Managing Food Allergies: Insights from Dr. Elizabeth Kiragu's Presentation
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T
HE
OTHER
SIDE
OF
FOOD
ALLERGIES
Dr. Elizabeth Kiragu
Paediatric Allergy Specialist
Aga Khan University Hospital, Nairobi
KPA Conference 10
th
April 2019
T
HE
JOURNEY
THE
HOME
FRONT
2 year old girl
Severe cow milk allergy on EHCMF
Multi trigger wheezer controlled on ICS
Young mother, much older father
Closely surrounded by extended family
English reading and oral skills limited
Issue – frequent accidental exposure to milk in the
home
A
LLERGEN
AVOIDANCE
Educate all care givers
Define the allergen
Forms of that allergen
Reading labels
Hidden antigens
Age appropriate behaviour modification
A
N
ACCIDENT
WAITING
TO
HAPPEN
4 year old boy
Severe cow milk allergy
Uncontrolled asthma not on treatment
Family of 2 boys, older child also has asthma not
on any treatment and food allergies
Dad is a doctor
Issues
Parties, outings, restaurant visits present a risk
of reaction
Delay in recognition of severity of reaction
Unprepared to manage a reaction
False sense of security
Bidat E.
The ability of a parent to
assess risk and manage
their child’s condition is
highly dependent on their
own knowledge, attitude
and beliefs about food
allergy
Take home
Family education
Regular follow up-
Assess food allergy status
Manage associated conditions
Re evaluate use of emergency medication
F
IGHTING
THE
GOOD
FIGHT
9 year old boy
Ex prem 34/ 40
Severe uncontrolled asthma on maximal therapy
Anaphylaxis to egg, moderate immediate reactions to fish,
beans
EOE – dairy,
FTT
Eczema, Allergic rhinitis
M
ODEL
FOOD
ALLERGIC
PATIENT
Particular about his food
Recognise an allergic reaction immediately
Institute emergency treatment
C
HALLENGES
AT
SCHOOL
School acceptance – administration, parents and
other children
Policy to prevent exposure to allergens
System to manage acute reactions
Class parties, trips, games, fun days, hospital
admissions
Bullying
G
ROWING
OLDER
WITH
FOOD
ALLERGIES
14 year old girl
Uncontrolled asthma
Allergic rhinitis
Moderate atopic eczema
Severe allergy – Peanut, Hazelnut, shell fish
ISSUES
Poor adherence to asthma & rhinitis treatment
Deliberate exposure to food allergens
Delay in using emergency treatment
H
IGH
RISK
GROUP
Getting more independent
Easily influenced by peer pressure
Desperate to fit in
Risk taking behavior
Food allergies in later childhood are more severe
Augmenting factors
W
AY
FORWARD
Engage them in their management
Figure out their priorities
Re - emphasize the dangers
Involve family and friends
Counselling
Dr. Elizabeth Kiragu, a Paediatric Allergy Specialist, shared valuable insights on the challenges and strategies in dealing with food allergies at the KPA Conference in April 2019. The presentation highlighted the importance of allergen avoidance, risk assessment, education for caregivers, and regular follow-ups to manage food allergies effectively. Cases of children with severe cow milk allergies underscored the critical need for awareness, preparedness, and proper management to prevent accidents and potential life-threatening situations.
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Presentation Transcript
THE OTHER SIDE OF FOOD ALLERGIES Dr. Elizabeth Kiragu Paediatric Allergy Specialist Aga Khan University Hospital, Nairobi KPA Conference 10thApril 2019
Family Patient Food industry School Community
2 year old girl Severe cow milk allergy on EHCMF Multi trigger wheezer controlled on ICS Young mother, much older father Closely surrounded by extended family English reading and oral skills limited Issue frequent accidental exposure to milk in the home
ALLERGEN AVOIDANCE Educate all care givers Define the allergen Forms of that allergen Reading labels Hidden antigens Age appropriate behaviour modification
4 year old boy Severe cow milk allergy Uncontrolled asthma not on treatment Family of 2 boys, older child also has asthma not on any treatment and food allergies Dad is a doctor
Issues Parties, outings, restaurant visits present a risk of reaction Delay in recognition of severity of reaction Unprepared to manage a reaction False sense of security
The ability of a parent to assess risk and manage their child s condition is highly dependent on their own knowledge, attitude and beliefs about food allergy Bidat E.
Take home Family education Regular follow up- Assess food allergy status Manage associated conditions Re evaluate use of emergency medication
9 year old boy Ex prem 34/ 40 Severe uncontrolled asthma on maximal therapy Anaphylaxis to egg, moderate immediate reactions to fish, beans EOE dairy, FTT Eczema, Allergic rhinitis
MODELFOODALLERGICPATIENT Particular about his food Recognise an allergic reaction immediately Institute emergency treatment
CHALLENGESATSCHOOL School acceptance administration, parents and other children Policy to prevent exposure to allergens System to manage acute reactions Class parties, trips, games, fun days, hospital admissions Bullying
14 year old girl Uncontrolled asthma Allergic rhinitis Moderate atopic eczema Severe allergy Peanut, Hazelnut, shell fish
ISSUES Poor adherence to asthma & rhinitis treatment Deliberate exposure to food allergens Delay in using emergency treatment
HIGHRISKGROUP Getting more independent Easily influenced by peer pressure Desperate to fit in Risk taking behavior Food allergies in later childhood are more severe Augmenting factors
WAYFORWARD Engage them in their management Figure out their priorities Re - emphasize the dangers Involve family and friends Counselling
