Valentine’s Day usually means celebrations and exchanges with chocolate and other treats, and marks a popular time for parties and dates involving food. While it’s tempting to just dig in, children and teens with food allergies need to be aware that many of these foods contain common allergens.
Today’s guest bloggers Terri Brown-Whitehorn, M.D and Lynda Mitchell answer questions about the risks associated with food allergies on Valentine’s Day, as well as the precautions families should take to keep their children safe.
Brown-Whitehorn is an allergist/immunologist in the division of allergy & immunology at The Children’s Hospital of Philadelphia and an associate professor of clinical pediatrics at the Perelman School of Medicine, University of Pennsylvania. Mitchell is the president and founder of Doylestown-based Kids With Food Allergies, one of the largest nonprofit organizations for parents of food-allergic kids with more than 22,000 members.
How can Valentine's Day pose a risk for children and teens?
Schools and other venues often have celebrations and parties with food. Many traditional party foods and candies contain common allergens such as peanuts, tree nuts (almonds, walnuts), eggs, milk, and wheat. In addition, children often exchange Valentine’s Day cards that sometimes have candy attached to them, which also may contain allergens. Boxes of chocolates are everywhere and if labels are not read or available, a child or teenager with food allergies is at risk for an allergic reaction.
Can a kiss cause an allergic reaction? Have you encountered this?
I have been practicing allergy for many years and have never had a patient have a severe reaction to a kiss. I have had many food allergic children develop topical reactions (hives at the site of touch) on their skin if kissed by someone who just had ingested dairy or another allergen. We have also had children develop topical reactions to spilled milk or cracked eggs. These children are not at risk for a severe allergic reaction.
Although many worry that a kiss from a non-allergic person to an allergic person can lead to a severe reaction, this is not commonly seen. However, in an exquisitely allergic individual, a reaction is possible. Teens need to be aware of others' allergies. Also, teens with food allergies need to be aware of their food allergies and not try to fit in by eating a chocolate without knowing the ingredients.
How common is it to have a severe allergic reaction for a child/teen with no prior history?
Allergic reactions can occur at any age although the majority are known by school age. Most children are diagnosed with milk, egg, soy, peanut and wheat allergy as they are exposed to the food sooner. Typically, if a food is tolerated without a reaction, then one typically does not develop an allergy to that food. Exceptions include new shellfish and/or tree nut allergies. We have also had children and adolescents tolerate multiple tree nuts such as almonds or walnuts, and then have a reaction to cashews or Brazil nuts.
What are the most common severe allergies?