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- W4362639876 abstract "Immunoglobulin E-mediated food allergy (FA) is a chronic medical condition affecting an estimated 5.6 million US children. 1 Keet CA Savage JH Seopaul S Peng RD Wood RA Matsui EC Temporal trends and racial/ethnic disparity in self-reported pediatric food allergy in the United States. Ann Allergy Asthma Immunol. 2014; 112: 222-229 Abstract Full Text Full Text PDF PubMed Scopus (102) Google Scholar Primary FA management involves strict allergen avoidance and prompt treatment of allergic reactions. Physical proximity to most allergens can be safely tolerated, and airborne or skin exposures are unlikely to cause a systemic response. 2 Wainstein BK Kashef S Ziegler M Jelley D Ziegler JB Frequency and significance of immediate contact reactions to peanut in peanut-sensitive children. Clin Exp Allergy. 2007; 37: 839-845 Crossref PubMed Scopus (47) Google Scholar However, misinformation exists about the type of allergen exposure (eg, airborne, inhalational, skin, oral) that can trigger a systemic allergic reaction, which can cause anxiety, avoidance of safe situations, social isolation, and impaired quality of life. Dahlsgaard et al 3 Dahlsgaard KK Lewis MO Spergel JM New issue of food allergy: phobia of anaphylaxis in pediatric patients. J Allergy Clin Immunol. 2020; 146: 780-782 Abstract Full Text Full Text PDF PubMed Scopus (11) Google Scholar (2020) provide an excellent illustration of avoidance learning applied to the development and maintenance of phobia of anaphylaxis. Patients who worry about being near their allergen(s) may benefit from FA proximity challenge (PC) intervention, a procedure first described by Dinakar et al 4 Dinakar C Shroba J Portnoy JM The transforming power of proximity food challenges. Ann Allergy Asthma Immunol. 2016; 117: 135-137 Abstract Full Text Full Text PDF PubMed Scopus (11) Google Scholar (2016) as a medical education intervention. The aim of this brief report is to describe a food allergen PC intervention protocol used by psychologists who work in pediatric allergy clinics. We present the rationale and steps of the mental health provider-led PC protocol and propose a framework informing the selection of medical education or mental health provider-led PC intervention based on the patients’ presenting symptoms." @default.
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- W4362639876 date "2023-07-01" @default.
- W4362639876 modified "2023-10-15" @default.
- W4362639876 title "“The peanut butter didn’t attack me”" @default.
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- W4362639876 doi "https://doi.org/10.1016/j.anai.2023.03.027" @default.
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