“Paediatric Allergy Update – Impact on Primary Care” - The Portland

210 Pages·2013·10.41 MB·English

“Paediatric Allergy Update
– Impact on Primary Care”
Gideon Lack

Paediatric GP Conference
The Allergic March
Eczema Food allergies Rhinitis Asthma
Egg allergy in infancy predicts respiratory
allergic disease by 4 years of age
 In 1989, a cohort of consecutive births was recruited. Data on family history of atopy
and environmental factors were collected. At 4 years of age, 1,218 children were seen
of whom 981 were skin-prick tested with a range of food and aero-allergens.

Tariq SM. Pediatr Allergy Immunol 2000; 11: 162-7.

Case
 Ben is a 16 year old boy with known peanut allergy who
ate an ice cream which contained traces of peanut.
 He immediately developed lip swelling and swelling of his
throat.
 By the time, he received adrenaline, he was struggling to
breathe and his father who was a doctor performed a
tracheostomy and he was transported by ambulance to
hospital where he was intubated and ventilated on
intensive care unit.
 He made a full recovery.