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Allergy & Asthma Advocate: Fall 2006

Allergy & Ashtma Advocate
What's New in the JACI
The studies summarized below appeared in the August 2006 issue of the Journal of Allergy and Clinical Immunology (JACI), the peer-reviewed scientific journal of the American Academy of Allergy, Asthma & Immunology.

Accidental peanut exposure less likely than previously reported

peanuts

Unintentional exposure to peanut occurs at a lower frequency than previously reported, however most reactions are managed inappropriately, according to a new study in the August 2006 issue of the Journal of Allergy and Clinical Immunology (JACI).

Accidental exposure to peanut has been reported to occur frequently and has been difficult to avoid because of its widespread use, manufacturing and labeling errors, utensil contamination and label misinterpretation.

Joyce W. Yu, MD, FRCPC, and colleagues aimed to determine the current frequency of accidental exposures occurring in peanut allergic children in Quebec and to identify factors associated with exposure. They found:

  • Thirty-five accidental exposures to peanut occurred in 29 children over a period of 244 patient-years, yielding an annual incidence rate of 14.3%.
  • 57% of accidental exposures were at least of moderate severity. Of these, only 20% were appropriately treated with epinephrine, and 14 of 20 (70%) were not managed by a physician.

These findings suggest that enhanced awareness, access to safer environments and good food manufacturing practices may have contributed to a lower incidence of inadvertent peanut exposure, but further reduction and better education on allergy management is still needed.

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