Could There Be A Treatment For Kids With Allergies?
For nine years, the
greatest challenge Kim Yates Grosso faced each day was keeping her daughter
Tessa safe. Tessa was so severely allergic to milk, wheat, eggs, nuts,
shellfish and assorted other foods that as a toddler she went into anaphylactic shock when milk fell on her skin.
Kim never left her with a baby sitter. She slept with her each night. And when
she needed to work, she found a job she could do primarily from home in the
evenings. She successfully lobbied the Menlo Park, Calif., school district to
provide Tessa with a full-time aide (in accordance with the Americans With
Disabilities Act) to shadow her at all times. She made all of Tessa’s food from
scratch, including safe treats to bring to birthday parties, when she could
persuade her daughter to attend them at all. Tessa never spent the night at a
friend’s house — she didn’t feel comfortable sleeping in an unsafe environment.
Desensitization is a
straightforward idea; it’s the same principle, according to legend, that King
Mithridates VI used to cultivate immunity to poison (an occupational hazard of
royalty in the ancient world). The therapy has been used successfully for
environmental allergies for decades, by giving patients small injections of
pollen or cat dander or other allergens, but it was considered too dangerous to
try with food allergies until recently. A study testing various allergens was
pioneered in Europe in the 1980s, and in the past five years, ongoing studies
at Mount Sinai School of Medicine in New York and other centers have shown that
children can be safely desensitized to a single allergen, peanut, and, in separate
trials, to milk and egg.
Could patients be
desensitized to more than one allergen at a time? No one had ever tried it, but
more than a third of children with food allergies are allergic to more than one
food. If it was safe to give patients x milligrams of one allergen,
would it be safe to give them one-fifth of x milligrams of five
different allergens, as long as the total dose remained the same? That would
assume that allergens function in a linear, additive fashion — rather than a
multiplicative one; it was also possible that they could interact with one
another to produce a more severe reaction.
I found this article interesting because it speaks to so
many people all over the world. Since like 1 in 13 kids have food allergies,
being able to treat allergies is something that would affect a lot of people.
This article talks about how giving kids with allergies small doses of
allergens over a time span could greatly decrease their allergic reaction. The
question the doctors faced in this article was whether it was possible to get
the same affects from this treatment if they gave smaller doses of man
allergens to a child who was allergic to many things. The doctors had never
tried giving multiple doses of allergens to a patient before, so they had to do
a lot of tests. They would administer the allergens by giving the patient one
fifth of a dose of an allergen. They would have to do this five times with five
different allergens. The idea would be that the patient would get the same
amount of allergen, but with more than one allergy being treated.
The doctors hoped it would be successful, so that the test
would be able to be administered to kids with multiple allergies. Although
there would be a problem with the amount of time it would take to give the
patient the amount of doses they needed. Since doctors hadn’t tried this
treatment before. Also they weren’t even sure if the treatment would work. It
was tested on many different kids and was mostly successful. A boy named Kieran
who was allergic to many things including: peanuts, almonds, cashew, hazelnut
and egg. After nine months of being treated with the allergen doses he was
three hundred times less allergic then he was at the start of the trial. It
seems that the treatment could be successful for some kids and proves to help.
Although it will still be at least a year before Kieran can eat a whole
serving, he can already eat foods with traces of nuts in them.
This treatment definitely affects us in California today,
because of al the people who have allergies or know people with allergies. This
treatment is certainly a step forward in medical treatments and will be
improved over time, until perhaps allergies aren’t a problem. Obviously this
treatment isn’t a guarantee, and is expensive, and might not have as successful
affects on every child, it is still quite an achievement in medicine. As was
shown in the article, life for those with multiple allergies or just one is
hard, not only for the allergic person, but their friends and family. This treatment
could be a great help not only for those living in California, but all over the
world. Hopefully in the future the treatment will be helpful for everyone and
will be available to those who need it.
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