Peanut allergy treatment hope

A promising new study has offered hope of a treatment for people with peanut allergy.

Early results of the study suggest that treatment that slowly builds up tolerance could protect people from having a severe reaction.

Prevalence rising

The prevalence of peanut allergy among children in western countries is on the rise, with the number of children diagnosed in the UK doubling over the past two decades. It is estimated that one in 50 children have peanut allergy.

People who have peanut allergy are at risk of unpredictable and occasionally life-threatening allergic reactions. Symptoms usually occur within minutes of contact with peanuts, and include swelling of the lips, eyes or tongue, vomiting, dizziness, and difficulty breathing.

Accidental exposure

There are currently no treatment options or cure for people with peanut allergy, and so avoiding any foods that may have traces of peanuts in is the only way for people with the allergy to avoid allergic reactions. Peanuts are a common ingredient in many types of food.

If people with peanut allergy are accidentally exposed to peanuts, immediate use of adrenaline medication is needed to treat the symptoms.

Peanut protein powder

This new study held in the US and the UK involved over 500 people with peanut allergy, mostly aged between four and 17. One third were given a placebo (a ‘dummy’ powder) and two thirds were given peanut protein powder in increasing amounts.

After nine to 12 months of treatment, two thirds of the children who had taken the peanut protein powder were able to tolerate as much as two peanuts a day, and half the children could tolerate the equivalent of four peanuts a day.

Milder symptoms

Co-author of the study, which was published in the New England Journal of Medicine, Stephen Tilles, said: “On average, the participants were able to tolerate a 100-fold higher dose of peanut at the end of the study than they did at the beginning. In addition, the symptoms caused by the 100-fold higher dose at the end of study were milder than the symptoms on the lower dose at the beginning of the study.”

Lifelong protection

The scientists involved in the study think that children would have to continue taking small amounts of peanut protein to remain safe from allergic reactions.

The treatment is now awaiting approval from the US Food and Drug Administration, which licences drugs in the US.

As with all allergies, you should never try any home remedies without seeking medical advice first, and you should never treat children yourself for a food allergy unless you have discussed this with your doctor first.

How to know if your child has a food allergy

An estimated 8 percent of children have a food allergy. Living with a food allergy can be scary and stressful for children and their families. Food allergies can cause serious allergic reactions that require emergency care. However, with attentive care, children with food allergies can live healthy, happy lives.

Getting the right treatment for a food allergy starts with knowing how to recognise the signs and symptoms of the condition. Below is more information about how to spot a food allergy, the most common food allergens (foods that cause allergic reactions) in children and how doctors treat food allergies in children.

Signs and symptoms of food allergy in children

The signs and symptoms of food allergy in children are caused by an abnormal immune system response. Normally, our immune systems guard us from germs that make us sick. In children with food allergies, the immune system mistakenly sees a food as harmful and produces an allergic reaction in response.

An allergic reaction to a food can result in a range of signs and symptoms. The symptoms may be mild or severe. The most common signs and symptoms of a food allergy are:

  •  Hives (welts on the skin)
    •    Itchy, red skin
    •    Itchy throat
    •    Stomach ache (with or without diarrhoea or vomiting)
    •    Swollen lips, tongue or throat
    •    Trouble breathing or wheezing

An allergic reaction to a food will typically occur within a few minutes to an hour of a child eating the food.

Even if your child seems to only have a mild reaction to a food, tell doctor about their symptoms. Seemingly mild food allergies can still eventually cause a severe, potentially life-threatening allergic reaction called anaphylaxis.

Anaphylaxis is the most severe food allergy reaction

Anaphylaxis is when the symptoms of food allergy are so severe, they can become life-threatening. Anaphylaxis can cause:

  •  Airway obstruction that prevents breathing
    •    Fainting
    •    Irregular pulse
    •    Low blood pressure
    •    Severe diarrhoea or vomiting

The only treatment for anaphylaxis is fast administration of an epinephrine injection (commonly known by the brand name EpiPen). Epinephrine is available by prescription from your GP.  It does not have a long shelf life so discuss this with your doctor.

The most common food allergens in children

Doctors and researchers have reported allergic reactions from over 150 different foods. But the majority of children with food allergies are allergic to one or more of the following foods:

  •  Eggs
    •    Fish
    •    Milk
    •    Peanuts
    •    Sesame
    •    Shellfish
    •    Soy
    •    Tree nuts
    •    Wheat

Eggs, milk and peanuts are the most common food allergens in children.

If your child shows signs or symptoms of food allergy after eating one or more of these foods, they could have a food allergy. Stop giving your child the food you think caused the reaction, and talk to your doctor as soon as possible to protect them from a potentially severe allergic reaction.

How doctors treat food allergy in children

Paediatric allergy specialists are the doctors who typically treat food allergy in children. A paediatric allergy specialist can help you care for your child’s food allergy by:

  •  Performing tests that pinpoint the exact food or foods your child is allergic to
    •    Recommending ways to avoid the food or foods your child is allergic to
    •    Making suggestions for how your child can still get all the nutrients they need without the food allergen in their diet
    •    Prescribing epinephrine when necessary
    •    Determining if your child is a good candidate for oral immunotherapy (a therapy that can help the body build up resistance to a food allergen)

There are currently no cures for food allergies. The main goal of treatment is to find out which food or foods your child is allergic to, so they can avoid allergic reactions to them.

More points to know about food allergies in children

  •  A food allergy is different from a food intolerance. Although both can cause gastrointestinal symptoms, a food intolerance (such as lactose intolerance) doesn’t involve the immune system.
  •  Babies or toddlers who are allergic to milk or soy usually cry often and may have blood in their stool. Changing your child’s formula can help. Your child’s doctor or paediatrician can help you find the right formula for your child’s needs.
  •  Food allergens can be passed to a child through breast milk.
  •  Some children with severe food allergies don’t even need to eat a food to have a reaction — just touching the food can cause an allergic reaction.
  •  Your child will not have an allergic reaction to a food allergen the first time they’re exposed it. Their first allergic reaction will happen the second time they’re exposed to the food allergen.

Talk to your child’s doctor or paediatrician about any suspected food allergies

If you think your child might have a food allergy, make an appointment with your doctor or paediatrician to discuss testing. They can refer you to a paediatric allergist — a doctor who is specially trained to care for children with food allergies. Prompt treatment for food allergy is important to avoid potentially severe allergic reactions.

Call 112 in Portugal immediately  if your child has lost consciousness, is having trouble breathing, has blue lips, has pale, clammy skin, is dizzy, or has severe diarrhoea or vomiting. These are signs and symptoms of anaphylactic shock.