Strollerderby

The Problem with Testing for Food Allergies

It turns out you may not need to buy that expensive hypoallergenic formula after all. After years of steadily rising allergies in kids, pediatricians are beginning to acknowledge that it might be the allergy tests, not the food, that’s the problem.

The rise in false allergy diagnoses is due to a little something called modern convenience. (Speed coming at the price of accuracy? No!) Instead of administering lengthy food challenges—in which doctors watch children consume a whole variety of foods—most doctors now test for allergies by giving kids a blood test for certain antibodies. The problem is that this test falsely identifies allergies more than half of the time.

Given this finding and other studies that have linked early peanut exposure to a lower allergy risk, doctors’ groups are considering revising allergy guidelines to encourage parents to introduce high-risk foods like peanuts and shellfish earlier rather than later.

In the meantime, parents may need to start relying more heavily on the only tried-and-true allergy test there is: if your kid can eat it, he’s not allergic.

Photo: MSNBC



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Comments

 

Sabrina said:

As a part of the food allergy community we've been saying for years "Reaction trumps results", meaning the test could say they're allergic,  but they're really not, OR the test could say their not when they are.  It's common sense, and I'm glad to see doctors trying to figure ways to keep allergic children from unnecessarily limiting their (already limited) diets.

February 3, 2009 6:07 PM
 

MomofBeans said:

I agree with Sabrina. When you see your kid vomiting violently after eating yogurt, you don't really need anyone else to tell you that she shouldnt be eating it. All the blood tests did was substantiate what we had already witnessed.

February 4, 2009 9:27 AM
 

Laura said:

My elder son is allergic to peanuts, tree nuts and sesame seed (we haven't tried almond yet). We're not sure about our younger son yet. Of course, we've been advised to avoid all the above because of #1's allergies, but I can't help but wonder about that. I've thought of trying a skin test with him (just putting some peanut butter on the skin, which is enough to make my elder son break out in hives) and going from there, but of course I don't want to make our doctor mad. What to do?

February 4, 2009 3:51 PM
 

LogicalMama said:

I am allergic to tree nuts, sesame and poppy. I have never had an allergy test to confirm, but I have gone anaphalactic so I don't doubt my allergy. Interestingly enough, typically with the allergy test, they test "food families" and the recommendation is to stay away from the allergen family. If I was tested and positive, in the case of sesame, I'd be told to stay away from all foods in the family, but I am not allergic to sunflower seeds/oil, which is in the same family as sesame.

Also, when I first became allergic, I didn't have reactions for 6 to 8 hours after the exposure. It took a while to even figure out what I was allergic to b/c the assumption was that I was allergic to what I had just eaten, except it was different every time (once we realized the common factor was the nuts or seeds, we narrowed it down), but it wasn't until the reactions occurred closer to the exposure time that we really could hone in on it. This is why I also doubt the scratch test or the feed it to them and watch test, because if the allergy is just starting, the reaction time could be longer than most doctors believe.

February 4, 2009 5:15 PM
 

Cory said:

Great explanation for why tons of kids seem to have peanut allergies today and all my life growin up I never ever met one.  It adds a lot to cost with these misdiagnoses, as now you have to change so much in schools and classrooms for instance.

February 5, 2009 1:10 PM

About Hannah Tennant-Moore

Hannah Tennant-Moore is a Brooklyn-based freelance writer whose work has appeared or is forthcoming in Best Buddhist Writing (2008); The Sun; Guantanamo: Inside the Prison, Outside the Law; Tricycle; Turning Wheel (as the winner of the Young Writers Award); and elsewhere.

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