PMC:4631427 / 14367-15924 JSONTXT

{"project":"TEST0","denotations":[{"id":"26604803-236-242-1382664","span":{"begin":364,"end":366},"obj":"[\"15969665\"]"},{"id":"26604803-225-231-1382665","span":{"begin":367,"end":369},"obj":"[\"11015520\"]"},{"id":"26604803-228-234-1382666","span":{"begin":370,"end":372},"obj":"[\"9521974\"]"},{"id":"26604803-139-145-1382667","span":{"begin":503,"end":505},"obj":"[\"11295721\"]"},{"id":"26604803-138-144-1382668","span":{"begin":641,"end":643},"obj":"[\"16890773\"]"},{"id":"26604803-233-239-1382669","span":{"begin":958,"end":960},"obj":"[\"11295721\"]"}],"text":"In general, efforts of patients allergic to nuts to control avoidance at home can be quite successful, though there are certain circumstances and situations that remain high risk for cross-contamination and accidental exposure. Most cases of nut anaphylaxis in children do occur in the home, but this includes first reactions to peanut, with 76% occurring at home.18,21,49 Particularly in nut allergy, reactions outside the home tend to be more severe and are more likely to be treated with epinephrine.50 Of children who have already been diagnosed with peanut allergy, accidental exposures occur at an annual incidence rate of only ~14.3%,51 less frequently than previously reported, but up to 20% of children with a known food allergy (not specific to nuts) will develop a reaction at school at some point. In addition to school or day care, children’s parties, restaurants, and bakeries are also high risk for cross-contamination and accidental exposure.50 For these reasons, the education of patients and parents regarding high-risk situations is of great importance. When available, utilizing a registered dietician may be especially helpful. Printed information is also useful for patients and parents not only to read for themselves, but also to distribute to other caregivers. Encouraging children not to accept food from strangers, or to check with a parent or trusted caregiver about unknown or unlabeled foods helps them take ownership of their food allergy and will bring attention to adults who may be unaware of specific dietary restrictions."}

{"project":"2_test","denotations":[{"id":"26604803-15969665-55579359","span":{"begin":364,"end":366},"obj":"15969665"},{"id":"26604803-11015520-55579360","span":{"begin":367,"end":369},"obj":"11015520"},{"id":"26604803-9521974-55579361","span":{"begin":370,"end":372},"obj":"9521974"},{"id":"26604803-11295721-55579362","span":{"begin":503,"end":505},"obj":"11295721"},{"id":"26604803-16890773-55579363","span":{"begin":641,"end":643},"obj":"16890773"},{"id":"26604803-11295721-55579364","span":{"begin":958,"end":960},"obj":"11295721"}],"text":"In general, efforts of patients allergic to nuts to control avoidance at home can be quite successful, though there are certain circumstances and situations that remain high risk for cross-contamination and accidental exposure. Most cases of nut anaphylaxis in children do occur in the home, but this includes first reactions to peanut, with 76% occurring at home.18,21,49 Particularly in nut allergy, reactions outside the home tend to be more severe and are more likely to be treated with epinephrine.50 Of children who have already been diagnosed with peanut allergy, accidental exposures occur at an annual incidence rate of only ~14.3%,51 less frequently than previously reported, but up to 20% of children with a known food allergy (not specific to nuts) will develop a reaction at school at some point. In addition to school or day care, children’s parties, restaurants, and bakeries are also high risk for cross-contamination and accidental exposure.50 For these reasons, the education of patients and parents regarding high-risk situations is of great importance. When available, utilizing a registered dietician may be especially helpful. Printed information is also useful for patients and parents not only to read for themselves, but also to distribute to other caregivers. Encouraging children not to accept food from strangers, or to check with a parent or trusted caregiver about unknown or unlabeled foods helps them take ownership of their food allergy and will bring attention to adults who may be unaware of specific dietary restrictions."}