Puffy Feeling

Question: A 7 month old is trying solid food for the first time and ate a hard boiled egg. Within approximately 30 minutes his mother noted swelling of his eyelids and cheeks. Shortly thereafter, he had a loose stool and vomited. He had no lip or tongue swelling. All symptoms returned to normal within about 6 hours. Which of the following is correct?

a) The presence of GI symptoms is consistent with anaphylaxis

b) To confirm the diagnosis of allergy, the child should be given egg at home again in a few days

c) This is not an anaphylactic reaction due to the lack of airway symptoms

d) Allergy testing is not indicated given the mild nature of the reaction

[Answer will be posted with next week's new question]

Answer to last week's question, “Let’s Talk Specifics” (July 11, 2022)

B - Infantile hemangioma.