In April 2010, Andrew Clark offered Mumsnetters help and advice on how to deal with their children's allergies.
Dr Andrew Clark is a consultant in paediatric allergy at Addenbrooke's Hospital in Cambridge.
Dr Clark is behind the recent advances in tolerance induction for children with peanut allergy, his other research and clinical projects focus on improving the clinical care of children with food allergy.
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I've tried my best to answer you individually, but there were a few themes that came across which would benefit from some general explanation up front.
Also, apologies where I have not been able to answer you directly about your own 'allergy case', you will understand that the one-way nature of this interaction is not the same as doing a face-to-face allergy consultation complemented by testing.
One or two of you really need to see an allergist and I have made this clear in my responses.
One important theme, which many of you raised, is access to decent allergy services.
It is clear many of you are making do with inadequate support from your local medical services.
Part of the problem lies in education: doctors are not taught about clinical allergy at medical school, which is surprising considering allergy affects a quarter of the population, so all doctors will eventually have to deal with it in some form or other.We have been caught out by the massive rise in allergy over the past two decades and improvements in allergy care have lagged behind.One important and simple improvement you can make is to arm yourself with information on allergy and there is no better place to start than the Anaphylaxis Campaign (Peanut immunotherapy trial Andrew Clark: There were many questions about my peanut immunotherapy trial (tatt, Kerry Mumbles, bridewolf, beggsie, Lady Bla Bla, Topiary Girl, lukewarmcupoftea, Lee 36, Chandra, christie2, countrygirl831).We have completed this in 21 children: 19 can eat five peanuts a day, the remaining two can eat one to two per day without reacting.Some of them have reduced intake to five peanuts once to twice per week and still tolerate them. We now have Government funding to perform a larger randomized and controlled study of 104 children aged seven to 15 years, this is fully recruited and we are not taking any more names.