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PostPosted: Thu Feb 07, 2008 12:03 pm 
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Joined: Mon Oct 29, 2007 11:56 am
Posts: 120
Location: UK
I attended this meeting , as part of my training with my work with allergy charities.
This is intended for medical professionals , so I was a little concerned that it would be filled with medical jargon, that I wouldnt understand.
However, shouldnt have worried, as some of this was old ground for me.
But it was interesting to watch the nurses and docs take notes, ask questions, and show surpirise .


Here are some of my notes, that i made on the day, i hope it will be interesting to you.

Micheal Perkin 'early influences on the development of allergic disease' ( pead allergist , st marys hos)

Breastfeeding, does have an early protective effect on developing asthma, but long term increases the risk of eczema.

main advice, ( obvious ) avoidance of smoking

hygeine theory ( has to be done, everyone rememers this one)
to avoid your child developing allergies, your occupation as a parent is important.
idealy you should spend a great deal of your pregnancy in a cow barn, or hen , or with sheep. with a shovel , and a pile of hot steaming poo.
After having child , give them the chance to play with the animals as well.
However, avoid pigs as most pig a farmers are not healthy. A high proportion of pig farmers have asthma.

Dogs.
Should be introduced well before birth, and not after.
This rule does not apply to cats.

Other risk factors,
anitbiotics
repeated exposure indicates higher dose link to asthma.
although other factors do play in here, but general advice is to be cautious when prescribing antibiotics.

early pain relief ( uk=calpol) /paracetamol. also exsesive Vitamin D

Probiotics,
a high diversity of bowel flora during 1st week of life may lead you to be less atopic.


Helen Cox 'whats new in eczema and food allergy' ( pead allergist St marys hos)

risk of ezcema and food allergy
mother 50 %
father 15%
both parents 70% =risk of atopic disease

Has been a genetic breakthrough in discovery of ezcema causing gene.

most children at 7 yrs 40% still have ezcema , but with high IGe and other atopic disease

Emollients
large quantities required
plus bath oil /cream
use per week
250gms -500gms

If ezcema before 1st 3 months, high risk of food allergy

less chance if ezcema develops after 12 months

SPT not reliable to predict food allergy with ezcema
or reliable for wheat allergies.

Patch testing
not good for predicting negitive results

Delayed reactions
!st responce ( e.g allergic )
day later = ezcema
common causes of delayed reaction, milk and wheat

patient history
v important
along with remembering cross reactions eg soya link to peanut.

Dietary intervention
remove food for 4 weeks
clear skin ( with steriods etc)
re- introduce food daily , observe 3 days

important= assement of risk, ie home v hospital
quantites of food.

Formula

start with highly hydrolysed or amino acid forumla , and then after 6- 8 weeks work down.

if breastfed, consider formula, ( eg neocate)
or if breastfed, remove maternal diet, milk and egg.

1st week of life, 1st formula should be hydrolised allergy milk. ( this is the norm in most parts of europe, but not in UK)


Ruth towell - specialist allergy dietitian , guys and st thomas hos)
whats new in infant nutrition?

1) breastfeeding,
WHO '03 feed for 6 months
prevent allergies?
protects for 3 months positive effect on asthma, but not allergic rhinitis.

some studies are showing that breastfeeding may cause some allergies ( sears et al 2002 belgium 2002)

maternal diet
proetective effect in early months
no effect on asthma. allergic rhinitus 12-18 months
Some studies contradict
mothers nutrtion at high risk.

Soilds
delay or not?

( big chat on comparing advice between uk/europe/USA)

conclude
no need to delay introduction of allergenic foods after 6 months. (unless in high risk group)
In fact some studies show that higher risk of developing allergies when food delayed.
esp egg and milk ( zutavern et all 04)

practical advice
4-6 months
away from dairy .egg/nut/soy/fish/wheat free diet

just eat veg and fruit.

6 months plus
add highly allergenic foods one at a time.

formula
soya
not first choice for milk allergic child
cross reactivity issues - non iGe up 60 %
IgE mediatied 17%- 47%


Goats milk 'nanny' brand not prescribed by NHS , due to lack of safety data from company
not suitable for infants under one year.
simular levels of lactose to cows.
in general opinon should be removed from supermarket shelves, but is still sold here.


Donkey milk, is slightly better substitute from recent research ( anyone fancy milking one of those !!!!! LOL)

pro-boitics
jury is out on this
big problem for some = pro-boitics grown on whey protein

data inconclusive


Omega 3
all stuides contradict.


I hope this is interesting, although a bit brief, I have more notes on constipation and stuff, but most of this I have already put on another site food(peanut)allergy
I am not good at links.


The day was good, found it really interesting. I would love to go again next year! just to keep up to date on the progress and support that we have here.
I was heartend to hear that todays uk infants that do manage to get reffered to a london allergiest at least, dont have to wait longer that 6-8 weeks for that first appointment.
We had to wait 8 months for ours, when our boy was a yr old.
my son is going to be 12 mext month. So its a small step in the right direction.
its a shame that there is no support or little in large areas of the uk.


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PostPosted: Thu Feb 07, 2008 1:45 pm 
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Joined: Fri Sep 21, 2007 3:03 pm
Posts: 180
Location: Montreal, QC
Interesting info!
Thanks for sharing!

_________________
Me - Kim - No allergies
DH Ben - 31 - Allergic to nuts and peanuts, lots of environmental allergies.
DD Anne - 4 - Asthma. Allergic to dairy, eggs, mustard, kiwi, peanuts, wheat and barley... for now...
DS Francois - 1 - No allergies so far...


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PostPosted: Thu Feb 07, 2008 3:17 pm 
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Joined: Tue Nov 29, 2005 4:04 pm
Posts: 2044
Location: Gatineau, Quebec
Well, now I feel like a bad mother for not spending the majority of my two pregnancies in a pile of hot steaming poo. :lol:

Thanks for the info, williamsmummy, and for the laugh.

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 Feb 07, 2008 10:22 pm 
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Joined: Tue Mar 22, 2005 6:53 pm
Posts: 1454
Location: Canada
A wealth of info. there! I wonder what it is with pigs that makes them less than ideal companions for the potentially allergic :)


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PostPosted: Fri Feb 08, 2008 11:28 am 
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Joined: Mon Oct 29, 2007 11:56 am
Posts: 120
Location: UK
http://allergy.hyperboards.com/index.ph ... ic_id=2639


hopefully this link will work.
sarah


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