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Peanut Allergy: An Epidemiologic Analysis of a Large Database.

Abstract To confirm new observations on peanut allergy and answer current concerns that families and healthcare providers have about peanut allergy.
PMID
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Authors

Mayor MeshTerms
Keywords

peanut allergy

peanut allergy epidemiology

peanut registry

Journal Title the journal of pediatrics
Publication Year Start




PMID- 29246346
OWN - NLM
STAT- MEDLINE
DCOM- 20171226
LR  - 20171226
IS  - 1097-6833 (Electronic)
IS  - 0022-3476 (Linking)
VI  - 192
DP  - 2018 Jan
TI  - Peanut Allergy: An Epidemiologic Analysis of a Large Database.
PG  - 223-228.e1
LID - S0022-3476(17)31280-5 [pii]
LID - 10.1016/j.jpeds.2017.09.026 [doi]
AB  - OBJECTIVE: To confirm new observations on peanut allergy and answer current
      concerns that families and healthcare providers have about peanut allergy. STUDY 
      DESIGN: Children who presented with a story of peanut allergy or peanut
      sensitization were asked to participate in a registry, which allowed an analysis 
      focused on questions that a food allergy support group had about children with
      peanut allergy or sensitization. RESULTS: A total of 1070 children were entered
      into the registry over 5 years. Two-thirds had a reaction to peanut. Children
      with peanut allergy were predominantly male (63%), white (78%), and with private 
      health insurance (80%). Most reactions involved the skin (55%) and anaphylaxis
      occurred in 35%. The median age of a reaction was 1 year old. Atopic dermatitis
      was noted in 60% and asthma in 41%. Additional food allergy was noted in 58%.
      When second exposures occurred 28% had a more severe reaction. Skin test size did
      not differentiate the type of a reaction and children with anaphylaxis had
      slightly higher specific IgE levels. Severe reactions with inadvertent exposure
      in children who were peanut sensitized was rare (<1%). CONCLUSIONS: The
      strategies for peanut allergy prevention and treatment have evolved. The data
      obtained in this large registry can answer many questions that families and
      healthcare providers have during this transition.
CI  - Copyright (c) 2017 Elsevier Inc. All rights reserved.
FAU - Leickly, Frederick E
AU  - Leickly FE
AD  - Section of Pediatric Pulmonology, Allergy, and Sleep Medicine, Department of
      Pediatrics, Indiana University School of Medicine and Riley Hospital for
      Children, Indiana University Health, Carmel, IN. Electronic address:
      [email protected]
FAU - Kloepfer, Kirsten M
AU  - Kloepfer KM
AD  - Section of Pediatric Pulmonology, Allergy, and Sleep Medicine, Department of
      Pediatrics, Indiana University School of Medicine and Riley Hospital for
      Children, Indiana University Health, Carmel, IN.
FAU - Slaven, James E
AU  - Slaven JE
AD  - Section of Pediatric Pulmonology, Allergy, and Sleep Medicine, Department of
      Pediatrics, Indiana University School of Medicine and Riley Hospital for
      Children, Indiana University Health, Carmel, IN.
FAU - Vitalpur, Girish
AU  - Vitalpur G
AD  - Section of Pediatric Pulmonology, Allergy, and Sleep Medicine, Department of
      Pediatrics, Indiana University School of Medicine and Riley Hospital for
      Children, Indiana University Health, Carmel, IN.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Pediatr
JT  - The Journal of pediatrics
JID - 0375410
SB  - AIM
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Databases, Factual
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Indiana/epidemiology
MH  - Infant
MH  - Male
MH  - Peanut Hypersensitivity/complications/diagnosis/*epidemiology/therapy
MH  - Registries
MH  - Risk Factors
OTO - NOTNLM
OT  - peanut allergy
OT  - peanut allergy epidemiology
OT  - peanut registry
EDAT- 2017/12/17 06:00
MHDA- 2017/12/27 06:00
CRDT- 2017/12/17 06:00
PHST- 2017/05/15 00:00 [received]
PHST- 2017/09/05 00:00 [revised]
PHST- 2017/09/15 00:00 [accepted]
PHST- 2017/12/17 06:00 [entrez]
PHST- 2017/12/17 06:00 [pubmed]
PHST- 2017/12/27 06:00 [medline]
AID - S0022-3476(17)31280-5 [pii]
AID - 10.1016/j.jpeds.2017.09.026 [doi]
PST - ppublish
SO  - J Pediatr. 2018 Jan;192:223-228.e1. doi: 10.1016/j.jpeds.2017.09.026.