“Paediatric Allergy Update – Impact on Primary Care” Gideon Lack Paediatric GP Conference The Allergic March Eczema Food allergies Rhinitis Asthma Egg allergy in infancy predicts respiratory allergic disease by 4 years of age  In 1989, a cohort of consecutive births was recruited. Data on family history of atopy and environmental factors were collected. At 4 years of age, 1,218 children were seen of whom 981 were skin-prick tested with a range of food and aero-allergens. Tariq SM. Pediatr Allergy Immunol 2000; 11: 162-7. Case  Ben is a 16 year old boy with known peanut allergy who ate an ice cream which contained traces of peanut.  He immediately developed lip swelling and swelling of his throat.  By the time, he received adrenaline, he was struggling to breathe and his father who was a doctor performed a tracheostomy and he was transported by ambulance to hospital where he was intubated and ventilated on intensive care unit.  He made a full recovery.