Child growing back into an allergy?

[wtftodo]

My 4 yr old was allergic to multiple things including eggs, cmpa, and most nuts but was signed off from the allergy clinic with only (a severe) peanut allergy last year. She’s been eating tree nuts for about 18months. Admittedly, she hasn’t eaten them as frequently as she used to because her younger sister is allergic to them.

This morning I gave her almond butter and she complained almost right away that inside her mouth and her lips were stinging. I’m not sure but I think her lips looked slightly blushed. I gave her piriton and within 5-10 minutes she said her mouth was feeling a bit better.

Does anyone have experience of this? I’m guessing I should let the GP know (she’s no longer on books of clinic, they said to get rereferred at 8 so she can do peanut desensitisation).

I’m really hoping this isn’t a full blown return :(

It might not be a fullblown return rather than a cross contamination issue? Don't all almond butters have May Contain Peanuts on the label? Maybe she is just (!) reacting to trace of peanuts...

Both my children have grown out of allergies and then had a bit of a sensitivity issue before being ok again. DS was allergic to soya and grew out of it, but then started having a bit of a mild reaction, but now he can eat soya no problem.

DD passed a hidden egg challenge in hospital and was eating cake fine, then started saying it was making her mouth funny, so we stopped letting her eat cake. A few months ago I cam home to a packet of mini rolls in the kitchen and discovered that she'd been eating them at my parents with no issues!

So it seems to me that in the process of growing out of an allergy there may be a bit of a setback. i would speak to your GP though and see what they advise.

I wondered about that Tail but the allergy clinic essentially prescribes eating nut butters... so I figure it may be actually pretty rare for cross contamination to happen if else why would they tell us to feed our highly allergic kids these products? Maybe I should flag to allergy uk though

Trixy that’s really helpful too, thanks

We avoid nut butters for this reason. I buy whole, plain nuts, grind them and mix in with flapjacks. We have similar allergy status ( one outgrown, one severe) and in 3 years have only had one hive on allergy daughters hand. I make the flapjacks at night, scrub kitchen and then he only eats the nuts in one spot where knowine eats normally anyway. We also use kinder bueno and other easy hazelnut items.

thanks - just to update, she had another reaction when we were in fact at a food challenge for her younger sibling and so the clinic have booked us back in for skin prick testing this month, and we should find out then whether it was a contamination issue or a return of the nut allergy

Final update - skin prick testing was fine. It must have been a trace reaction to peanut contamination in the nut butter. Am going to email allergy UK - unless anyone else has any ideas about how to alert a possible contamination?