|Chelmsford, MA||North Andover, MA||Nashua, NH|
Allergy & Asthma Specialists are
sponsoring Peanut Free Nights
with the Lowell Spinners at
|Meet Our Doctors|
Our allergists are board certified in pediatric and adult Allergy and Immunology, and have trained at some of the top training programs in the country, including Harvard Medical School, National Jewish Respiratory Center and Albert Einstein Medical College. We participate in the Maintenance of Certification Program. Click here to read more about this program. Dr. Melamed and Liang have both been awarded the prestigious Top Doctor Awards for 2011.
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Introduction of Peanuts to Infants
Interim Guidance from expert panel regarding early peanut introduction- (LEAP) study
There is now scientific evidence (Level 1 evidence from a randomized controlled trial) that health care providers should recommend introducing peanut-containing products into the diets of “high-risk” infants early on in life (between 4 and 11 months of age) in countries where peanut allergy is prevalent because delaying the introduction of peanut can be associated with an increased risk of peanut allergy.
Infants with early-onset atopic disease, such as severe eczema, or egg allergy in the first 4 to 6 months of life might benefit from evaluation by an allergist or physician trained in management of allergic diseases in this age group to diagnose any food allergy and assist in implementing these suggestions regarding the appropriateness of early peanut introduction. Evaluation of such patients might consist of performing peanut skin testing, in-office observed peanut ingestion, or both, as deemed appropriate after discussion with the family. The clinician can perform an observed peanut challenge for those with evidence of a positive peanut skin test response to determine whether they are clinically reactive before initiating at-home peanut introduction. Both strategies were used in the LEAP study protocol.