Resolution of peanut allergy following bone marrow transplantation for primary immunodeficiency.

Hourihane, J O'B; Rhodes, H L; Jones, A M; Veys, P; Connett, G J · Allergy · 2005

case_report · Level V

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Abstract

Peanut allergy is a severe and life-threatening form of food allergy. Treatments are being developed but the mainstays of current management remain avoidance of peanut and appropriate use of rescue medication. We report the case of a boy with peanut allergy who required a bone marrow transplant (BMT) for combined immunodeficiency. A food challenge, 2 years after transplant, showed that his peanut allergy had resolved. Allergic disorders constitute a form of immune deviation and while we do not advocate BMT as a treatment for peanut allergy, we believe this case provides an insight into the basic mechanisms involved in food allergy.

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