Primary Care Perspectives

Primary Care Perspectives: Episode 89 - Managing Food Allergies in Children

Oct 29, 2020

Dr. Jonathan Spergel, Chief of Allergy Program at CHOP, dives deep into managing food allergies in children. He highlights the top nine food allergens and shares insights on safely introducing potential allergens to young ones. The conversation covers when to seek allergy testing and the significance of different tests. Additionally, Dr. Spergel discusses exciting advancements in immunotherapy and strategies to help children outgrow these allergies, offering hope and practical advice for families navigating this complex landscape.

18:54

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Episode guests

Jonathan Spergel, MD

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Quick takeaways

The podcast emphasizes the importance of introducing common food allergens early, particularly for high-risk children, to reduce allergy development.

Advancements in immunotherapy, including peanut oral immunotherapy, offer new hope for managing food allergies and reducing severe allergic reactions.

Deep dives

Prevalence and Common Allergen Identification

Food allergies affect approximately 2% to 8% of the population, though public perception often overestimates this figure. The podcast emphasizes the distinction between true food allergies and other food-related irritations, noting that many misunderstandings arise, especially with messy eaters like infants. It outlines the most common allergens, which now include a 'top nine': milk, egg, soy, wheat, peanut, tree nuts, fish, shellfish, and sesame. The addition of sesame seeds underscores the shifting landscape of food allergies as diets evolve.

Intro

2min

Navigating Children's Food Allergies

8min

Allergy Testing in Infants: Insights and Guidelines

4min

Advancements in Managing Milk Protein Intolerance and Food Allergies

3min

Advancements in Managing Childhood Food Allergies

2min

Jonathan Spergel, MD, PhD, Chief of Allergy Program at CHOP, covers the top 9 most common food allergens, current recommendations for when and how to safely introduce potential food allergens, when to refer to an allergist for testing, when different tests (skin, IgE or RAST testing) are indicated, outgrowing allergies, and exciting research underway around immunotherapy and other treatment advances. Published October 2020. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.

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