We took Keira in for her skin testing today for environmental allergies. They tested her for grass, trees, mold, animal dander, pollen and peanuts. I mentioned to the Dr. before the testing that Keira had gotten a red rash around her mouth 2 times recently after having products with peanut butter in them- but that she had also had peanut butter and had no reaction. The Dr. wanted to add peanut butter to the skin testing just to see. Imagine my surprise when the environmental allergies all showed up negative but the peanut one was most definitely positive!!!
Dr. explained that just because the skin test for environmental allergies was negative didn't mean that Keira didn't have any allergies though. The tests are not super accurate in kids Keira's age and in general. If we really wanted to know she recommend more painful and invasive subcutaneous testing- but she cautioned they don't typically do those on kids as young as Keira because they are painful, time consuming and basically a huge deal with toddlers. We were told to continue to use Zyrtec as needed because 1) she has allergy symptoms, 2) there is a strong family history 3) She has lung involvement ( aka asthma symptoms) and they usually go hand in hand.
As far as the peanut allergy goes... she said that she would label Keira as allergic to peanuts because 1) she has 2 known reactions as mild as they might be and 2) she had a positive skin test .
She recommended a blood test in a year to verify. In the mean time we are to learn how to use an Epi pen and carry one with us at all times as well as educate anyone that watches Keira on how and when to use it. Just because she had super mild reactions in the past she said did not mean that Keira could not have a full blown anaphylatic reaction at any time. Its impossible to predict I guess. My new job is to be the peanut Natzi.. and make sure no one eats peanut butter or anything made from peanuts or other nuts around Keira. We now have to read food labels and avoid foods that may contain traces of peanuts.
Apparently a peanut allergy is the one that a child is least likely to outgrow. Only 20% of kids with peanut allergies out grow them. She said kids with asthma and a peanut allergy are even less likely to out grow them.
There were about a million other things she told us but that's all I can remember at the moment. Keira is off her inhalers for her asthma for the summer except for on an as needed basis.
I wonder if tomorrow will bring more more unexpected news as we go find out who Little Bean really is... U/s at 11 am!!! :o)