We are ready to start Oral Immunotherapy (OIT) at our
office. Milk will be the first food offered. As we gain experience and assess
the need, we plan to provide OIT with additional foods.
More specifics on this will be gone over at your clinic
visit. We have a set of very specific inclusion and exclusion criteria for the
OIT making sure that the program will fit; making sure it is safe and that it
- The patient must be old enough to be an active
participant in the program. Specifically, be able to verbalize symptoms that
may indicate an allergic reaction. The reason for this is that reactions may
occur during the procedure.
- Must have had a clear clinical reaction to milk.
If there is only a positive allergy test, an oral food challenge would be needed
prior to offering OIT to help define reactivity.
- Must have evidence that the reaction was indeed
due to allergy- a skin prick test and specific IgE needs to be positive and
recently performed. This program will only work for the milk allergic patient.
- Unstable Asthma
- Eosinophilic esophagitis
- Specific IgE values over 20 for milk.
- Other clinical conditions that would compromise
perceptions of reactions.
The procedure for established patients who are interested is
to make an appointment with us for an evaluation. IF you have not been seen at our practice,
please make a new patient appointment so we can go over the history.
At the time of the visit the inclusion/exclusion criteria
will be gone over and the OIT protocol will be reviewed.
Please call with any questions,
Frederick E. Leickly, MD, MPH