Almond allergy - flare in eczema

It does sound like an allergic reaction.

Very much so it sounds like an allergy. I’d be also expecting a loose nappy in the next couple of hours or days x

Her other allergy symptoms are -
CMPA - mucous nappies, congestion, rash, eczema flare, discomfort
Egg - sickness, rash, eczema flare

With both of these allergens we confirmed them with the milk formula challenge and by giving eggs for a second time (although she had also reacted to her 8 & 16 week imms which contain egg) as directed by her dietician and have then been told to do the ladders at 1. Do we do the same with almonds, and give it for a second time to confirm, I don’t know why but the thought of a nut allergy just scares me so much more for some reason! We’ve been told that even when she hits a year old she’s far too petite to do skin prick tests on without causing her too much distress. She has had bloods for both milk and egg allergies but they came back negative as they aren’t IGE x

As others have said it does sound like exposure but you aren’t going to know if it’s IGE or not unless she’s tested. As someone with IGE nut allergies I wouldn’t personally give almonds again unless it’s an oral food challenge in a clinical setting where they can give the appropriate amount and have medication on hand should it be required for a reaction. Was it a doctor that advised that she would be too petite for the skin prick test? Only my boy had his at 7 months. They did 23 tests across both thighs but he didn’t even flinch and was generally more curious than anything. I was so anxious about it being done but I needn’t have worried. The blood test was 100x worse for us than the skin prick! x

My daughter had a skin prick test done for 10 suspected allergens when she was 13 months old and didn’t flinch once she was intrigued with what was going on.

They can be tested as young as 6-9 months old and the skin prick test is the best way to do it as a blood test is rubbish. The way the dietitian explained it to me you could do the blood test on 100 people and only 10 would be positive for allergens. However, if you tested 100 people via the skin prick test for the same allergen 70 of them would come back positive. This is just the way I was explained it as I asked for the blood test but got told it’s not very reliable regardless of if the allergy is IgE or non IgE.

My daughters milk allergy is the non IgE but the egg was IgE and we’ve got to do the ladders for both of them soon as she’s a bit under the weather x

we’re not even under an allergy clinic for the 2 we know about, our dietician just said that it wasn’t necessary and we should just do the ladders after her birthday, no other support or guidance! It was something I was going to push with her consultant but we don’t see him until June. We were also told to confirm her 2 allergies prior to any testing ever being done!

It was her consultant who said she was too petite for the skin prick test, he meant it in terms of her not having enough surface area of skin to do the testing on rather than from a pain/discomfort perspective. She turns 1 in 3 weeks but she’s only just over 7.6kg and is very slight in her build. We only had the allergy bloods done as she was having bloods for some other concerns so he just added them on to the panel, we wouldn’t have done them otherwise x

our consultants concern regarding her being petite is the surface area available for the testing rather than any discomfort, probably should’ve worded it differently. She only just weighs 7.6kg and is very slight in her build.

We only had the blood test done as she was having bloods for other concerns, the consultant said he wouldn’t have done them otherwise as it wouldn’t tell us anything we didn’t already know. Unfortunately our dietician is absolutely useless and hasn’t been much help with anything from the start! She’s said an allergy referral is unnecessary but I’m going to push it again.

Have you decided which ladder you’re going to do first? We’d planned to do egg as I find that much harder to substitute than dairy atm x

Were doing the milk ladder first as she’s been off dairy since 5.5 months old and egg is just recent x

I wouldn't class it as a reaction. Wait for this flare up to settle and in a few weeks try plain almond butter again and see if something similar happens. If the eczema flare up repeats, maybe it is a delayed allergy.

Sounds like an allergic reaction. I would try giving Zyrtec and if it helps clear it up, that’s even more confirmation imo