Dd had her appointment today. It went well. Met the new allergist there. He was young-ish, very nice, very down to earth. Discussed dd's recent reaction to her PN dose. He felt there was a good chance it was precipitated by being outside all day combined with the raw spot on her gums. Given the reaction he recommended another year on maintenance. If she is reaction free next year, we try a tolerance test. No PN's for a month, then eat some. He was very pleased with her PN numbers. 0.64 now, 5.60 in 2010.
Discussed her new TN numbers. He thought it might be more of a cross reactivity with environmental allergens and more of an OAS type thing, which would be good since those allergies stay localized to the mouth. Did a skin prick test for enviros. Nada. She's not allergic to any of them. Sooo, new TN allergies. He recommended complete avoidance. I told dd before the appointment that her blood test showed new allergies but I wasn't sure they were correct since she ate Nutella (a third of a jar in one sitting 2 days ago) without a problem. She told me her mouth was indeed a little itchy when she ate it. Argh. News to me. So, no Nutella in our house. No great loss, it has the nutritional value of marshmallows. The doctor said TN's, fish, and shellfish were the most common late onset FA's.
He said 60-70% of OIT kids seem to grow into complete tolerance but there seems to be no rhyme or reason as to which kids it would be.
So that's about it. I really didn't pepper him with questions, and I wasn't really surprised by anything. OAS and enviro allergies would have been nice, but it is what it is.