http://www.bsaci.org/about/download-paediatric-allergy-action-plans Also join the Anaphylaxis Campaign at https://www.anaphylaxis.org.uk/ https://www.allergyuk.org/information-and-advice/conditions-and-symptoms/33-anaphylaxis-and-severe-allergic-reaction The needle of Epipen (or Jext or Emerade) has to be inserted and held in the muscle for 10 seconds to deliver the drug.
http://www.bsaci.org/Guidelines/egg-allergy http://ifan.ie/egg/egg-classification-ladder/ https://www.thh.nhs.uk/documents/_Patients/PatientLeaflets/paediatrics/allergies/PI414_Egg-Ladder-1.pdf http://www.ruh.nhs.uk/patients/services/clinical_depts/paediatrics/documents/patient_info/PAE029_Egg_allergy_info_sheet.pdf
Many children suffer with Eczema, which can be mild, moderate or severe. Most cases can be managed by liberal use of moisturisers (Emollients) and avoidance of irritants like soap, bubble bath etc. Severe cases or flare up of eczema, needs steroid creams.
IgE vs Non IgE mediated Cow’s milk protein allergy (and it is completely different from Lactose Intolerance)
Cow’s milk protein allergy is very common in babies worldwide (2-5%) and incidence is on the rise. There are two main types – IgE mediated and Non IgE mediated.
In children with ‘Asthma’, who are needing the rescue inhaler (usually Salbutamol, blue), very often or are getting recurrent wheezy symptoms, Steroid inhalers are prescribed.
Though we wait for summer in countries like UK, for some, it’s the beginning of a misery.
Many children present to their GPs or come to A&E with difficulty in breathing and are given inhalers / nebulisers, which sometimes make them better.
CMPA is quite common and may present as persistent vomiting, diarrhoea / constipation, poor weight gain, dry skin / rash, blood in stool and excessive crying. Treatment is by eliminating cows milk (CMP) from diet but only under specialist supervision.