Tag: health

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Allergic Living reports on a peanut allergy treatment study that shows a great deal of promise. Called sublingual immunotherapy, or SLIT, it’s surprisingly simple: Introduce a small amount of peanut protein in drops beneath the tongue each day, slowly ramping it up over time.

After 44 weeks of the daily doses, 70 percent of those getting the peanut powder could tolerate at least 10 times more peanut in an oral food challenge before showing symptoms than they could have at the outset of the study. In a follow-up challenge at 68 weeks, they could tolerate about twice as much again.

It’s a similar premise to allergy shots, which work well for airborne allergens but not for food. And while I’m creeped out by the idea of deliberately ingesting something that I’m used to avoiding because it could kill me (this has to be done under medical supervision!), like so many other things it’s all about dosage. It makes sense that it could work.

The main drawback is that 30% of the participants didn’t show improvement, though the people running the study suspect that it’s a matter of finding the right dosage for each patient.

The article mentions another problem being that the amount tolerated is relatively small: they could eat the equivalent of two peanuts before experiencing allergy symptoms.

I say: Two peanuts? Are you kidding me? I would LOVE to be able to safely eat that much!

So it’s not enough to eat Thai food or PBJ. It would mean I can stop worrying so much about cross-contamination! I’d still carry my epi-pen around, but I’d feel a lot safer about, say, drinking a milkshake at a restaurant that also serves peanut butter shakes, or eating an eggroll at a place that also has kung pao, or eating a chocolate chip cookie that’s been stored on the same shelf as the peanut butter cookies.

One question I do have is how effective it is at reducing sensitivity to similar allergens. Would taking the peanut treatment help someone tolerate legumes better, or are they different enough to require a separate course of treatment?

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Allergies to nuts, grains, vegetables, seafood and milk are common. Allergies to meat? Much less so. But that’s starting to change.

A few months ago I read about adults (author John Grisham in particular) developing an allergy to red meat after being bitten by ticks.* And not just a low-level allergy like your face turning red — we’re talking full-on hives and anaphylactic** shock, the kind of thing that requires you to carry an Epi-Pen to make sure you keep breathing long enough to reach the emergency room.

Researchers have determined that the lone star tick’s bite can cause the body to produce an IgE antibody for a sugar called alphagal, which is found in mammal meat.

The result: from then on, you’re allergic to meat.

CNN calls it mysterious. Allergic Living calls it baffling. It’s certainly weird compared to “usual” allergies, and the fact that the reaction is usually delayed by a few hours makes it hard to diagnose, but we’re ahead of the game in understanding it: Unlike most allergies, we know what causes this one.***

With most allergies, we know the process, but we don’t know what gets the ball rolling to begin with. We know that in people who are allergic to a food, exposure to it causes an IgE antibody reaction that triggers a massive release of histamines that sends the body into some level of shock, but we don’t know why some people have that reaction and others don’t.

There are a lot of ideas being investigated, with varying amounts of supporting evidence, but there’s still nothing we can point to and say: “This caused you to be allergic to nuts” or “That caused you to be allergic to milk.” Advice to parents concerned about keeping their child from developing allergies is all over the map.

That’s why Katie and I are walking in this year’s Walk For Food Allergy. The event raises money for the Food Allergy and Anaphylaxis Network’s mission to support allergy research, spread awareness (you’d be amazed at how many people dismiss allergies as inconsequential or even bogus), provide education and advocacy for people living with food allergies.

Walks are being held across the country over the year. We’ll be walking in the Los Angeles event in October. If you’d like to help, you can donate or join our team here: [Edit: link removed since the event is over.]

Thank you!

*Naturally, this was a few days after I hiked a severely overgrown trail without taking precautions against ticks, so I freaked out a bit, but I also hadn’t found any ticks when I got home from the hike.

**Fun fact: Chrome’s spell-checker doesn’t know “anaphylactic,” and suggested such helpful alternatives as “intergalactic” and “anticlimactic.” Not sure about the former, but I get the impression a lot of viewers suffered “anticlimactic shock” when watching the Lost finale.

***Or at least we know what primes it. There’s still the question of why only some people who are bitten by the lone star tick go on to develop the allergy.

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I’m not sure who annoys me more:

  • The people who think that those of us who have food allergies are all a bunch of whining hypochondriacs and/or drama queens who just want attention, and the tiny percentage who really do have allergies shouldn’t expect to ever eat outside the home, or…
  • The people who lie about having allergies because they’re afraid that “I don’t like this ingredient” won’t get the point across, thereby convincing the jerkwads that they’re right.

Remind me not to read these kinds of articles. And especially not the comments on them. And especially not the ratings on the comments.

When it comes to diners’ dietary demands, how much is too much? – Inside Scoop SF

Originally posted on Google+

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I got the pertussis vaccine this morning. California is experiencing an epidemic of pertussis, its worst in 55 years, with 4,223 cases as of September 21….and 9 deaths, all infants too young to be vaccinated. The state Department of Public Health is recommending that anyone who expects to spend time around infants get a booster shot. If you can’t get pertussis yourself, then you can’t pass it on to your children (or the kids you’re babysitting, etc.).

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I finally got my H1N1 flu shot today. My allergist called me this morning to say that they’d gotten five — yes, just 5 — doses of the vaccine, and wanted to know if I wanted one.

The CDC has been recommending for months that anyone with chronic respiratory conditions (*cough* asthma *cough*) get both the swine flu and seasonal flu vaccines, so I asked about it the last time I was in for a check-up. The office was expecting it sometime in October. That stretched out to late October, then November, then they began to wonder if they were going to get it at all.

Distribution on this thing has been just abysmal. I mean, I got the seasonal flu shot in September. And there have been other areas of the country that got so many doses they started offering them to the general public more than a month ago, because they didn’t have enough people in high-risk groups who wanted it.

Meanwhile, H1N1 proceeded to establish itself as the main flu of the season. I wasn’t terribly enthused about the possibility of being completely wiped out for several days and quarantining myself for another week afterward…

I did research other sources, though perhaps not as thoroughly as I could have. I checked in a couple of times at my regular doctor’s office, but they were in the same boat. I checked Google Flu Shot [Edit: This was a service that let you search Google Maps for flu shot providers that had the vaccine in stock, and is no longer available.] at least once a week after it launched, though it was always either empty or full of locations marked “Temporarily out of stock.”

Actually, I’d pretty much written it off at this point, figuring the vaccine would be available sometime in, I don’t know, February or March, by which time I’d either have gotten the flu or wouldn’t be getting it this year anyway. When my phone rang I figured it had something to do with an appointment I’d rescheduled.

For the record: no noticeable side effects (so far), and hardly any pain. My shoulder hurts less than it did after the seasonal flu shot I got a few months ago, and even that didn’t hurt much (and only after a few hours). Also, there was a patient survey and information sheet that went along with it instead of the standard “I solemnly swear that I am not allergic to eggs” (they grow the vaccine in eggs) waiver.