Where And How To Induce Tolerance In A Peanut Allergic Child?

Oral tolerance now appears to be of growing interest in the treatment of patients allergic to peanuts. The widespread presence of this vegetable, the difficulty of achieving avoidance effectively, the dramatic consequences on the patient's quality of life and its responsibility in causing severe anaphylactic reactions confirm the need to resort to oral immunotherapy. Peanut oral immunotherapy aimed at tolerance can be initiated in very young children, with a preference for a slow progressive schedule in all motivated children with proven peanut allergy. It can be proposed as an alternative to peanut avoidance, with the possibility of a good clinical, social and psychological evolution. (C) 2014 Elsevier Masson SAS. All rights reserved.