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Rheumatology and Allergy

Nut Allergies: What Friends and Family Need to Know | Promise: Powered by Nemours Children's Health System

Nut Allergies: What Friends and Family Need to Know

For parents whose children live with an allergy to peanuts or tree nuts, avoiding the ingredients can become a matter of cautious routine. It’s never easy, but parents grow accustomed to avoiding certain foods and contaminants, watching for symptoms, and carrying the necessary supplies in case of an accidental exposure. But what about friends, friends’ parents, or other family members? It can be hard to give a simple overview of the dangers and limitations that come with a peanut or tree nut allergy – especially when you’re trying to allow your child to live a life that’s as close to normal as possible. Here’s what friends and family members should know about caring for or spending time with a child who has a nut allergy – whether it’s a sleepover, family vacation, or a babysitting gig. It’s a real thing. No matter what your own experiences with peanut or tree nut […]

Oral Immunotherapy for Peanut Allergy: Is It Time? by Magee DeFelice, MD, Promise, Brought to You by Nemours

Oral Immunotherapy for Peanut Allergy: Is It Time?

For over 100 years, allergists have used a method called “immunotherapy” to safely and successfully treat environmental allergies. Unlike medications, which only treat the symptoms of allergic reactions, immunotherapy actually teaches the immune system to become more tolerant of allergens. For allergic nasal and eye symptoms, asthma, and atopic dermatitis (eczema), immunotherapy is very helpful in the form of allergy shots. An oral form of immunotherapy (“oral immunotherapy,” or “OIT”) is available for certain types of allergies, and has been shown to be effective as well. How Does Oral Immunotherapy Work? The goal of oral immunotherapy is to make the immune system less reactive to a food allergen by eating small, gradually increasing amounts of the food over time. Researchers have been working for decades on a way to apply immunotherapy to the treatment of food allergies, with mixed results. However, a recent study in the Journal of Allergy and Clinical […]

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