The Allergy Fix (RGEPULEPBEBEY trursday, august 28,2014 at 2PM on CBC-TV THE ALLERGY FIX-Q &A ts using desensieration techniques to reat alerges new? EPISODE ots ot Alri ave Bean uring foyer eat ha ee anther enone alerges ls oft caled mmunatherapy. Desenstizaton canbe done wtrneedes, ray — (000) svtrgu andre orgue) Thee proohedesensizaton works food ‘erges. Butte’ an eement of sk and loks Met's atemeuary measure, nt ace ‘How can get my hil enrolled ina desensitization study? Research's nw ongoing, Youcan search the new Health Canada Clinica Tals Database or the US elinistalis gow ate Sd ut abo ner ang upeamng suc tnt may be ‘ening ngouraten Aco ask your dot The Allergy Fix ere fd omer andnsesach on alee? aeeeeceeereeiicnttatasneaSnekamncnneie MORE ON THs STORY eae eee eee ee Shuts usps means cagson noch scapes ° 0. ae ‘esenstizaion tas andthe Canadian Healthy Infant Longitudinal Development (CHILD) ‘Study bith cohort study, vist AllerGen NCE. coecoess Where ean fing te peanut patch? xtra Video ‘round the World “Te peanut patch isnot yet commercially avalable, OVB Technologies, a French biotech companys cue tesing he pach when cae Viaskin They ae tsoesingamk — ag atch which shoul be avaiable in sires son, Can Itry fod desensitization with my child at home? Please dont. Food aleries canbe fatal and home weatmereis not ecameended. The doses Allezy Apps: Useful sed by doctors ae micrescopic, Researchers fetal futher stay isneeded before ood OT NOE? lasensioaboneunesto West large groups of ndaran ‘id | hear that right? Worms are being sed to test allergies? ‘Yes, ees eve you can find ot more De ee ‘Should | give my child Vitamin D?- bo I df ‘The science on lets and Vitamin Dis unclear Howes, Heath Canada does recommend thst al ene, sity babi racane tain euler of 400 hin shes Pega ith and contnue fr stiess ful year Tis iso ede the riko ike nd build rong toot and bones. Vain Dis natural found in foods he salmon, tuna and eaps. ihe foods Ike erage ie, mk and cheese have amin D added. The boy aaa makes Varin D when Ihe sens exposed to sunt. Here are the current Heath Canada guidelines. ‘Should take my hid to Visita fam? Farm ife does appear to reduce the incidence of alleges. ut before you rush your cy Wid to tne tam know that eecaslona ss may exacerbate you alee visting ams sm gang to buld he kind ofresistancetoalesges thal ving on one would do. You ely need og up ‘Tweets about "#enot OR CBC Nature of Things” onaifarm, tll stats wih en the womb theyre guessing hat most fhe protective fects buttin the frst year orto of ie cac sHoP How soon should! introduce foods associated with allergies tomy eid?” Prcwoe ance Tires mechan The Canon Pete Soc hosrecerly waved anew satenent wich errs orevous ne Teena reedt shea chisentomtnese nds mie ety mort oer ney CO eee ed ‘begn eating solid foods. Delaying exposure does not reduce the risk of developing food allercy hea ac iaaeiadiaaae alain serine. tare ate concer tat ie might het poe lt Tis ice ao Restor sha: exten egart women anus aes RSE :p mate the best treatment for food allergies? Forno avodanceie st the best rastmant For sans allersies cay analeray kt wah anthstamines and an EP pen with you at al tres. Hopeful @ beter solsion ison the wayHow Is Food Allergy Diagnosed? Double bind, placebo controled foed challenge (DBPCFC), where nether the patient nor the decor knows whether the patient is eating the food to which he/chef though to be llerge, or 2 harmless substtute, ig the preferred test for diagnosing food serie, DBPCRC could be performed in ‘Splsialstcontres under cose supercon case an allergic rescion occurs. ‘Skin prick testing (SPT) and radio alergosorbent testing for 1g antibodies (RAST ae the most common tests fr foad allergies imvobving the Toe Snlbody. A stn prick test wea of 3 im or mere sragatded ae postive. Apostbve S01, even of 3 mm er ore may Mot Be eleva, ae 2 patent May fave Ige antbodics tothe food, but rot be aller to the ood, A SPT wool of 7S, toca mk, egg or peanut fsa Better mdleaton thatthe Food wil cause aleriesymetoms. A nagative SPT is song evidence thatthe food may be safely eaten Food Alloy + Fringe from 9 2008 to 2010 cud of $6480 chron infant to 1) indicates? 154 have 2 food allay ‘opronrataly 6% 2004 0-2 years have 2 food alleray [aber 9H agod 35 years have 2 food alray Neary 6% aged 6-10 yeare have 3 food ergy ZReprwiesly 20 aged 11-13 yenrs hove a food leroy 38.7% of food alericcldren have ahitory of sever reactions 430.6 of fod allergic dhldren have mulisle fod alleraie {offend aller ohisren, peanut ye moe preven lergen floes by rile ane hen ables #12022, 5.6% or 4.1 milonchidren reported fod alegre pest 22 morte ® ‘Suspected food alorgias should always be evaluatod, diagnosed, and weated by ‘@ qualified medical professional, such as a board cortfied allergist. Your primary are provider may refer you to an allergist. You may also Search the physician diroctory maintained by the American Acadomy of Allergy, Asthma Immunology. ve > cbs rng ges > agp ong Prost Diagnosis & Testing DE ae td Ad Do not diagnose @ food allergy on your own. Setfdiagnosis can lead to unnecessary diotary restrictions and inadequate nutition, especially in children Adcitionaly, some people think they are alleraic to @ food when they actually have another type of food disorder, and treatment may differ. ‘Some methods of food allergy testing are unproven and are considered controversial, since no definttve studies have shown that they can effectwely diagnose food allergies. Some may even increase the risk ofan allergic reaction. Learn more about unproven diagnostic food allergy testing > eee TET ‘The fst step an allergist wl take to diagnose a food allergy s@ thorough _ ‘medical history. The allergist mill ask questions to determin iffood allergy may bbe causing your symptoms and to identify the culprit foods). and vil then en perform a physical exam. yw ANNxt, the allrgist may conduct tests to help idontity a food alloray. Wile these tts alone do not alvays provide clear-cut answers, the aller il combine your test resus with the information given in your mecical history to provide a ‘agnosis. These tests may include: Sy eat Skin pricctest palms + Blood test Pe * Oral food challenge en ‘Tal elimination diet og ‘These tess areal proven dlagnostic methods. Depending on your medical history and intial test results, you may have to take more than one test before recerang your dagnost. Guidelines for the Diagnosis and Management of Food Allergy inthe United ZA AS ‘States, published bythe National Institute of Alergy and Infectious Diseases ee Very (NIAID), is an excellent resource Developed by a pane! of prominent food le a alergy experts, along with 34 professional organizations federal agencies end c patient advocacy groups his document provides the most up-to-date clinica d ‘advice on caring for people with food allergies. FINDAWALK > © || food atzey wo > sem Rett Nee Bes sng? Romi» BP secmeaneneen Skin Prick Tests ‘se ay spn sre caued ye cin even io ase crenata eamepsoang) ongrse'se aay your allongist may uso a skin prick test (SPT) to measure the prosance of IE a Se ee ea re RD Ee results, and can be performed in the doctor's office. pheeliene ae During ths test, the allergist places a drop of solution containing the food iad alleagen on your forearm or back (When testing ruts or vagetables, fresh food ‘may be used instead ofa solution) Using a small plastic probe or needle, the actor ganty pricks or scratches the skin to allow a tiny amount ofthe solution to enter just below the surface. The SPT is gonerally not painfl and thera is no bleeding. The scratching on the surface of the skin fees smiar to anger scratchDepending on your case history, you may be tested for ane food or several. Advancing a Cure Results usually appear within 30 minutes. Positive results are indicated by a ‘wheal —@ raised wihite bump sutrounded by a small circle of itchy red ski. In ‘general, a large wheal is more lkaly to indicate @ true food allergy, but size ts not ‘always an accurate predictor. fo Wheal appears, itis unlkely that you are allergic to the test food. fey ‘PTs seldom produce “false negatives" (eroneous results indicating that you are ‘not allergic to a food, even though you really ate). Nagative results almost ‘always mean that you are nat allergic to a food Positve tests, however, are not always accurate. About 50-60 percent of al ‘PTs yield “false positive” results, meaning that the test shows postive even ‘though you are not really allorgic to the food being tested. These results occur fortwo reasons: + hen you ce. your digestive system recy boas don food pote ino versal ices. As result tho allxgenc rtinsmay be so sal ‘that the IgE antibodies are unable to detect them, so the food is actually safe for youto et Bu SPS a lod tests cn" mic he digestive process. ‘Since food proteins are bigger when they interact with your skin or blood, itis ‘easier for the IgE antibodies to “see” the allergens and attack them. This ts uk aoe \whyyourtestsmay how thatyoure more sense toa sispctoodtan Ree urea ere ; «Member of afoo3 “ami ten shee smi roti For example, you see alert pears, your tse may show postin respons ther member ofthe lgure fami, suchas ree beans, even eating aeen beans hes never ben problem frye, Thisis own as oss ct, The testis postive because recognize sim potin in anus and speenbeas. But te test has" detected te rea clpt-onoter crest protein tats fond ony in pants Crean Despite the high rate of false positives, in the hands of an exporionced allargst, skin and blood tests are extremely helpful. For example ifyour medical history suggests thal you have had soveral reactions after eating soy producs, and skin rick ost show a positive raacton to soy protons, tis very likly that you do hhave soy allergy. Yout doctor may order additional tests, f necessary you are taking antihistamines, t's important 1 keep in mind that they can Interfere with skin tests. stopping your medication fora short time will make ‘your symptoms worse, your doctor may choose to perform a blood test