Moving Past "Avoid All Nuts": Individualizing Management of Children with Peanut/Tree Nut Allergies.

Brian Schroer, Jaclyn Bjelac

Journal: Immunology and allergy clinics of North America 2020;39(4):495-506

PMID: 31563184

Full Text on Elsevier Science View on PubMed

Abstract

It has been common practice to tell patients with allergy to peanut or tree nuts to avoid all nuts. Evidence that unnecessary avoidance of peanuts and eggs is associated with increased risk for developing anaphylaxis to those foods has changed how allergists view previous recommendations to avoid foods that have not caused a reaction. In the absence of evidence, collaborative decision making between clinicians and families should be used to decide whether to avoid tree nuts and how to safely introduce tree nuts into the diet. This article discusses the options for introducing tree nuts to children with peanut allergy.

Address: Akron Children's Hospital, 130 West Exchange Street, Akron, OH 44022, USA. Electronic address: [email protected].; Cleveland Clinic Children's Hospital, 9500 Euclid Avenue, A3, Cleveland, OH 44195, USA.

DOI: 10.1016/j.iac.2019.07.004

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MeSH Terms: Age Factors, Allergens, Arachis, Avoidance Learning, Clinical Decision-Making, Decision Trees, Disease Management, Humans, Nut Hypersensitivity, Nuts, Trees