids’ Lives

Public Schools to Stock Epinephrine Auto Injectors Beginning Next Year

 

SACRAMENTO: SB1266, authored by Senate Republican Leader Bob Huff (R-Diamond Bar), has been signed into law by Governor Jerry Brown.  The measure will require public schools to stock epinephrine auto injectors on campus so critically important medicine can be administered quickly and safely in a student suffers from a serious anaphylactic allergy reaction during school hours.

 

This issue recently drew the attention of President Obama, who signed federal legislation that rewards states who require stock epinephrine in schools, by giving them possible preferential treatment in the awarding of certain grants (HR 2094 – School Access to Emergency Epinephrine Act).  Current California law allows schools to stock epinephrine, but does not require it.

Senate Bill 1266

Here is information from FARE, a national food
allergy advocacy group. The notice is intended to inform  families with
food allergies of Senate Bill 1266 which allows for injectable epinephrine to
be routinely stocked in schools.

The legislation being considered, SB 1266, would require California schools to
maintain a supply of epinephrine that would be available to administer to any
student having an anaphylactic reaction. Similar laws passed in more than 30
states allowing thousands of schools across the country to stock this
medication in preparation for emergency situations. Lives have already been
saved by these laws in other states.

If you haven’t already, please contact members of the committee and ask them to
support this important bill. . If you visit the FARE Action Center and click on the California Alert, you can send a message
directly to your state senator and committee members. If you are not already a
member of FARE’s Advocates Network, please register first. Please do this at
your earliest convenience to enhance the chances of this bill’s passage.

Food Allergies

Eating and enjoying food is one of life’s simplest pleasures. It also provides us with the sustenance and nutrition we need to grow and thrive. Unfortunately, food allergies are becoming an increasingly common problem; they produce varying types of reactions, some of which are life threatening. There is also a great deal of misinformation about food allergies amongst the public at large.

A food allergy is an inappropriate immune system response to specific proteins in a food. Reactions present in various forms and can range from mild to very severe. The reaction is due to allergic antibodies causing the release of histamine and other inflammatory molecules. While the reactions can vary, they tend to have a specific pattern of symptoms. Unfortunately, reactions can be explosive and severe and life threatening. A food allergy is not to be confused with food intolerances. These conditions can be troubling but in general are not life-threatening. Celiac disease gets confused with food allergies as well.

The most common food allergies are peanuts, tree nuts (such as walnuts, pecans and almonds), fish, shellfish, milk, eggs, soy products, and wheat. Symptoms of food allergies may include rash or hives, eczema, nausea, stomach pain, diarrhea, itchy skin, shortness of breath, chest pain, swelling of the larynx (upper airway), or anaphylaxis,
which can be life-threatening.

An allergist can identify the food to which an individual reacts. It is very important to characterize the type of food reactions, and identify the foods of concern. From these findings, an allergist can prepare a management plan and strategies for the allergy sufferer. The allergist can also navigate the food allergic individual away from potentially cross-reactive foods and discuss food safety. Identification of food allergens, teaching, setting up networks of support, discussing repercussions of diagnosis, and the use of emergency epinephrine are all foundations of food allergy evaluation. One common misconception about food allergies is that developing hives after food ingestion is not serious. In fact, a person who has had hives after food ingestion is at notable risk for a more severe food reaction.

Some food-allergic individuals lose their food sensitivity over time. An allergist is able to track, identify and confirm the loss of sensitivity in these individuals. Often, allergists identify individuals who have been needlessly avoiding foods and are then able to expand their diets. In addition, food allergies are often inherited. When there is a strong family history of food allergies, it can be helpful to have an allergist provide guidance to the expecting parent. Food allergies, even the most severe, are manageable, especially with the support of an experienced allergist.

The Allergy and Asthma Medical Group of the Bay Area has office locations in Walnut Creek, San Ramon, Brentwood, Pleasanton and Berkeley. Our Board Certified Allergists treat both adults and children. We offer extended office hours to accommodate patients with busy schedules.

The Hypoallergenic Dog – Wishful Thinking?

A dog allergy can be a heart-breaking condition for the pup-loving individual. It is understandable that in a country where nearly 40% of households include a dog the idea of a hypoallergenic dog has become so popular. Unfortunately, while certain dogs may cause fewer allergy symptoms than others, there is no such thing as a hypoallergenic dog breed. In fact, one dog and another of the same breed can produce very different levels of allergen.

There is a wide misconception that pet allergies are caused by a dog or cat’s fur, but in fact it is the pet’s dander – secretions from glands in the skin – that causes the allergy symptoms. Proteins found in a dog’s saliva, urine and skin become dander with shed skin cells, these flakes are the real source of the allergen. So no matter if the dog has hair or fur, short or long, any dog can potentially cause an allergic reaction.

Some dog breeds, such as poodles, Portuguese water dogs, or mixed breeds such as the goldendoodle, are marketed as hypoallergenic dogs because they do not shed fur or they shed very little. Because these dogs do not shed, the allergy-causing dander that sticks to their fur is not as easily released into the air or onto the floor as much as it would with a shedding dog. Sufferers may experience fewer allergy symptoms with a non-shedding dog, but no dog breed is truly hypoallergenic.

The Allergy and Asthma Medical Group of the Bay Area has office locations in Walnut Creek, San Ramon, Brentwood, Pleasanton and Berkeley. Our Board Certified Allergists treat both adults and children. We offer extended office hours to accommodate patients with busy schedules.