Egg allergy in 4 year old

[IsItWine0ClockSoon]

My daughter first had a reaction to egg at 6 months. Since then she has been diagnosed as having an egg allergy and we were advised to feed her something with well-cooked egg in it once a week or so. She had some reactions in the early days but these are now few and far between. I have noticed that the last 2 reactions she has had were due to a food that contained pasteurised egg white.
Can anyone shed any light as to why this might be the case? Is it that she’s just been unlucky with the amount of egg in these products or is this something I should be more aware and careful of in the future?
Thank you x

Who the hell told you to give her a bit of well cooked egg each week? That's the most outdated allergy advice I have heard in a long time. I would go back to GP and ask for allergy testing referral. These GP's never surprise me with their allergy advice!!!

Also the pasteurised egg white is raw which is why she is reacting. Please don't feed any more egg till you have spoken to a specialist. I say this as the mother of 2 allergy children, both carry epipens. Egg is my sons worst allergy

Wow!! I had no idea! Thank you for your reply-much appreciated!

Is it wine... don't listen to the poster. It's they who are outdated... you should be keeping up the egg, but s/he is right about the pasteurised egg not being as good as 'well cooked' ... stick to lower down on the egg allergy ladder. If you're unsure because of conflicting advice, just do your own research (it has changed over the past 3 years or so so make sure it is current - not all gp's (or Mumsnet posters) are up to date

My children are under the care of a hospital in London who are at the cutting edge of allergy research. Nobody should be sent away with an allergy and told to eat what they are allergic too without regularly receiving care and guidance. The fact that the OP gave her child lightly cooked egg without being aware shows that she is not being given proper care. If I followed the advice of the doctors the OP saw then both my children would have been admitted to hospital multiple times. Yes, current research in the LEAP study says to introduce allergenic foods regularly at a young age but only to children in low risk groups who do not react to the foods given. Where are you getting your information from?

Hi 89 ... If i'd followed the advice my doctors gave us, we would also have been hospital admitted several times (if son had survived, which he might likely not have, given we weren't given an epipen until what would have been too late if i'd listened). Which is why i took my allergy training into my own hands, and why i get so frustrated that so many doctors are still giving out 'old' advice, or poor advice.

Having said that, if a child can tolerate the bottom of the egg allergy ladder, then current advice is to keep them eating is as it. I can't recall which/where research came from ( LEAP ON?), but the concern is if that it is removed entirely from the diet, they can potentially relapse into an ana reaction if they are exposed to it later. Hence, keep them on the ladder if only mild reaction.

My recollection of the leap study is to introduce it to HIGH risk children in infancy. I think we may have read different studies

When I was an egg allergic baby, my mother was advised that the allergy was to egg white and encouraged to feed me egg yolks (I was also dairy intolerant at a time when we had to get soya milk on prescription; so they were concerned about my overall diet). The white is the protein rich part of the egg so it does make some sense that it would carry most of the allergy risk. Growing out of an egg allergy is a common pattern.

With my own daughter I knew to watch out for eggs. As a toddler she was ok with egg in cake. Omelettes/egg and spinach pie/whole eggs we didn't really get her eating till about 7 or 8 I think. I think we had a couple of unintended mild reactions around raw cake mix once or twice around the age of 4-6.

Don't rush to increase egg exposure but that tolerance should slowly improve with time.

Python... our specialist said 80% of egg allergic children grow out of their allergies (fortunately!). My son certainly did (by the age of 5) ... as did I :-)

But the inverse for peanut allergies, sadly (ie only 20%)

My daughter is allergic to egg but can tolerate it baked in cakes etc.

Current advice is that to maintain/increase tolerance we should be giving her something with cooked egg in at least once a week and that's from an allergy consultant.

Maintaining/increasing tolerance is fine but reacting to allergen is not maintaining tolerance as the food is not being tolerated.

Babybarrister; interesting as my son is seen at the same hospital yet advice is very very different from our consultant. Had our annual allergy appointment last week and consultant clearly confirmed we should not be ingesting allergens once we react regardless of previous tolerance.

Well according to the op her DD is tolerating well cooked egg but not foods with pasteurised egg white.

It's common when doing the milk or egg ladder to have a reaction when you go up a stage, but you don't stop altogether. You go back down a level and then try again later.

Your first post saying giving well cooked egg is outdated advice is erm pretty outdated to be honest. And I say that as the mother of one child who is anaphylactic to egg and will never be doing any kind of egg ladder and another who is on the first level of the egg ladder and trying to build tolerance.

OP if in doubt phone the allergy team.