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PostPosted: Mon Mar 12, 2007 8:58 pm 
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Joined: Sun Mar 11, 2007 9:57 pm
Posts: 2
As I ate pistachios the other day, my stepdaughter told us she has had a reaction years before to pistachios where her tongue had itched and swelled a little. As a mother of a peanut-allergic child I took this really seriously and insisted my husband talk to her mother and have her tested. The reply came back to me that not every reaction is serious or anaphylactic and she didn't want to put her through testing. I am really concerned but no one else seems to be. Am I overreacting? Can it be diagnosed as not serious without any testing? I've read about oral allergy syndrome- would this be it and how would one know the difference? :(


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PostPosted: Mon Mar 12, 2007 11:26 pm 
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Joined: Tue Nov 29, 2005 4:04 pm
Posts: 2044
Location: Gatineau, Quebec
For more information about tree nut allergies, read this article: http://www.calgaryallergy.ca/Articles/E ... enuthp.htm .

And for more info about oral allergy syndrome (OAS), read these:
- http://allergies.about.com/od/foodallergies/a/oas.htm
- http://www.inspection.gc.ca/english/fss ... rale.shtml

I don't see pistachios on the list of foods associated with OAS. And even with OAS, you have to be careful, as it can result in anaphylaxis.

An allergist who spoke to our support group recently told us that nuts are sort of in a special group by themselves with regards to OAS. While some things can be tolerated when cooked by people with OAS (e.g. raw apples cause problems while cooked apples do not), nuts are not in that category. They should be avoided completely if they cause a reaction in someone.

So, no, you are not overreacting.

There is no way to predict how serious a reaction will be. Not even previous reactions in the allergic individual can be used to predict how severe the next reaction would be.

It is a difficult situation when you know that a child is at potential risk and the parents won't take it seriously or have been given misinformation that makes them downplay the risks.

If it were me, I would take her to an allergist, but I know you are not in that position. I guess you can just share the articles above (written by a very knowledgeable and respect allergist - Dr. Antony Ham Pong) and see if it changes their mind. But there are a lot of people who just don't want to know....

K.

_________________
Karen, proud Mom of
- DS1 (12 yrs): allergic to cashews, pistachios, Brazil nuts, potatoes, some legumes, some fish, pumpkin seeds; OAS
- DS2 (1o yrs): ana. to dairy, eggs, peanuts; asthma


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PostPosted: Thu Mar 15, 2007 6:58 pm 
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Joined: Sun Mar 11, 2007 9:57 pm
Posts: 2
Thanks sooo much for the information. I showed my husband and I will try to pass it along to my stepdaughter's mom. I guess if my husband feels strongly enough he could always take her to an allergist himself, but she's fourteen and I don't think she's going to be tested willingly. And for obvious reasons I think it would cause a lot of friction between everyone, so it would be much easier if its a decision both her mom and dad come to and agree with. I just hate to be the instigator- being a stepmom isn't easy sometimes; you don't have a lot of say.

_________________
mother of 11-year old peanut allergic child


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