“Peanut” Butter CookiesIngredients:
1 cup sunflower seed butter
1 cup sugar
1 egg
½ tsp baking soda
1 tsp vanilla extract
½ tsp salt
Preheat oven to 350 degrees. Mix together ingredients. Roll by spoonfuls into one inch balls. Roll each ball in granulated sugar. Place on baking sheet and into preheated oven. Bake for 10-12 minutes and remove to cooling rack.
This recipe as written is free from the following common food allergens: wheat, dairy, soy, peanuts, treenuts, shellfish, sesame. It contains eggs.
Food allergy occurs when the immune system mistakenly attacks a food protein. Ingestion of the offending food may trigger the sudden release of chemicals, including histamine, resulting in symptoms of an allergic reaction. The symptoms may be mild (rashes, hives, itching, swelling, etc.) or severe (trouble breathing, wheezing, loss of consciousness, etc.). A food allergy can be potentially fatal. Scientists estimate that approximately 12 million Americans suffer from food allergies.
DiagnosisA skin prick test or a blood test (such as the Immulite or ImmunoCap test) for IgE antibodies is commonly used to begin to determine if an allergy exists. A skin prick test is usually less expensive and can be done in the doctor’s office.
Positive skin prick tests or immunoassay test results will show that IgE is present in the body, but cannot alone predict that a reaction will occur if the patient were to eat a suspected allergy-causing food.
The results of the tests are combined with other information, such as a history of symptoms and the result of a food challenge to determine whether a food allergy exists.
TreatmentStrict avoidance of the allergy-causing food is the only way to avoid a reaction. Reading ingredient labels for all foods is the key to avoiding a reaction. If a product doesn’t have a label, individuals with a food allergy should not eat that food. If you have any doubt whether a food is safe, call the manufacturer for more information. There is no cure for food allergies. Studies are inconclusive about whether food allergies can be prevented.
Epinephrine, also called adrenaline, is the medication of choice for controlling a severe reaction. It is available by prescription as a self-injectable device (EpiPen® or Twinject®).
SymptomsSymptoms may include one or more of the following: a tingling sensation in the mouth, swelling of the tongue and the throat, difficulty breathing, hives, vomiting, abdominal cramps, diarrhea, drop in blood pressure, loss of consciousness, and even death. Symptoms typically appear within minutes to two hours after the person has eaten the food to which he or she is allergic.
PreventionStudies are inconclusive about whether food allergies can be prevented. Parents should become familiar with the early signs of allergic disease such as eczema, hives, repeated diarrhea and/or vomiting in reaction to formulas, wheezing, and talk to a doctor about those symptoms.
At this time, no medication can be taken to prevent food allergies. Strict avoidance of the allergy-causing food is the only way to prevent a reaction. Medications are administered to control symptoms after a reaction occurs.
Allergy to peanuts appears to be on the rise. One study showed that from 1997 to 2002, the incidence of peanut allergy doubled in children. Peanuts can trigger a severe reaction. The severity of a reaction depends on how sensitive an individual is and the quantity consumed.
Some Unexpected Sources of Peanut• Sauces such as chili sauce, hot sauce, pesto, gravy, mole sauce, and salad dressing
• Sweets such as pudding, cookies, and hot chocolate
• Egg rolls
• Potato pancakes
• Pet food
• Specialty pizzas
• Asian and Mexican dishes
• Some vegetarian food products, especially those advertised as meat substitutes
• Foods that contain extruded, cold-pressed, or expelled peanut oil, which may contain peanut protein
• Glazes and marinades
Keep in Mind• Some alternative nut butters, such as soy nut butter or sunflower seed butter, are produced on equipment shared with other tree nuts and, in some cases, peanuts. Contact the manufacturer before eating these products.
• Discuss with your primary doctor or allergist whether to avoid tree nuts. People allergic to peanuts may develop allergies to other foods, including tree nuts. In addition, the chance of a reaction due to cross-contact between peanut and tree nuts during the manufacturing process will be lowered if you avoid them altogether.
• Ice cream served in ice cream parlors should be avoided; cross-contact occurs frequently because of shared scoops.
• Sometimes, foods that are supposed to contain almonds or other tree nuts contain peanuts instead.
• Peanuts go by many names, such as ground nuts, beer nuts, or monkey nuts. Use caution if you are unsure!
• Studies show that most allergic individuals can safely eat peanut oil (not cold pressed, expelled, or extruded peanut oil - sometimes represented as gourmet oils). If you are allergic to peanuts, ask your doctor whether or not you should avoid peanut oil.
• Younger siblings of children allergic to peanuts may be at increased risk for allergy to peanuts. Your doctor can provide guidance about testing for siblings.
• Peanuts can be found in many foods and candies, especially chocolate candy. Check all labels carefully. Contact the manufacturer if you have questions.
• Peanuts can cause severe allergic reactions. If prescribed, carry epinephrine at all times. Learn more about anaphylaxis.
Can peanut allergy be outgrown? Although once considered to be a lifelong allergy, recent studies indicate that up to 20% of children diagnosed with peanut allergy outgrow it.
Can alternative nut butters (i.e., cashew nut butter) be substituted for peanut butter?Many nut butters are produced on equipment used to process peanut butter, therefore making it somewhat of a risky alternative. Additionally, many experts recommend peanut-allergic patients avoid tree nuts as well.