Last week I fed my baby peanut butter. It was time to tackle her peanut challenge.
She recently had her skin prick tests (SPT) and was positive to milk, egg and sesame but negative to peanuts so the consultant told us to start a peanut challenge and introduce them into her diet.
There has been so much conflcting information about when to introduce allergens into children’s diets but the recent LEAP study has produced very interesting results. According to their trials, a child who has a negative SPT and starts eating peanuts between 4-11 months only has a 1.9% chance of developing an allergy, compared to a 13.7% chance if they avoid them.
As baby A is now 9 months old I knew I needed to get started with the peanut challenge but was still hesitant, given J’s nut allergy. Luckily Dr George Du Toit, Paedeatric allergist and co-investigator of the LEAP study was on #Allergyhour on Twitter a few weeks ago. I asked him directly whether to go ahead:
9mth old allergic milk, egg, sesame but neg SPT peanuts. Asthma, eczema & sibling nut allergy. Introduce peanuts now?
and he replied
Yes. If we r to test we must be prepared to act on results.
So, that was the motivation I needed.
Baby A had a routine appointment at Addenbrookes Respiriatory clinic and I decided it was the perfect time to try the peanut challenge. It gave me peace of mind to know we were on site if she reacted.
A small spoonful later – which she was not very impressed with! – and no reaction.
I am feeling very relieved and hopeful. As we all know, allergies can change so I will always be alert but I will continue to feed her peanuts and just hope we are the right side of the statistics!