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What if your baby has had an allergic reaction to egg? Is there ever the option that baby can eat eggs again? Yes. And an egg ladder may help.

Carina Venter, noted allergy researcher and dietitian is joining me to talk about using an egg ladder for babies with egg allergy. She is a member of the European Academy of Allergy and Clinical Immunology (EAACI) Food Allergy and Anaphylaxis Guidelines Group who recently published revised guidelines on the prevention and development of food allergy in infants and young children.

In this episode Carina is talking about why ladders are used more frequently outside of the US than in (she also published the first ever ladder for dairy, the MAP and subsequent iMAP) and how to talk to your practitioner if they’ve never heard of an egg ladder but you are interested in using an egg ladder.

Be sure to check the shownotes for this episode for all of the research documents and guidelines Carina is mentioning in this episode. It’s a lot. But if your baby has an egg allergy I think you’re really going to appreciate this interview with Carina Venter, PhD, RD.

SHOW NOTES

SUMMARY of episode

In this episode I’m joined by Carina Venter, PhD, RD - she’s the go-to guru for all things food allergy and nutrition-related and Carina is talking about:

• The difference between egg allergy and egg intolerance and why egg intolerance isn’t actually even a “thing”.

• Why if your baby has been given a diagnosis of egg allergy it might be possible to sensitive baby to egg and eventually have your baby consume egg safely in the future

• How medical care and education about food allergy nutrition differs in countries outside of the US...and how to talk to your pediatric provider if you want to give the egg ladder a go but your doctor doesn’t know what you’re talking about.

  
  
  

LINKS from episode

• Carina was previously on the podcast in Episode 84: Why You Don’t Need to Wait 3-5 Days Between Trying New Foods.

• Episode 34: Dairy Ladder for Milk Reintroduction with Meg Mason.

• International Milk Allergy in Primary Care (iMAP) Guideline.

• Irish Egg Ladder.

• British Egg Ladder.

• (2019 updated IMAP milk ladder Carina was author on is here)

• EAT paper (this was the one Carina was discussing that had reported “poor compliance” because of boiled egg).

• Follow Carina Venter, PhD, RD on Twitter.

• More info about Carina’s work on her homepage.

• View Dr. Venter’s allergy-related research publications.

• Dietitians earn your FARE Certificate of Training in Pediatric Food Allergy in this 9-month (32 CPE) course Carina co-teaches for FARE.

• Dietitians join IDANA: International Network for Diet and Nutrition in Allergy.

  
  
  

RESEARCH links from episode

• Samady, W., Campbell, E., Aktas, O. N., Jiang, J., Bozen, A., Fierstein, J. L., ... & Gupta, R. S. (2020). Recommendations on complementary food introduction among pediatric practitioners. JAMA network open, 3(8), e2013070-e2013070.

• Johnson, J. L., Gupta, R. S., Bilaver, L. A., Hu, J. W., Martin, J., Jiang, J., ... & Togias, A. (2020). Implementation of the Addendum Guidelines for Peanut Allergy Prevention by US allergists, a survey conducted by the NIAID, in collaboration with the AAAAI. Journal of Allergy and Clinical Immunology, 146(4), 875-883.  https://pubmed.ncbi.nlm.nih.gov/32745556/ 

• Fleischer, D. M., Chan, E. S., Venter, C., Spergel, J. M., Abrams, E. M., Stukus, D., ... & Greenhawt, M. (2020). A Consensus Approach to the Primary Prevention of Food Allergy Through Nutrition: Guidance from the American Academy of Allergy, Asthma, and Immunology; American College of Allergy, Asthma, and Immunology; and the Canadian Society for Allergy and Clinical Immunology. The Journal of Allergy and Clinical Immunology: In Practice.

• Togias, A., Cooper, S. F., Acebal, M. L., Assa’ad, A., Baker, J. R., Beck, L. A., ... & Fleischer, D. M. (2017). Addendum guidelines for the prevention of peanut allergy in the United States: report of the National Institute of Allergy and Infectious Diseases-sponsored expert panel. Allergy, Asthma & Clinical Immunology, 13(1), 1-20.

• Schroer, B., Groetch, M., Mack, D. P., & Venter, C. (2020). Practical Challenges and Considerations for Early Introduction of Potential Food Allergens for Prevention of Food Allergy. The Journal of Allergy and Clinical Immunology: In Practice.

• Venter, C., Hasan Arshad, S., Grundy, J., Pereira, B., Bernie Clayton, C., Voigt, K., ... & Dean, T. (2010). Time trends in the prevalence of peanut allergy: three cohorts of children from the same geographical location in the UK. Allergy, 65(1), 103-108.

• Koplin, J. J., Peters, R. L., Dharmage, S. C., Gurrin, L., Tang, M. L., Ponsonby, A. L., ... & Allen, K. (2016). Understanding the feasibility and implications of implementing early peanut introduction for prevention of peanut allergy. Journal of Allergy and Clinical Immunology, 138(4), 1131-1141.

• Halken, S., Muraro, A., de Silva, D., Khaleva, E., Angier, E., Arasi, S., ... & European Academy of Allergy and Clinical Immunology Food Allergy and Anaphylaxis Guidelines Group. (2021). EAACI guideline: Preventing the development of food allergy in infants and young children (2020 update). Pediatric Allergy and Immunology. https://pubmed.ncbi.nlm.nih.gov/33710678/

  
  
  

TRANSCRIPT of episode

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