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# North West Allergy Network

## Sitemaps

- [XML Sitemap](https://allergynorthwest.nhs.uk/sitemap.xml): Contains all public & indexable URLs for this website.

## Posts

- [Consultant in Paediatric Allergy, RMCH. New Post - Closing date: 31 March 2026](https://allergynorthwest.nhs.uk/2026/02/10/paediatric-consultant-allergy-alder-hey-new-post-closing-date-26th-feb/) - Manchester University NHS Foundation Trust has an exciting opportunity to employ a substantive consultant. This job is a full time. The successful applicant would join the Paediatric Allergy service in one of the largest children’s hospitals in Europe. They would support the outpatient, day case and inpatient consulting service within the Trust and work within
- [Food oral immunotherapy clinic at RMCH](https://allergynorthwest.nhs.uk/2025/12/31/food-desens-clinic-rmch/) - Royal Manchester Children's Hospital Department of Paediatric Allergy and Immunology offers a home based oral immunotherapy service for children in the Greater Manchester region with peanut, some tree nut and sesame allergies. The food allergies will need to have been proven on formal hospital challenge. As space are limited and this is an NHS and
- [Annual Allergy Study Day 2026](https://allergynorthwest.nhs.uk/2026/01/14/give-babies-peanut-butter-cut-allergy-77/) - This year's Annual Paediatric Allergy study day will be on Thursday the 19th Mar 2026. Theme will be "Children's Allergy at the Interface". Venue: Haydock Park Conference Facility, Newton Le Willows WA12 0HQ. Contact Laurie Niland on laurie.niland@mft.nhs.uk for more information and to register.
- [First needle-free emergency treatment approved by UK MHRA for anaphylaxis in children over 30kg](https://allergynorthwest.nhs.uk/2025/12/24/first-needle-free-emergency-treatment-approved-uk-mhra-anaphylaxis-children-30kg/) - EURneffy is a nasal spray now approved in the UK for emergency treatment of anaphylaxis in adults and children aged four years and older who weigh 30kg or more. For answers to some of your questions listen to the podcast by Professor Adam Fox by clicking here.
- [Risks from overuse of SABA leads to new asthma prescribing guidelines](https://allergynorthwest.nhs.uk/2025/07/24/risks-overuse-saba-leads-new-asthma-prescribing-guidelines/) - UK Government reminds health care workers and patients of the risk of severe asthma and deaths from overuse of salbutamol or terbutaline inhalers. The UK asthma guidelines were updated in November 2024 following a review of the evidence from multiple sources including national reviews of asthma deaths in both adults and children.
- [Peanut weaning diet drastically reduces the risk of developing severe allergy.](https://allergynorthwest.nhs.uk/2024/06/19/peanut-weaning-diet-drastically-reduces-risk-developing-severe-allergy/) - Study published in NEJM Evidence in May 2024 shows that peanut consumption starting in infancy and continuing to age 5 years provides lasting tolerance to peanut into adolescence irrespective of peanut consumption. Click here for further details.
- [New effective treatment for children as young as 6 months with severe eczema](https://allergynorthwest.nhs.uk/2023/08/06/latest-cutting-edge-research-from-the-region-peanut-allergy/) - An international clinical trial published in the Lancet with patients recruited from Manchester and Sheffield has shown that dupilumab is highly effective in controlling severe eczema in children has young as 6 months old and is not available in the UK in children down to this age. To read full article click here.
- [Chronic urticaria is an autoimmune disease](https://allergynorthwest.nhs.uk/2023/06/14/chronic-urticaria-caused-anti-ige-antibodies/) - Although acute urticaria is often caused by an allergy, chronic urticaria is now recognized as an autoimmune disease, usually caused by production of autoantibodies to IgE. Allergy tests are not indicated. Most patients will respond to antihistamines, although higher than usual doses may be required. For a recent review of the topic by Kolkhir et
- [Adrenaline refractory anaphylaxis](https://allergynorthwest.nhs.uk/2023/06/15/adrenaline-refractory-anaphylaxis/) - Some patients with anaphylaxis will not respond to adrenaline auto-injectors. These patients are likely to be in shock, when adrenaline fails to be absorbed from the muscle. In this situation, keep the patient lying down! IV fluids and adrenaline with careful monitoring may be required. A Rostrum on the topic has recently been published by

## Pages

- [Home](https://allergynorthwest.nhs.uk/) - Welcome to the North West Children's Allergy Network WebsiteChoose Your Zone?Patient zoneThis zone supports families and carers from initial thoughts that a child may have an allergy, and wealth of information and support.Click here Health Professional ZoneThis zone supports health professionals in the North West of England and North Wales in the diagnosis and management
- [Eczema (Atopic Dermatitis)](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/eczema-atopic-dermatitis/) - What is eczema and what are the symptoms? Eczema is an itchy red rash which comes and goes. It affects one in five children in the UK. One in 20 will have severe disease. In young children it is common on the face, while in older children the elbows, wrists, knees, and ankles. It usually
- [Atopic Dermatitis](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/atopic-dermatitis-2/) - What is eczema and what are the symptoms? Eczema is an itchy red rash which comes and goes. It affects one in five children in the UK. One in 20 will have severe disease. In young children it is common on the face, while in older children the elbows, wrists, knees, and ankles. It usually
- [Manchester (RMCH)](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/manchester-rmch/) - Service Description The allergy service at Royal Manchester Children’s Hospital conducts clinics throughout the week and offers a comprehensive service for children with all kinds of allergies, including foods, dusts, pets and pollens, drug allergy, anaesthetic allergies and venom allergy, including immunotherapy. The allergy team (specialist doctors and nurses and our dietitian) also care for
- [Shellfish Allergy](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/shellfish-allergy-2/) - How common is shellfish allergy? Shellfish includes shrimp, prawn, lobster, crab, clam, oyster and mussel. Shellfish allergy is less common in children than in adults. Children who are allergic to shellfish are usually not allergic to white fish, salmon and tuna. Download Leaflet What are the symptoms of shellfish allergy? Symptoms can occur not only
- [Shellfish Allergy](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/shellfish-allergy/) - How common is shellfish allergy? Shellfish includes shrimp, prawn, lobster, crab, clam, oyster and mussel. Shellfish allergy is less common in children than in adults. Children who are allergic to shellfish are usually not allergic to white fish, salmon and tuna. Download Leaflet What are the symptoms of shellfish allergy? Symptoms can occur not only
- [Wheat Allergy](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/wheat-allergy-2/) - How common is wheat allergy? 3-5 children in every 1,000 in Europe have an allergy to wheat. It is seen most commonly in infants and preschool children. Download Leaflet What are the symptoms of wheat allergy? immediate reactions occurring within minutes of exposure and include an itchy rash (hives), swelling, vomiting, diarrhoea, runny nose and itchy
- [Wheat Allergy](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/wheat-allergy/) - How common is wheat allergy? 3-5 children in every 1,000 in Europe have an allergy to wheat. It is seen most commonly in infants and preschool children. Download Leaflet What are the symptoms of wheat allergy? Immediate reactions occur within minutes of exposure and include an itchy rash (hives), swelling, vomiting, diarrhoea, runny nose, and itchy
- [Wigan](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/wigan/) - Service Description The Paediatric Allergy service at Royal Albert Edward Infirmary offers a comprehensive service for children with all kinds of allergies, including foods, dusts, pets and pollens and antibiotic allergy. The Paediatric Allergy team (specialist doctors and nurses and our paediatric dietitians) also care for children with related problems of urticaria, angioedema and anaphylaxis
- [Crewe](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/crewe/) - Service Description The Paediatric Allergy service at Leighton Hospital offers a service for children with allergies, including foods, dusts, pets and pollens. The Paediatric team also care for children with related problems of urticaria, and angioedema as well as those with atopic conditions such as eczema, asthma and rhinitis. Services Available at this Centre ROUTINE
- [Patient Zone](https://allergynorthwest.nhs.uk/home-patient/) - WHAT'S ALLERGY?WHERE TO FIND HELPDIAGNOSING ALLERGYMANAGING ALLERGIESNews from the region and around the world 14 Jan , 2026 Annual Allergy Study Day 2026 News This year's Annual Paediatric Allergy study day will be on Thursday the 19th Mar 2026. Theme will be "Children's Allergy at the Interface". Venue: Ha...Read More 24 Jul , 2025 Risks from
- [Publications](https://allergynorthwest.nhs.uk/publications-2/) - Network members are actively engaged in both clinical and translational research into children’s allergies and anaphylaxis, as well as new methods of teaching. A number of members are affiliated with Universities in the North West of England, particularly the University of Manchester. Self-funding students wishing to embark on post-graduate degrees (MD or PhD) with Network members
- [Northwest Paediatric Allergy Study Day](https://allergynorthwest.nhs.uk/opportunities/annual-allergy-study-day/) - Our next Annual Study Day is planned for Thursday 19th March 2026 face to face at Haydock Park Conference facilities. The theme will be Children’s allergies: At the interface. It will focus on the interface between primary and secondary care for children’s allergies. Other hot topics will be: oral immunotherapy in the clinic and at
- [Clinical Trials](https://allergynorthwest.nhs.uk/opportunities/clinical-trials/) - The Network is involved in a number of research projects, audits and trials. These include:Novel biologic treatment for adolescents with chronic urticaria. Clinical trials testing dupilumab, tralokinumab, upadacitinib for children with severe eczema MAT/ BAT study for children with suspected egg and peanut allergy Prevalence and impact of unnecessary food avoidance in children with eczema
- [Cow's Milk Reintroduction (Milk Ladder)](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/cows-milk-reintroduction-milk-ladder/) - Cow’s milk reintroduction should only to be performed after obtaining advice from your doctor or dietitian. The North West Paediatric Allergy Network accept no responsibility for adverse allergic reactions that occur during reintroduction of milk products. Download Leaflet Before starting reintroduction of dairy products using this milk ladder Most children with milk allergy will outgrow
- [Cow's Milk Reintroduction (Milk Ladder)](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/cows-milk-reintroduction-milk-ladder-2/) - Cow’s milk reintroduction should only to be performed after obtaining advice from your doctor or dietitian. The North West Paediatric Allergy Network accept no responsibility for adverse allergic reactions that occur during reintroduction of milk products. Download Leaflet Before starting reintroduction of dairy products using this milk ladder Most children with milk allergy will outgrow
- [Fish Allergy](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/fish-allergy-2/) - How common is fish allergy? Fish allergy is one of the top seven food allergies in children. Anisakis is a worm that infects fish in warmer climates (Spain, Italy, Japan, Korea). It is rare in the UK. If the fish is not properly cooked it can lead to infection or allergic symptoms in humans. Symptoms
- [Fish Allergy](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/fish-allergy/) - How common is fish allergy? Fish allergy is one of the top seven food allergies in children. Anisakis is a worm that infects fish in warmer climates (Spain, Italy, Japan, Korea). It is rare in the UK. If the fish is not properly cooked it can lead to infection or allergic symptoms in humans. Symptoms
- [Allergy to Legumes & Pulses](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/legume/) - What are legumes and pulses? Legumes are an important source of protein and a common cause of food allergy in children. They are a family of foods (Fabaceae) that include peanuts, soya, peas, beans, lentils, tamarind, and fenugreek. Pulses are dried legumes. For example, fresh peas are called legumes, while dried peas are called pulses. Peanut
- [Allergy to legumes and pulses](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/legume-allergy-2/) - What are legumes and pulses? Download Leaflet Legumes are an important source of protein and a common cause of food allergy in children. They are a family of foods (Fabaceae) that include peanuts, soya, peas, beans, lentils, tamarind, and fenugreek. Pulses are dried legumes. For example, fresh peas are called legumes, while dried peas are called
- [Home Milk Challenge](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/home-milk-challenge/) - This information leaflet is for guidance only and to be used by parents/guardians, wishing to carry out a milk challenge on their child at home with the advice of your doctor / dietitian. It is only a guide to support advice from your doctor or dietitian which must be obtained prior to considering a milk
- [Home Milk Challenge](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/home-milk-challenge-2/) - This information leaflet is for guidance only and to be used by parents/guardians, wishing to carry out a milk challenge on their child at home with the advice of your doctor / dietitian. It is only a guide to support advice from your doctor or dietitian which must be obtained prior to considering a milk
- [Latex Allergy](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/latex-allergy/) - What is latex and who is likely to develop latex allergy? Latex is the milky sap of the tropical rubber tree (Hevea brazilliensis). Some people are allergic to the latex protein, which makes latex so elastic.Latex products which are stretchy, like balloons and gloves, are more likely to cause an allergic reaction than products which
- [Latex Allergy](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/latex-allergy-2/) - What is latex and who is likely to develop latex allergy? Latex is the milky sap of the tropical rubber tree (Hevea brazilliensis). Some people are allergic to the latex protein, which makes latex so elastic.Latex products which are stretchy, like balloons and gloves, are more likely to cause an allergic reaction than products which
- [Hay Fever (Allergic Rhinitis)](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/hay-fever-allergic-rhinitis/) - What is hay fever? Hay fever, also known as seasonal allergic rhinitis, is a very common allergy in the UK affecting 1 in 4 people. It can affect daily activities, sleep, concentration, and performance at school. Download Leaflet Why does it happen? Hay fever is caused by allergy to grass and/or tree pollen. It usually
- [Hay Fever (Allergic Rhinitis)](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/hay-fever-allergic-rhinitis-2/) - What is hay fever? Hay fever, also known as seasonal allergic rhinitis, is a very common allergy in the UK affecting 1 in 4 people. It can affect daily activities, sleep, concentration, and performance at school. Download Leaflet Why does it happen? Hay fever is caused by allergy to grass and/or tree pollen. It usually
- [Chronic Urticaria and Angioedema](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/chronic-urticaria-and-angioedema-2/) - What is urticaria? Urticaria is an itchy, lumpy, red rash, often called hives, wheals or nettle rash. What is angioedema? Dermographism is when your skin is very sensitive and will show a red raised rash by rubbing, usually lasting just a few minutes. This is not an allergy but a response to rubbing the skin. What
- [Chronic Urticaria and Angioedema](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/chronic-urticaria-and-angioedema/) - What is urticaria? Urticaria is an itchy, lumpy, red rash, often called hives, wheals or nettle rash. What is angioedema? Angioedema is swelling, often of the face or lips. Over half of patients with urticaria will also have angioedema. Less frequently angioedema occurs without urticaria. What is dermographism? Dermographism is when your skin is very sensitive
- [Wrexham](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/wrexham/) - Service Description The Paediatric Allergy service at Wrexham Maelor Hospital offers a comprehensive service for children with all kinds of allergies, including foods, dusts, pets and pollens. The Paediatric Allergy team (specialist doctors and nurses and our paediatric dieticians) also care for children with related problems of urticaria, angioedema and anaphylaxis as well as those
- [Lancaster](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/lancaster/) - Service Description The paediatric allergy service at Royal Lancaster Hospital offers a comprehensive service for children with all kinds of allergies, including foods, dusts, pets and pollens and antibiotic allergy. The paediatric allergy team (specialist doctors and nurses and our paediatric dietitians) also care for children with related problems of urticaria, angioedema and anaphylaxis as well
- [Allergy Management Plan](https://allergynorthwest.nhs.uk/resources/allergy-mx-plan/) - Adrenaline Auto-Injectors These deliver adrenaline to patients experiencing allergic reactions with breathing problems or faintness (anaphylaxis). Patients should not be prescribed auto-injectors without being shown how to use it. Below are links to BSACI Allergy Management Plans. Click on the one that is relevant to your patient. What they are: Auto-injectors help to relieve laryngeal oedema
- [Tameside and Glossop](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/tameside-and-glossop/) - Service Description The Paediatric Allergy service at Tameside Hospital offers a service for children with allergies, including foods, dusts, pets and pollens. The Paediatric team also care for children with related problems of urticaria, and angioedema as well as those with atopic conditions such as eczema, asthma and rhinitis. Services Available at this Centre ROUTINE
- [Blackburn & Burnley](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/blackburn/) - Service Description The Paediatric Allergy Service at East Lancashire Teaching Hospitals offers a comprehensive service for children with all kinds of allergies, including foods, dust, animal, pollen, drug and venom allergy. The clinic offers a one stop service from diagnosis, investigation, treatment, education and follow-up for children with allergies. We also care for children with
- [Macclesfield](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/macclesfield/) - Service Description The Paediatric Allergy service at Macclesfield District General Hospital offers a comprehensive service for children with all kinds of allergies, including foods, dusts, pets and pollens and antibiotic allergy. The Paediatric Allergy team (specialist doctors and nurses and our paediatric dietitians) also care for children with related problems of urticaria, angioedema and anaphylaxis
- [Tree Nut Allergy](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/tree-nut-allergy-2/) - How common is tree nut allergy? Tree nut allergy is more common in older children and adults than in infants. What are the symptoms of tree nut allergy? Symptoms usually start straight after eating the nut. They include a rash (hives or “nettle” rash), swelling of the lips or around the eyes, and itch. Some
- [Tree Nut Allergy](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/tree-nut-allergy/) - How common is tree nut allergy? Tree nut allergy is more common in older children and adults than in infants. What are the symptoms of tree nut allergy? Symptoms usually start straight after eating the nut. They include a rash (hives or “nettle” rash), swelling of the lips or around the eyes, and itch. Some
- [Allergy Testing](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/allergy-testing-2/) - What is allergy testing? Working out what caused your allergy begins with asking about what happened and what you were doing at the time. For instance, were you eating, sleeping, exercising? Had you taken any medicines? Had you had the food or medicine before? Only some problems seen in the allergy clinic will require allergy
- [Allergy Testing](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/allergy-testing/) - What is allergy testing? Working out what caused your allergy begins with asking about what happened and what you were doing at the time. For instance, were you eating, sleeping, exercising? Had you taken any medicines? Had you had the food or medicine before? Only some problems seen in the allergy clinic will require allergy
- [Drug Challenge](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/drug-challenge/) - What is a Drug Challenge? A drug challenge is used to determine if your child is allergic to a particular medicine by giving the medicine again, either at home or in hospital. Download Leaflet Why has my child been offered a drug challenge? Your child will have experienced symptoms, such as a rash, while taking
- [Drug Challenge](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/drug-challenge/) - What is a Drug Challenge? A drug challenge is used to determine if your child is allergic to a particular medicine by giving the medicine again, either at home or in hospital. Download Leaflet Why has my child been offered a drug challenge? Your child will have experienced symptoms, such as a rash, while taking
- [Drug Allergy](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/drug-allergy-2/) - What is an adverse drug reaction? Adverse reactions to drugs are common. Most are predictable and are known as side effects of the drug. Examples include diarrhoea caused by antibiotics and drowsiness caused by some antihistamines. Download Leaflet What is drug allergy? Drug allergies are much less common in children than in adults. It is
- [Drug Allergy](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/drug-allergy/) - What is an adverse drug reaction? Adverse reactions to drugs are common. Most are predictable and are known as side effects of the drug. Examples include diarrhoea caused by antibiotics and drowsiness caused by some antihistamines. Download Leaflet What is drug allergy? Drug allergies are much less common in children than in adults. It is
- [Pet Allergy](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/pet-allergy-2/) - What is Pet Allergy? Pet allergy is an allergic reaction to saliva, skin, or urine of animals. Any animal fur or feather can cause pet allergy. Pet hair can also carry other airborne allergens such as pollens, house dust mite and mould. Cat and dog allergy are the most common. Other small animals that cause
- [Pet Allergy](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/pet-allergy/) - What is Pet Allergy? Pet allergy is an allergic reaction to saliva, skin, or urine of animals. Any animal fur or feather can cause pet allergy. Pet hair can also carry other airborne allergens such as pollens, house dust mite and mould. Cat and dog allergy are the most common. Other small animals that cause
- [Sesame Seed Allergy](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/sesame-seed-allergy-2/) - What is sesame seed allergy? An allergy to sesame protein after eating the seed. It has become more common over the past ten years and is estimated to affect 1 in 100 people. One in three children with multiple food allergies may have sesame allergies. Download Leaflet What are the symptoms of sesame seed allergy?
- [Sesame Seed Allergy](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/sesame-seed-allergy/) - What is sesame seed allergy? An allergy to sesame protein after eating the seed. It has become more common over the past ten years and is estimated to affect 1 in 100 people. One in three children with multiple food allergies may have sesame allergies. Download Leaflet What are the symptoms of sesame seed allergy?
- [Peanut Allergy](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/peanut-allergy-2/) - What is peanut allergy? An allergy to peanut protein (not oil). Peanut allergy is common, affecting 1/80 people, or about a million people in the UK. Download Leaflet What are the symptoms of peanut allergy? Symptoms usually occur immediately after eating the food, although can occur up to one hour later. They may include a
- [Peanut Allergy](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/peanut-allergy/) - What is peanut allergy? An allergy to peanut protein (not oil). Peanut allergy is common, affecting 1/80 people, or about a million people in the UK. Download Leaflet What are the symptoms of peanut allergy? Symptoms usually occur immediately after eating the food, although can occur up to one hour later. They may include a
- [Egg Allergy](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/egg-allergy-2/) - What is egg allergy? Egg allergy is one of the commonest allergies, affecting 1 in 50 children in the UK. It is caused by proteins present in both the egg white and yolk. 80% of children who are allergic to scrambled or boiled egg will tolerate baked egg in biscuits and cakes. In this case,
- [Egg Allergy](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/egg-allergy/) - What is egg allergy? Egg allergy is one of the commonest allergies, affecting 1 in 50 children in the UK. It is caused by proteins present in both the egg white and yolk. 80% of children who are allergic to scrambled or boiled egg will tolerate baked egg in biscuits and cakes. In this case,
- [Cow's Milk Protein Allergy](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/cows-milk-protein-allergy/) - How common is cow’s milk allergy? Cow’s milk allergy is common in infants and young children. It is estimated to affect 2-3% of children under one year old. Are children likely to be allergic to other foods? Children with cow’s milk allergy are usually allergic to goat’s and sheep’s milk. A smaller number of children
- [Cow's Milk Protein Allergy](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/patient-cows-milk-protein-allergy/) - How common is cow’s milk allergy? Cow’s milk allergy is common in infants and young children. It is estimated to affect 2-3% of children under one year old. Are children likely to be allergic to other foods? Children with cow’s milk allergy are usually allergic to goat’s and sheep’s milk. A smaller number of children
- [Bolton](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/bolton/) - Service Description The Paediatric Allergy service at Bolton Hospital offers a service for children with allergies, including foods, dusts, pets and pollens. The Paediatric team also care for children with related problems of urticaria, and angioedema as well as those with atopic conditions such as eczema, asthma and rhinitis. Services Available at this Centre ROUTINE
- [Oldham](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/oldham/) - Service Description The Paediatric Allergy service at Oldham Hospital offers a service for children with allergies, including foods, dusts, pets and pollens. The Paediatric team also care for children with related problems of urticaria, and angioedema as well as those with atopic conditions such as eczema, asthma and rhinitis. Services Available at this Centre ROUTINE
- [Bangor](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/bangor/) - Service Description The Paediatric Allergy service at Ysbyty Gwynedd (Bangor) Hospital offers a service for children with allergies, including foods, dusts, pets and pollens. The Paediatric team also care for children with related problems of urticaria, and angioedema as well as those with atopic conditions such as eczema, asthma and rhinitis. Services Available at this
- [Glan Clwyd](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/glan_clwyd/) - Service Description The Paediatric Allergy service at Glan Clwyd Hospital offers a service for children with allergies, including foods, dusts, pets and pollens. The Paediatric team also care for children with related problems of urticaria, and angioedema as well as those with atopic conditions such as eczema, asthma and rhinitis. Services Available at this Centre
- [Chester](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/chester/) - Service Description The Paediatric Allergy service at Countess of Chester Hospital offers a service for children with allergies, including foods, dusts, pets and pollens. The Paediatric team also care for children with related problems of urticaria, and angioedema as well as those with atopic conditions such as eczema, asthma and rhinitis. They carry out Subcutaneous
- [Seasonal Advice](https://allergynorthwest.nhs.uk/about-us-2/seasonal-advice/) - Advice on vaccination against the 'flu and COVID-19 COVID-19 vaccination All children over 5, and children in risk groups between 6 months and 4 years should receive COVID-19 vaccinations. Click here for more information. Flu vaccination All children six months or older at risk of serious influenza infection should receive an influenza vaccine. These
- [Join The Network](https://allergynorthwest.nhs.uk/opportunities/join-the-network/) - Our network is open to all healthcare professions in the North West seeing children with allergies. There are a number of ways which you could get involved: attending our educational programme attending our meetings implementing one of our projects in your area Please let us know how you would like to be involved. The views of
- [Prevention](https://allergynorthwest.nhs.uk/home-patient/whats-allergy/prevention-2/) - Children need to go to school to learn how to read and write. Likewise, children exposed to foods early in infancy (between 4 and 10 months) are more likely to tolerate the foods. Societies where children are exposed to peanuts during weaning (many communities in the Middle East) have a prevalence of peanut allergy twenty times
- [Prevention](https://allergynorthwest.nhs.uk/prevention/) - Children need to go to school to learn how to read and write. Likewise, children exposed to foods early in infancy (between 4 and 10 months) are more likely to tolerate the foods. Societies where children are exposed to peanuts during weaning (many communities in the Middle East) have a prevalence of peanut allergy twenty times
- [COVID 19 vaccination in children](https://allergynorthwest.nhs.uk/covid-19-vaccination-children/) - Children aged 5 years and older can be offered 2 doses of the Pfizer vaccine. They can either get the vaccine at school, book at a vaccination centre or pharmacy or find a walk-in centre. For more information click here. From April 2023, children 6 months to 4 years in a clinical risk group can
- [Vaccines](https://allergynorthwest.nhs.uk/vaccines/) - Vaccines are the most effective way of protecting against serious infections. All children should be given the vaccines within the UK vaccine schedule unless advised by a health care professional with expertise in immunisations.True allergies to vaccines are rare in children. Any child with suspected allergy to a vaccine should be referred to a specialist
- [Educational Events](https://allergynorthwest.nhs.uk/opportunities/educational-events/) - We run a range of educational activities every year, current educational opportunities include. Regional Event ANNUAL ALLERGY STUDY DAY Thursday 21st March 2024 face to face at Haydock Park Focus of the day will be on latest developments in the diagnosis and treatment of childhood allergies. FURTHER DETAILS TO FOLLOW SOON SCHOOL NURSE TRAINING REGARDING
- [Where We Are](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/) - Our Paediatric Allergy Network of health care professionals spans the whole of the North West of England and North Wales. The North West population accounts for just over 13% of England’s total population. 38% reside in Greater Manchester, 21% in Lancashire, 20% in Merseyside, 15% in Cheshire and 7% in Cumbria. The North West is the third most populated region in the UK
- [Projects](https://allergynorthwest.nhs.uk/opportunities/projects-2/) - The network is involved in a number of projects which are detailed in this section. These include: DREAM STUDY – A clinical trial for children 6 – 12 months old to see if we can help them to outgrow their milk allergy. NOVEL TREATMENTS FOR CHILDREN WITH BAD ECZEMA – Our site at RMCH Clinical
- [Network Development](https://allergynorthwest.nhs.uk/about-us-2/network-development/) - Our Network developed as part of the response to a House of Lords Science & Technology Committee Report. Since 2008 we have been recognised as the the North West Paediatric Allergy Network. We have a Coordinator and Manager to support our work. Between 2016 to 2017 we worked with the Royal College of Physicians as a
- [Who We Are](https://allergynorthwest.nhs.uk/about-us-2/who-we-are/) - Allergies in the North West The North West and North Wales is the third largest region and is home to over seven million people, or one eighth of the UK population. There are 1.2 million children in the region and it is estimated that allergy affects at least a quarter. The North West Paediatric Allergy Network
- [Live Network database (eforms)](https://allergynorthwest.nhs.uk/opportunities/projects-2/eforms/) - The database is used to provide up to date information on workload throughout the region, as well as to develop clinical pathways and checklists which members can review in real time.
- [About Us](https://allergynorthwest.nhs.uk/about-us-2/) - Our Operational Delivery Network (ODN) combines the clinical expertise of specialist paediatricians, GPs, dietitians and nurses from centres throughout the North West who specialise in allergy, working alongside patient representation and managers. Tertiary CentresLiverpool (Alder-Hey)Manchester (RMCH)Secondary Centres with direct Tertiary inputLancasterMacclesfieldPrestonWiganWirralWythenshaweSecondary CentresBlackburnBlackpoolBoltonChesterGlan ClwydOldhamSouthportStockportWarringtonWrexham
- [Milk Allergy Pathway](https://allergynorthwest.nhs.uk/opportunities/projects-2/future-hospital-programme/milk-allergy-pathway/) - Ensuring there is accurate and timely diagnosis and treatment for infants with a milk allergy is important, we are working together designing the pathway for milk allergy in a number of areas in our network. Greater Manchester Medicines Management Group (GMMMG) Prescribing Infant Formula for Cow’s Milk Protein Allergy in Primary Care. Click here to accessPan
- [Future Hospital Programme](https://allergynorthwest.nhs.uk/opportunities/projects-2/future-hospital-programme/) - The North West Paediatric Allergy Network was one of only eight development sites in the Royal College of Physicians’ Future Hospital Programme Future Hospital Programme. The North West Paediatric Allergy Network continues with its aim to develop and empowered public and healthcare economy which has the resources and knowledge to ensure that infants presenting with
- [Warrington](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/warrington-hospital/) - Service Description The Paediatric Allergy Service at Warrington Hospital offers a service for children with allergies including to foods, dust, pets and pollens. We see children with atopic condition such as asthma, eczema, hay fever, allergic rhinoconjunctivitis and food allergy as well as children with urticaria and angioedema. We have a dietitian run clinic for
- [Wirral (Arrowe-Park)](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/wirral-arrowe-park/) - Service Description The allergy service at Wirral University Teaching Hospital offers a comprehensive service for children with a variety of allergies, including food, dust, animal, pollens and mould spores. The allergy team (a consultant respiratory paediatrcian, a paediatric respiratory specialist nurse and a dietitian) also care for children with related problems of asthma, allergic rhinoconjunctivitis,
- [Liverpool (Alder-Hey)](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/liverpool-alder-hey/) - Service Description The Department of Paediatric Allergy at Alder Hey Children’s Hospital provides a secondary allergy service for local children with common allergic symptoms, a rapid access service for patients referred from the Alder Hey A&E dept and a tertiary referral centre for evaluation of children with complicated allergic conditions such as multiple food allergies,
- [Stepping Hill](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/stockport/) - Service Description The Paediatric Allergy service at Stockport Hospital offers a service for children with allergies, including foods, dusts, pets and pollens. The Paediatric team also care for children with related problems of urticaria, and angioedema as well as those with atopic conditions such as eczema, asthma and rhinitis. Services Available at this Centre ROUTINE
- [Southport](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/southport/) - Service Description The Paediatric Allergy service at Southport Hospital offers a service for children with allergies, including foods, dusts, pets and pollens. The Paediatric team also care for children with related problems of urticaria, and angioedema as well as those with atopic conditions such as eczema, asthma and rhinitis. Services Available at this Centre ROUTINE
- [FPIES](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/fpies/) - What is FPIES? Download Leaflet Food Protein-Induced Enterocolitis syndrome, or FPIES for short, is uncommon, occurring in 1 in 300 children. It usually starts in the first year of life but can start in later childhood or even in adulthood. It is an intolerance to specific foods, typically associated with profuse vomiting, which can cause
- [Patient leaflets](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/) - Our network has produced a series of information leaflets for patients and families. They contain advice and guidance on the management of allergies. These leaflets are designed to supplement face-to-face consultations between patients and their health care professionals with experience in managing children’s allergies. The information within these leaflets needs to be tempered by the individual’s clinical disease. The Network
- [Allergy Leaflets](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/) - The Doctor’s, Nurses and other health care professionals of our network have worked together to produce a series of documents for both patients and other medical staff with advice and guidance on the management of allergies. All of our documents have been reviewed by our specialist doctors and nurses and approved for use. These leaflets are designed to support
- [Weaning advice](https://allergynorthwest.nhs.uk/weaning-advice/) - Who is this leaflet for? Any parent/caregiver of an infant approaching weaning. Particularly infants who are thought to have an increased risk of food allergy, such as those with eczema, or where there are parents or other siblings living in the house who have a food allergy. Download Leaflet Why is this leaflet important? Excluding
- [Whiston](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/whiston/) - Service Description The Paediatric Allergy service at Whiston Hospital offers a service for children with allergies, including foods, dusts, pets and pollens. The Paediatric team also care for children with related problems of urticaria, and angioedema as well as those with atopic conditions such as eczema, asthma and rhinitis. Services Available at this Centre ROUTINE
- [Blackpool](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/blackpool/) - Service Description The Paediatric Allergy service at Blackpool Victoria Hospital offers a service for children with allergies, including foods, dusts, pets and pollens. The Paediatric team also care for children with related problems of urticaria, and angioedema as well as those with atopic conditions such as eczema, asthma and rhinitis. Services Available at this Centre ROUTINE
- [Gradual introduction of Egg (Egg ladder)](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/gradual-introduction-egg-egg-ladder/) - The egg ladder is used routinely in allergy practice and likely to help your child outgrow their allergy faster. Download Leaflet Points to remember DO NOT attempt reintroduction of egg products at home if your child has previous suffered from breathing problems or floppiness after eating egg or egg containing products this egg ladder can
- [Gradual introduction of Egg (Egg ladder)](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/gradual-introduction-egg-egg-ladder/) - The egg ladder is used routinely in allergy practice and likely to help your child outgrow their allergy faster. Download Leaflet Points to remember DO NOT attempt reintroduction of egg products at home if your your child has previous suffered from breathing problems or floppiness after eating egg or egg containing products this egg ladder
- [Oral Allergy Syndrome](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/oral-allergy-syndrome-2/) - What is Oral Allergy Syndrome/ Food Pollen Allergy Syndrome? Download Leaflet Oral allergy syndrome (OAS) is an allergy to one or more usually fresh fruits or vegetables. It is a common food-related allergy in adults and is increasingly diagnosed in older children. Symptoms are often confined to the mouth and develop within a few minutes
- [Oral Allergy Syndrome (Food Pollen Syndrome)](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/oral-allergy-syndrome/) - What is Oral Allergy Syndrome/ Food Pollen Allergy Syndrome? Download Leaflet Oral allergy syndrome (OAS) is an allergy to one or more usually fresh fruits or vegetables. It is a common food-related allergy in adults and is increasingly diagnosed in older children. Symptoms are often confined to the mouth and develop within a few minutes
- [Sublingual Immunotherapy (SLIT)](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/sublingual-immunotherapy-slit/) - Allergic rhinitis (hay fever) is one of the most common allergies, affecting 1 in 4 young people in Britain. In a small proportion of patients, maximum treatment (with antihistamines, nasal steroids and eye drops) is not effective. Some of these patients may benefit from immunotherapy. Download Leaflet What is immunotherapy? Allergies occur when the body
- [Sublingual Immunotherapy (SLIT)](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/sublingual-immunotherapy-slit/) - Allergic rhinitis (hay fever) is one of the most common allergies, affecting 1 in 4 young people in Britain. In a small proportion of patients, maximum treatment (with antihistamines, nasal steroids and eye drops) is not effective. Some of these patients may benefit from immunotherapy. Download Leaflet What is immunotherapy? Allergies occur when the body
- [Subcutaneous Immunotherapy (SCIT)](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/subcutaneous-immunotherapy-scit/) - Allergic rhinitis (hay fever) is one of the most common allergies, affecting 1 in 4 young people in Britain. In a small proportion of patients, maximum treatment (with antihistamines, nasal steroids and eye drops) is not effective. Some of these patients may benefit from immunotherapy. Download Leaflet What is immunotherapy? Allergies occur when the body
- [Subcutaneous Immunotherapy (SCIT)](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/subcutaneous-immunotherapy-scit/) - Allergic rhinitis (hay fever) is one of the most common allergies, affecting 1 in 4 young people in Britain. In a small proportion of patients, maximum treatment (with antihistamines, nasal steroids and eye drops) is not effective. Some of these patients may benefit from immunotherapy. Download Leaflet What is immunotherapy? Allergies occur when the body
- [Allergy to Insect Stings](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/allergy-to-insect-stings-2/) - What is bee or wasp sting allergy? Allergic reactions to bee and wasp stings are uncommon. One in 50 children may be more prone to allergic reactions because of an excess of allergy (mast) cells in their bone marrow (mastocytosis). It is normal to have some pain, redness and swelling where you have been stung.
- [Allergy to Insect Stings](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/allergy-to-insect-stings/) - What is bee or wasp sting allergy? Allergic reactions to bee and wasp stings are uncommon. One in 50 children may be more prone to allergic reactions because of an excess of allergy (mast) cells in their bone marrow (mastocytosis). It is normal to have some pain, redness and swelling where you have been stung.
- [Step 3- When you're there](https://allergynorthwest.nhs.uk/resources/for-school/home-school-away/step-3-youre/) - PICKING FOOD AT SUPERMARKETS AND RESTAURANTS Use Google translate In some countries you might need to carry translation cards You can show these in restaurants to make sure they are aware of the allergy before serving you a meal. Click here for more information on translation cards, and how to order them. Make sure you tell the
- [Step 1- Before you go away](https://allergynorthwest.nhs.uk/resources/for-school/home-school-away/step-1-go-away/) - HOW TO CHOOSE YOUR HOLIDAY DESTINATION Having an allergy may mean you have to consider certain factors when choosing where to go. What to think about: Does your travel insurance covers your allergies? Holiday destination: being in remote places may mean it is more difficult to access medical help. How far is the nearest medical facility? What
- [Step 1 - Preparing to go to nursery or school](https://allergynorthwest.nhs.uk/resources/for-school/home-school-away/step-1-preparing-go/) - INFORMATION Do: Liaise with teachers and carers to make sure they know what allergies your child have and what your concerns are Ensure that a duplicate allergy medicine pack is available at the school or nursery, with checks to ensure they are in date, in place, and readily available* Consider a treat box in place
- [Treatment](https://allergynorthwest.nhs.uk/treatments-2/) - Below are a few important points to remember when treating allergic reactions in children: Not all allergy triggers are possible to avoid. Remember reactions may occur indirectly, for instance after sitting on a sofa where a cat or dog has been, or contact with clothes of people who have pets. If reactions occur to dust,
- [Degrees and courses](https://allergynorthwest.nhs.uk/opportunities/educational-events/courses-2/) - Network members are actively engaged in both clinical and translational research into children’s allergies and anaphylaxis, as well as new methods of teaching. A number of members are affiliated with Universities in the North West of England, particularly the University of Manchester. Self-funding students wishing to embark on post-graduate degrees (MD or PhD) with Network members
- [Support groups](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/support-groups/) - There are a number of charities and events which support families with an allergies Allergy UK Anaphylaxis Campaign The Allergy and Free From Show North Liverpool Allergy Support GroupThe Liverpool Support Group was set up a few years ago by a few parents and a young person, and has blossomed from there. The group meets
- [Health Professional Zone](https://allergynorthwest.nhs.uk/health-professional-zone/) - Welcome to the Professional Zone This zone has been developed for NHS Health Professionals working in the North West of England. Are you a GP? If so, we would be interested in your views on managing milk allergy in infants. click here to complete our survey. If you are a Health Visitor and you would like to
- [Preston](https://allergynorthwest.nhs.uk/about-us-2/where-we-are/preston/) - Service Description The allergy service in Preston has been running since 2005. The clinic offers a one stop service from diagnosis, investigation, treatment, education and follow-up for children with Allergies. We have 2 consultant paediatricians with an interest in allergy and a visiting paediatric allergist and immunologist. Our service also has an allergy specialist nurse
- [Adrenaline auto-injectors](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/treatment-options/adrenaline-injectors/) - Adrenaline auto-injectors are used to treat breathing problems or when the child feels faint (severe allergy - anaphylaxis). They do not need to be used when the only symptoms are hives or swelling, even if it involves the face. There are currently three adrenaline auto-injectors on the market. They all contain exactly the same medication. They are made
- [VIDEO: Advice for infants avoiding cow's milk protein](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/video-advice-infants-avoiding-cows-milk-protein/) - The attached video has been prepared by the dietitians of the Infant Feeding Team who are members of the Network. It provides advice for parents of children avoiding cow’s milk and other dairy products. Click on image to play the video.
- [How To Use Medication](https://allergynorthwest.nhs.uk/resources/how-to-use-medication/) - The following videos demonstrate how to use different medicationClick images to watch videosEPIPEN JEXT EMERADE Small volume spacer* Large volume spacer* Turbohaler* Nasal spray How to use a nasal spray Steroids How to apply steroids to eczema Treating hives How to treat hives Treating Hay fever Tips for treating hay fever Allergic rashes Understanding the
- [For Dietitians](https://allergynorthwest.nhs.uk/resources/for-dietitians/) - Dietitians are an integral part of all allergy services, particularly concerning children where dairy products and wheat play such a major part of their diet. The following links may be useful for dietitians: Groups and Meetings BDA- British Dietetic Association Home PageGroup Dietetic sessions GROUP DIETETIC SESSIONS - FULL BDA PACKGroup Dietetic Session - Session
- [House Dust Mite Avoidance](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/housedustmiteavoidance/) - How common is house dust mite allergy? In the UK, house dust mite (HDM) is found in all homes. Allergy to HDM is quite common. One in 20 young children and one in five adults will test positive for HDM, although not all will have symptoms. Almost all children with eczema will test positive to
- [House Dust Mite Avoidance](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/housedustmiteavoidance-2/) - How common is house dust mite allergy? In the UK, house dust mite (HDM) is found in all homes. Allergy to HDM is quite common. One in 20 young children and one in five adults will test positive for HDM, although not all will have symptoms. Almost all children with eczema will test positive to
- [House Dust Mite Allergy](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/house-dust-mite-allergy-2/) - HDM allergy is caused by tiny creatures that are distantly related to spiders! They thrive in warm damp conditions and feed on shed skin. They are found in homes no matter how clean. Allergy is caused by small participles of HDM faeces, the size of pollen grains. It is therefore not surprising that mite allergy
- [Most expired auto-injectors still have adequate amounts of adrenaline](https://allergynorthwest.nhs.uk/expired-auto-injectors-still-adequate-amounts-adrenaline/) - A report published in the Journal of Allergy & Clinical Immunology In Practice recently by Lynn Kassel et al has shown that auto-injectors with up to 6 months past labelled expiration date maintained 100% of adrenaline. Auto-injectors 1 year after labelled expiration date showed at least 95% drug content. All auto-injectors up to 30 months
- [Treating reactions](https://allergynorthwest.nhs.uk/resources/for-school/home-school-away/treating-reactions/) - HOW WILL I KNOW IF MY CHILD IS HAVING A SEVERE ALLERGIC REACTION (ANAPHYLAXIS)? Anaphylaxis is a severe allergic reaction characterised by difficulty breathing and/or fainting or collapse. Features: Difficulty breathing; hoarseness, wheeze, breathlessness, drooling Difficulty swallowing Fainting, dizziness, loss of consciousness If your child has any of these symptoms, they require an EpiPen injection.
- [Step 3 - Treating a reaction](https://allergynorthwest.nhs.uk/resources/for-school/home-school-away/step-3-treating-reaction/) - HOW WILL I KNOW IF MY CHILD IS HAVING A SEVERE ALLERGIC REACTION (ANAPHYLAXIS)? Anaphylaxis is a severe allergic reaction characterised by difficulty breathing and/or fainting or collapse. Features: Difficulty breathing; hoarseness, wheeze, breathlessness, drooling Difficulty swallowing Fainting, dizziness, loss of consciousness If your child has any of these symptoms, they require an EpiPen injection.
- [Home, School & Away](https://allergynorthwest.nhs.uk/resources/for-school/home-school-away/) - If your child is off to nursery, school or university, their allergies should not restrict their education or activities. Neither should they affect your travel plans. Some preparation is helpful. Here are some simple hints we hope will help. Click on the image icons below to find out more. Nursery, School or University When travelling
- [Step 2- On your way to your destination](https://allergynorthwest.nhs.uk/resources/for-school/home-school-away/step-2-way-destination/)
- [Step 2 - Preventing reactions and bullying at school or nursery](https://allergynorthwest.nhs.uk/resources/for-school/home-school-away/step-2-preventing-reactions-bullying-school-nursery/) - HOW TO AVOID THE FOOD Make sure your child knows what foods they are allergic to Either agree with canteen staff regarding preparation of separate allergen free meals OR bring your own allergen free packed lunch Ensure your child knows not to share food Avoid the food during cooking classes PREVENTING MY CHILD BEING BULLIED
- [Wythenshawe](https://allergynorthwest.nhs.uk/wythenshawe/) - Service Description The paediatric allergy service at Wythenshawe Hospital offers a comprehensive service for children with all kinds of allergies, including foods, dusts, pets and pollens and antibiotic allergy. The paediatric allergy team (specialist doctors and nurses and our paediatric dietitians) also care for children with related problems of urticaria, angioedema and anaphylaxis as well
- [Where to find help](https://allergynorthwest.nhs.uk/home-patient/allergy-clinics/) - Do you think your child has an allergy? Talk to your GP, health visitor or practice nurse. They are your first port of call. More than half of children who are thought to have an allergy to foods or medicines don’t! Labelling a child with allergy when they are fine makes their life and your life more
- [Soyabean Allergy](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/patient-leaflets/soyabean-allergy-2/) - How common is soya allergy? Soy allergy is a reaction to the proteins found in soybeans. Soyabean is a member of the bean family native to East Asia. In the UK it is seen most frequently in infants and preschool children, with about 4 in 1000 children thought to have the allergy. Download Leaflet What
- [Hay fever medicines](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/treatment-options/hay-fever-medicines/) - Hay fever affects the nose, eyes or both The warm weather in the North West will raise the pollen count and increase the suffering for many with hay fever. Advice: try and stay inside, particularly in the early evening with the windows closed if you are suffering badly. Take your prescribed hay fever medication regularly.
- [Soya bean Allergy](https://allergynorthwest.nhs.uk/resources/allergy-leaflets/soya-bean-allergy/) - How common is soya allergy? Soy allergy is a reaction to the proteins found in soybeans. Soyabean is a member of the bean family native to East Asia. In the UK it is seen most frequently in infants and preschool children, with about 4 in 1000 children thought to have the allergy. Download Leaflet What
- [Antihistamines](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/treatment-options/antihistamines/) - Histamine is a chemical produced by an allergy-producing white blood cells called mast cells. Histamine causes allergic reactions in the skin – HIVES (urticaria) or SWELLING (angioedema) and nose and eyes – SNEEZING, RUNNY NOSE, ITCHY EYES (hay fever). Antihistamines block the effect of histamine. They have been used to treat allergies since the 1940s. The first generation antihistamines cause
- [Creams & Ointments](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/treatment-options/creams-ointments/) - Eczema is a common itchy skin disease, which particularly affects young infants and children. Treatment includes a moisturiser which act as a barrier and help to protect the skin from irritants and dirt an anti-inflammatory cream or ointment, usually steroid anti-histamines don’t reduce the itch of eczema and are of little use in this condition
- [Asthma inhalers](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/treatment-options/inhalers/) - Inhalers contain two main medicinesBronchodilators (blue inhalers). These medicines open up the airways. They are used to treat the child when they are wheezy. Steroid (brown inhalers). Steroids reduce lung inflammation. They need to be taken REGULARLY twice a day. Using them now and again is a waste of time and can lead poor asthma control. Serotide
- [Chronic urticaria management pathway](https://allergynorthwest.nhs.uk/resources/allergy-pathways/chronic-urticarial-management-pathway/) - Is it urticaria? Must be itchy, blanching, can be associated with angioedema, does not leave bruising. Click here for Urticaria Assessment Score. Obvious trigger? typically less than 60 min ago e.g. food, animal dander, dust, pollen Avoid allergen Prescribe long-acting antihistamine e.g. cetirizine or loratidine (usually does not need steroids or adrenaline) Confirm with allergy
- [Pollen & Dust desensitisation](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/treatment-options/pollen-dust-desensitisation/) - Most children’s hay fever can be controlled with standard medication (oral antihistamine, steroid nasal spray and non-steroid anti-inflammatory eye drops). If the child's hay fever is severely impacting on their quality of life and is caused by a pet cat or dog, then a new home should be found for the animal. If the child
- [Diagnosing Allergy](https://allergynorthwest.nhs.uk/home-patient/diagnosing-allergy/) - More important than any allergy tests!Can I do anything while awaiting my appointment in the clinic?What about allergy testing?What is skin prick testing?What is allergy blood testing?What are food challenges?More important than any allergy tests!More important than any allergy tests! Allergies cannot be diagnosed using tests alone. In fact, without a clinical history, flipping a coin is
- [For Travel](https://allergynorthwest.nhs.uk/resources/for-travel/) - Food is central to many social situations, food shopping, eating out and …..travelling abroad – different strategies needed to avoid allergens in these different setting. Concerns are mainly with peanuts and other nuts. TOP TIPS Allergic reactions on an aeroplane are very uncommon. Wiping the surfaces where you are sitting should be sufficient to prevent
- [Links](https://allergynorthwest.nhs.uk/links/) - Patient Support Organisations Anaphylaxis Campaign – Helpline (0125 254 2029) The Anaphylaxis Campaign is the only UK charity to specifically focus on people at risk from a severe allergic reaction (anaphylaxis) by providing information and support relating to foods and other triggers such as latex, drugs and insect stings. Allergy UK – Helpline (01322 619898)
- [Vaccination for children with egg allergy](https://allergynorthwest.nhs.uk/vaccines/about-vaccines/) - MMR vaccination in children with egg allergy The administration of the MMR vaccine to egg-allergic children has an excellent safety record and should be given to all egg-allergic children as a routine procedure in primary care, unless there is a history of previous reaction to the vaccine. The traces of egg protein found in MMR
- [Auto-injectors (AAI)](https://allergynorthwest.nhs.uk/auto-injectors-new-doh-network-advice/) - GENERAL ADVICE The number of AAI prescribed should be discussed with each patient and their carers. One AAI is usually sufficient. The need for two injections of adrenaline to treat an allergic reaction is uncommon and often implies either poorly controlled allergies/asthma OR incorrect/inappropriate use. Any child needing two doses of adrenaline for a single
- [About Allergy](https://allergynorthwest.nhs.uk/about-allergy-3/) - HOW DO CHILDREN GET ALLERGIES? Genetic and environmental factors contribute to the development of allergies in children. GENETIC FACTORS In the UK an important genetic factor predisposing children to eczema, food allergies and allergic asthma (the allergic march) are mutations in the filaggrin (FLG) gene. Mutations can be inherited from either or both parents (Palmer
- [Website Development](https://allergynorthwest.nhs.uk/opportunities/projects-2/website-development/) - Our website is continually being updated and upgraded with the help of healthcare professionals, as well as our patient representatives and website designers. Have you found everything that you need? Please let us know what else you would like. Click here to tell us Want to get involved in developing our website further? Contact us
- [For school and nurseries](https://allergynorthwest.nhs.uk/resources/for-school/) - Ensure that the child is allowed to integrate as fully and safely as possible into all school activities. Where the child’s activities are being unduly restricted by either parents or teachers, advice should be sought from members of the allergy health care team, to avoid the child being stigmatised and ensure normal social development. Starting nursery or school can be distressing for
- [Referrals](https://allergynorthwest.nhs.uk/home-patient/allergy-clinics/referrals/) - Our Children’s Allergy Network of health care professionals spans the whole of the North West of England. We also work with colleagues in North Wales to help support children there. Your first port of call for professional advice will be your GP surgery. Your GP, practice nurse or health visitor will be able to help with many of
- [Engage & Participate](https://allergynorthwest.nhs.uk/opportunities/) - The North West Paediatric Allergy Network is keen to work with other health care professionals and patient groups to provide even better care for children with allergies in the region. This section provides you with details of what is available through our network. Opportunities include: Educational Events Research opportunities Clinical projects Clinical Trials If you
- [FAQs](https://allergynorthwest.nhs.uk/health-professional-zone/faqs/) - Please find answers to most Frequently Asked Questions below. If you have a question that is not answered here then please have a look at our patient information leaflets which can be found in the Document section. General Allergy Questions Below are some questions about allergies in general that we often hear asked. Please click
- [Food reintroduction](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/treatment-options/food-reintroduction/) - Not all allergies are for lifeChildren may outgrow their food allergies. This is particularly true for dairy/cow's milk, egg, soya and wheat. Three in 4 children with cow's milk or egg allergies will be able to eat some baked food such as milk in biscuits or egg in cake. If they can and continue to
- [Milk substitutes](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/treatment-options/milk-substitutes/) - 1 in 20 infants and young children suffer from cow’s milk allergy. It is the most common food allergy in the age group. It is important to understand that children who are allergic to cow’s milk will also be allergic to sheep and goat’s milk and these milks should also be avoided most children will outgrow
- [Treatment options](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/treatment-options/) - Tailor the treatment to the allergy The treatment will vary depending on the type of allergy. For infants with cow’s milk allergy, the treatment is often an alterative milk formula. For immediate relief of allergy symptoms that come on acutely, antihistamines and adrenaline auto-injectors are potential treatment options. For control of eczema, asthma and hay
- [Managing Allergies](https://allergynorthwest.nhs.uk/home-patient/managing-allergies/) - Adrenaline auto-injector are only a part of good allergy management. Accurate diagnosis and a clear plan as how to prevent reactions occurring and effectively treat them if they do occur are most important. The Children’s Allergy Network will work with you and your child to make sure they have the very best treatment. GET THE DIAGNOSIS RIGHT
- [FAQs](https://allergynorthwest.nhs.uk/home-patient/faqs-3/) - Please find answers to our most Frequently Asked Questions below. If you have a question that is not answered here then please have a look at our patient information leaflets, which can be found in the documents section of our site. General Allergy Questions Please click on a question to reveal the answer AllergiesDo allergic
- [Seeing a nurse or doctor](https://allergynorthwest.nhs.uk/home-patient/allergy-clinics/seeing-a-nurse-or-doctor/) - You’ve got a question – we’ve got the answer. . . Doctors are here to help. They are here to treat your child, but more than that they are here to address your concerns. When you go to see your doctor, make it clear why you have made the appointment. You might want a diagnosis, treatment,
- [What things cause allergies?](https://allergynorthwest.nhs.uk/home-patient/whats-allergy/what-things-cause-allergies/) - Many substances can cause allergies. Common ones are: foods, medicines, insect stings, dust and pollen. FoodsAny food can cause an allergy. Some are more common than others. It also depends on where you live. For instance allergy to olive tree pollen is common in Mediterranean countries. Bird's nest soup allergy is common in Singapore. Common
- [Bad allergy - anaphylaxis](https://allergynorthwest.nhs.uk/home-patient/whats-allergy/bad-allergy-anaphylaxis/) - What's anaphylaxisAllergies are common and most are not life-threatening. Reactions that affect BREATHING or make you feel faint are called anaphylaxis and need to be treated urgently.What symptoms should I look out for?If the patient is struggling to breath, feels their throat is tight, is wheezy or can't swallow. If the patient feels faint or
- [What's Allergy](https://allergynorthwest.nhs.uk/home-patient/whats-allergy/) - What's allergy? An immune response by your body to get rid of a substance (usually a protein) that is irritating you. It may be dust or pollen in the air, foods you eat or even a lick from your pet dog. Although allergies are common, life-threatening allergies and particularly deaths from allergy are very rare.
- [What We Do](https://allergynorthwest.nhs.uk/about-us-2/what-we-do/) - Provide expert treatment for children and families with allergies Streamlining allergy management pathways based on the latest evidence Educating primary and secondary care non-specialist doctors, nurses, dietitians within the region Develop new allergy paradigms Supporting allergy patient groups in the community
- [Case Studies](https://allergynorthwest.nhs.uk/home-patient/whats-allergy/case-studies/) - 3 Egg allergy CASE STUDIES 0 Hives every day! CASE STUDIES 2 Antibiotic allergy? CASE STUDIES 7 Peanut allergy CASE STUDIES 9 Bad eczema CASE STUDIES 0 Troublesome Hay fever CASE STUDIES
- [Allergy Advice](https://allergynorthwest.nhs.uk/allergy-advice/)
- [Resources](https://allergynorthwest.nhs.uk/resources/) - These resources have been development jointly by doctors, nurses, dieticians and lay members of the North West Allergy Network. They should not be used alone, but in conjunction with advice from health care professionals with experience in looking after children with allergies. We hope you find these resources useful. They include: Information leaflets specially designed
- [Diagnosis](https://allergynorthwest.nhs.uk/diagnosis-2/) - Diagnosing Allergies Diagnosis is suggested by the clinical history. Consider the following symptoms: Immediate allergic reactionDelayed allergic reactionNot allergySkinurticaria, angioedemaeczema flarerashes which are not itchy, rashes associated with bruisingGutnausea, vomiting, diarrhoeavomiting, colic, diarrhoea (sometimes with blood)watery diarrhoea with flatus only may suggest lactose intoleranceRespiratory tractcough, stridor, drooling, wheeze, dyspnoeaasthma attackchoking on foods, cough productive of purulent
- [Milk allergy management pathway](https://allergynorthwest.nhs.uk/resources/allergy-pathways/milk-allergy-management-pathway/) - Is it milk allergy? Were there symptoms of acute allergy (urticaria, angioedema, asthma, coughing, faintness) within 30 – 60 min of consuming dairy products? AND/OR Were there symptoms of delayed allergy (flares of eczema, bloody diarrhoea, colic, vomiting) within a few days of consuming the dairy products which lasted for up to a week after
- [Insect venom allergy management pathway](https://allergynorthwest.nhs.uk/resources/allergy-pathways/insect-venom-allergy-management-pathway/) - Was there any evidence of allergy? If no urticaria, angioedema edema distal to sting site, breathing problems or faintness, treat symptomatically, no allergy work-up required If there were any allergy symptoms (urticarial, angioedema distant from the sting site, breathing problems or faintness) Treat acute reaction – if anaphylaxis give adrenaline auto-injector, transfer by ambulance to
- [Infant cow's milk allergy: management - step 2](https://allergynorthwest.nhs.uk/resources/allergy-pathways/infant-milk-allergy-or-feeding-problem-management-tool/infant-milk-allergy-or-feeding-problem-management-tool-symptoms/infant-cows-milk-allergy-patients-needing-referral-to-a-hospital-paediatrician/infant-cows-milk-allergy-management-step-2/) - If the infant or child has any of the following history of anaphylaxis (breathing problems or faintness) to cow’s milk or dairy failure to thrive multiple food exclusions (if child has started to wean) infant who is exclusively breast fed . . 1. Infant should avoid cow’s milk, other dairy products, and sheep’s & goat’s milk 2.
- [Infant milk allergy or feeding problem management tool](https://allergynorthwest.nhs.uk/resources/allergy-pathways/infant-milk-allergy-or-feeding-problem-management-tool/) - Feeding difficulties and allergic reactions due to cow’s milk protein allergy are a common problem in infants and young children. This tool is designed to help you manage infants with these problem. It will also help you to rule out other problems that are not due to cow’s milk allergy. If symptoms are largely wind, colic and watery stools when
- [Infant cow's milk allergy: management - step 2..](https://allergynorthwest.nhs.uk/resources/allergy-pathways/infant-milk-allergy-or-feeding-problem-management-tool/infant-milk-allergy-or-feeding-problem-management-tool-symptoms/infant-cows-milk-allergy-patients-needing-referral-to-a-hospital-paediatrician/infant-cows-milk-allergy-management-step-2-2-2/) - If the infant or child NOT had any of the following history of anaphylaxis (breathing problems or faintness) to cow’s milk or dairy failure to thrive multiple food exclusions (if child has started to wean) infant who is exclusively breast fed . 1. Infant should avoid cow’s milk, other dairy products, and sheep’s and goat’s milk
- [Infant milk allergy/feeding problem management tool: symptoms](https://allergynorthwest.nhs.uk/resources/allergy-pathways/infant-milk-allergy-or-feeding-problem-management-tool/infant-milk-allergy-or-feeding-problem-management-tool-symptoms/) - . Let’s first consider symptoms of cow’s milk allergy in infants and young children: . IMMEDIATE REACTION symptoms occur within 1 hour of drinking cow’s milk or consuming dairy products click here if one or more symptoms of ANAPHYLAXIS have occurred breathing difficulty (dyspnoea) harsh noise when breathing in (stridor) wheezy when breathing out hoarse voice feeling
- [Infant milk allergy/feeding problem management tool: 2 week telephone follow-up](https://allergynorthwest.nhs.uk/resources/allergy-pathways/infant-milk-allergy-or-feeding-problem-management-tool/infant-milk-allergy-or-feeding-problem-management-tool-symptoms/infant-cows-milk-allergy-patients-needing-referral-to-a-hospital-paediatrician/infant-cows-milk-allergy-management-step-2-2/infant-milk-allergyfeeding-problem-management-tool-2-week-follow-up/) - . A. NO IMPROVEMENT WITH COW’S MILK EXCLUSION – consider other diagnoses and possibly refer to paediatrician . . A. IMPROVEMENT WITH MILK EXCLUSION IN CHILD WITH NO IMMEDIATE SYMPTOMS – advise to try cow’s milk again at week 3 to prove that the milk caused the flare. Review at 4 weeks. .
- [Infant milk allergy/feeding problem management tool: 4 week follow-up.](https://allergynorthwest.nhs.uk/resources/allergy-pathways/infant-milk-allergy-or-feeding-problem-management-tool/infant-milk-allergy-or-feeding-problem-management-tool-symptoms/infant-cows-milk-allergy-patients-needing-referral-to-a-hospital-paediatrician/infant-cows-milk-allergy-management-step-2-2/infant-milk-allergyfeeding-problem-management-tool-2-week-follow-up/infant-milk-allergyfeeding-problem-management-tool-4-week-follow-up/infant-milk-allergyfeeding-problem-management-tool-4-week-follow-up-2/) - . A. Avoid cow’s milk for a further 6 months B. Continue with extensively hydrolysed formula C. Try appropriate sized portion of digestive biscuit (containing baked milk) C1. . . . if tolerated child to eat appropriate sized portion of digestive biscuit at least 3 times a week until next seen in 6 months C2.
- [Infant milk allergy/feeding problem management tool: 6 monthly review](https://allergynorthwest.nhs.uk/resources/allergy-pathways/infant-milk-allergy-or-feeding-problem-management-tool/infant-milk-allergy-or-feeding-problem-management-tool-symptoms/infant-cows-milk-allergy-patients-needing-referral-to-a-hospital-paediatrician/infant-cows-milk-allergy-management-step-2-2/infant-milk-allergyfeeding-problem-management-tool-2-week-follow-up/infant-milk-allergyfeeding-problem-management-tool-4-week-follow-up/infant-milk-allergyfeeding-problem-management-tool6-monthly-review/) - . If the infant does not tolerate a trial of baked milk (digestive biscuit) OR has faltering growth OR has multiple food allergies OR has eczema / asthma / hay fever not controlled on standard medication – REFER TO HOSPITAL PAEDIATRICIAN . . If infant tolerates baked milk (digestive biscuit) increase amount of dairy as
- [Infant milk allergy/feeding problem management tool: 2 week telephone follow-up.](https://allergynorthwest.nhs.uk/resources/allergy-pathways/infant-milk-allergy-or-feeding-problem-management-tool/infant-milk-allergy-or-feeding-problem-management-tool-symptoms/infant-milk-allergyfeeding-problem-management-tool-2-week-telephone-follow-up/) - . A. NO IMPROVEMENT WITH COW’S MILK EXCLUSION – consider other diagnoses and possibly refer to paediatrician . . B. IMPROVEMENT WITH MILK EXCLUSION IN CHILD WITH IMMEDIATE SYMPTOMS – continue with extensively hydrolysed formula. Review at 4 weeks. .
- [Infant milk allergy/feeding problem management tool: 4 week follow-up..](https://allergynorthwest.nhs.uk/infant-milk-allergyfeeding-problem-management-tool-4-week-follow-up/) - . A. NO IMPROVEMENT WITH COW’S MILK FORMULA – consider other diagnoses . . B. IMPROVEMENT WITH COW’S MILK FORMULA – click here for further management .
- [Infant milk allergy/feeding problem management tool: 4 week follow-up](https://allergynorthwest.nhs.uk/resources/allergy-pathways/infant-milk-allergy-or-feeding-problem-management-tool/infant-milk-allergy-or-feeding-problem-management-tool-symptoms/infant-cows-milk-allergy-patients-needing-referral-to-a-hospital-paediatrician/infant-cows-milk-allergy-management-step-2-2/infant-milk-allergyfeeding-problem-management-tool-2-week-follow-up/infant-milk-allergyfeeding-problem-management-tool-4-week-follow-up/) - . A. NO IMPROVEMENT WITH COW’S MILK FORMULA, NO FLARE WITH MILK REINTRODUCTION – consider other diagnoses . . B. IMPROVEMENT WITH COW’S MILK FORMULA, FLARE WITH MILK REINTRODUCTION – click here for further management .
- [Infant cow's milk allergy: management - step 1](https://allergynorthwest.nhs.uk/resources/allergy-pathways/infant-milk-allergy-or-feeding-problem-management-tool/infant-milk-allergy-or-feeding-problem-management-tool-symptoms/infant-cows-milk-allergy-patients-needing-referral-to-a-hospital-paediatrician/) - . DOES THE INFANT OR CHILD HAVE ANY OF THE FOLLOWING SYMPTOMS 1. anaphylaxis after consuming cow’s milk or dairy products (cough, wheeze, stridor, breathlessness, or reduced consciousness)? 2. multiple food exclusions (if the child has started weaning)? 3. infant who is exclusively breast fed? Click below on either the tick or cross. . .
- [Infant cow's milk allergy: management - step 2.](https://allergynorthwest.nhs.uk/resources/allergy-pathways/infant-milk-allergy-or-feeding-problem-management-tool/infant-milk-allergy-or-feeding-problem-management-tool-symptoms/infant-cows-milk-allergy-patients-needing-referral-to-a-hospital-paediatrician/infant-cows-milk-allergy-management-step-2-2/) - . If the infant or child ONLY HAS DELAYED SYMPTOMS and NO immediate symptoms NO failure to thrive NO multiple food exclusions (if child has started to wean) Infant is NOT exclusively breast fed . . 1. Infant should avoid cow’s milk, other dairy products, and sheep’s and goat’s milk for 3 – 4 weeks 2.
- [Allergy Pathways](https://allergynorthwest.nhs.uk/resources/allergy-pathways/) - We have provided simple to follow pathways for children with the following allergies and allergic diseases:”ACUTE anaphylaxis milk allergy nut allergy insect (bee/wasp) allergy CHRONIC ALLERGIC DISEASES chronic urticaria eczema / atopic dermatitis hay fever / allergic rhinoconjuctivitis Click on the menu on the left for supplementary pages to learn more.
- [Nut allergy management pathway](https://allergynorthwest.nhs.uk/resources/allergy-pathways/nut-allergy-management-pathway/) - Is it nut allergy? Were there symptoms of allergy (urticarial, angioedema, acute asthma, coughing or wheeze, faintness) within 30 – 60 min of eating nuts? If the child has eaten the nut previously in the same quantity with no reaction, look for other causes. Education the family about nut allergy (refer to our peanut or
- [AMEND Now](https://allergynorthwest.nhs.uk/opportunities/projects-2/amend-now/) - Audit of Anaphylaxis Management in Children Emergency Departments in the North WestREPORT HIGHLIGHTS 257 children Common triggersPeanut or tree nuts 38% 38%Milk or egg 31% 31%Anaphylaxis 11% 11% Atopic diseases ManagementAllergy management plan 48% 48%Antihistamines prescribed 69% 69%Avoidance advice 69% 69%Referral to specialist 40% 40% Age GenderMale 62% 62%Female 38% 38% Treatment Audit of Anaphylaxis
- [Hay fever management pathway](https://allergynorthwest.nhs.uk/resources/allergy-pathways/hay-fever-management-plan/) - Is it allergic rhinitis / conjunctivitis? If purulent discharge, unilateral consider other causes Educate Provide hay fever information leaflet Assess quality of life “Juniper rhinitis Quality of Life score” Prescribe steroid nasal spray and demonstrate how to use device e.g. Avamys If not controlled / eye symptoms Add regular long-acting antihistamine (not Piriton) and/or non-steroid
- [Eczema management pathway](https://allergynorthwest.nhs.uk/resources/allergy-pathways/eczema-management-plan/) - Is it eczema? Must be itchy Educate Provide eczema information leaflet Check quality of life “how many times does your child wake you up each night”? Regular moisturiser 1% hydrocortisone ointment twice a day prn – can be used on the face and torso for a number of months without the risk of significant skin
- [Anaphylaxis management pathway](https://allergynorthwest.nhs.uk/resources/allergy-pathways/anaphylaxis-management-pathway/) - Is it anaphylaxis? If there are no breathing problems and/or faintness, this is not anaphylaxis. Avoid/ remove allergen, administer antihistamine. If acute anaphylaxis (breathing problems of faintness) If faint lie patient down with feet raised; otherwise sit up. Treat acute reaction – administer adrenaline auto-injector Transfer by ambulance to Emergency Department If in ED, consider taking
- [Events](https://allergynorthwest.nhs.uk/events/) - North West Annual Paediatric Allergy Study Day (RCPCH CPD credits have been applied for) Friday 17th of March 2017 09:00hrs Start Registration & Coffee 09:30hrs Welcome and introduction Chairman – Dr Richard J Briggs, Consultant in Paediatrics at Warrington Hospital 09:00 – 09:20 hrs: “Living with an allergy that others don’t understand” A parents
- [Projects](https://allergynorthwest.nhs.uk/about-us-2/what-we-do/projects/) - The network is involved in a number of projects which are detailed in this section. These include: FUTURE HOSPITAL PROJECT – coordinated by the Royal College of Physicians. The aim of this project is to educate and empower primary care clinicians to effective manage children with milk and nut allergies in the community, avoiding the need
- [About us](https://allergynorthwest.nhs.uk/about-us/) - WHO WE ARE Mission It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look
- [Completed Projects](https://allergynorthwest.nhs.uk/completed-projects/)
- [NEWS](https://allergynorthwest.nhs.uk/news/)
- [Locations](https://allergynorthwest.nhs.uk/events/locations/) - CONTENTS
- [Categories](https://allergynorthwest.nhs.uk/events/categories/) - CONTENTS
- [Tags](https://allergynorthwest.nhs.uk/events/tags/) - CONTENTS
- [My Bookings](https://allergynorthwest.nhs.uk/events/my-bookings/) - CONTENTS

## Events

- [Network Education Event](https://allergynorthwest.nhs.uk/events/network-education-event/) - More information to follow
- [Cows Milk Allergy Pathway Meeting #2](https://allergynorthwest.nhs.uk/events/cows-milk-allergy-pathway-meeting-2/) - Board Room

## Locations

- [Barnes Wallis Building, University of Manchester](https://allergynorthwest.nhs.uk/locations/barnes-wallis-building-university-of-manchester/)
- [Central Manchester University Hospitals](https://allergynorthwest.nhs.uk/locations/central-manchester-university-hospitals/)

## Case Studies

- [Antibiotic allergy?](https://allergynorthwest.nhs.uk/casestudies/antibiotic-allergy/) - StorySam, who is now 8 years old, was given a course of amoxicillin for a throat infection when he was 2 years old. Two days later he developed a red spotty rash. He was diagnosed with a penicillin allergy and told not to take penicillin again.Medical reviewThe throat infection is more likely to have caused
- [Troublesome Hay fever](https://allergynorthwest.nhs.uk/casestudies/troublesome-hay-fever/) - Story 14 year old Ahmed gets very troublesome hay fever every summer. He takes his antihistamines regularly and even uses nose sprays and eye drops. Despite this he can’t go out and play with his friends in summer because of his symptoms. He is not sleeping well and his parents are worried that it is
- [Hives every day!](https://allergynorthwest.nhs.uk/casestudies/hives-every-day/) - Story 8 year old Miriam gets hives on her skin every day. She has done for the last 3 months. Piriton worked for a few hours and the effects then wear off. There do not seem to be any specific triggers, but Mum wants her to be referred for allergy tests to find out what
- [Peanut allergy](https://allergynorthwest.nhs.uk/casestudies/peanut-allergy/) - Story Immediately after 4 year old Mohammed ate peanut butter for the first time he developed hives, lip swelling and became wheezy. He did eat cashew nuts and liked Nutella chocolate spread. He had been admitted to hospital twice this year for his asthma. Medical review Mohammed was seen in the children’s allergy clinic. Skin
- [Egg allergy](https://allergynorthwest.nhs.uk/casestudies/egg-allergy/) - Story 3 year old Louise was helping her Mum bake a cake. She licked the cake mix and immediately developed swelling of her lips and an itchy rash all over. She had previously vomited after eating scrambled eggs. She did however love her Mum’s cakes and had eaten them many times before with not problems.
- [Bad eczema](https://allergynorthwest.nhs.uk/casestudies/bad-eczema/) - Story 14 month old Caitlin has had very troublesome eczema for the last 3 weeks. She is not sleeping – nor are her parents. It is very difficult to apply the ointments and creams because she is so distressed and itchy. Her skin is oozing and her clothes are sticking. The parents want Caitlin referred

## Doctors

- [Laurie Niland](https://allergynorthwest.nhs.uk/doctors/laurie-niland/) - Tel: 0161 701 0940 laurie.niland@cmft.nhs.uk
- [TBC](https://allergynorthwest.nhs.uk/doctors/tbc-2/)
- [TBC](https://allergynorthwest.nhs.uk/doctors/tbc/)
- [Sister Wendy Sinclair](https://allergynorthwest.nhs.uk/doctors/sister-wendy-sinclair/)
- [Dr Shirley Castille](https://allergynorthwest.nhs.uk/doctors/dr-shirley-castille/)

## Client Logo

- [Manchester (RMCH)](https://allergynorthwest.nhs.uk/client/manchester-rmch/)
- [Wythenshawe](https://allergynorthwest.nhs.uk/client/wythenshawe/)
- [BSACI](https://allergynorthwest.nhs.uk/client/bsaci/)
- [The American Academy of Allergy, Asthma & Immunology](https://allergynorthwest.nhs.uk/client/the-american-academy-of-allergy-asthma-immunology/)
- [Lancaster](https://allergynorthwest.nhs.uk/client/lancaster/)
- [Liverpool (Alder-Hey)](https://allergynorthwest.nhs.uk/client/liverpool-alder-hey/)
- [Macclesfield](https://allergynorthwest.nhs.uk/client/macclesfield/)
- [Preston](https://allergynorthwest.nhs.uk/client/preston/)
- [Wigan](https://allergynorthwest.nhs.uk/client/wigan/)
- [Wirral (Arrowe-Park)](https://allergynorthwest.nhs.uk/client/wirral-arrowe-park/)
- [Wrexham](https://allergynorthwest.nhs.uk/client/wrexham/)

## Categories

- [Uncategorised](https://allergynorthwest.nhs.uk/category/uncategorised/)
- [Patient](https://allergynorthwest.nhs.uk/category/patient/)
- [Doctor](https://allergynorthwest.nhs.uk/category/doctor/)
- [News](https://allergynorthwest.nhs.uk/category/doctor/news/)
- [News](https://allergynorthwest.nhs.uk/category/patient/news-patient/)
- [Location](https://allergynorthwest.nhs.uk/category/location/)
- [Leaflet](https://allergynorthwest.nhs.uk/category/leaflet/)
- [Pathway](https://allergynorthwest.nhs.uk/category/pathway/)
- [Projects](https://allergynorthwest.nhs.uk/category/projects/)
- [Patient Leaflet](https://allergynorthwest.nhs.uk/category/patient-leaflet/)
- [Home](https://allergynorthwest.nhs.uk/category/home/)
- [School & Away](https://allergynorthwest.nhs.uk/category/school-away/)

## Event Categories

- [Doctor](https://allergynorthwest.nhs.uk/events/categories/doctor/)

## Case Studies

- [CASE STUDIES](https://allergynorthwest.nhs.uk/portfolio-category/case-studies/)

## Services

- [Wigan](https://allergynorthwest.nhs.uk/section/wigan/)
- [Consultants](https://allergynorthwest.nhs.uk/section/consultants/)
- [Specialist Nurse Practitioners](https://allergynorthwest.nhs.uk/section/specialist-nurse-practitioners/)
- [Specialist Paediatric Dietetian](https://allergynorthwest.nhs.uk/section/specialist-paediatric-dietetian/)
- [Administrator](https://allergynorthwest.nhs.uk/section/administrator/)
- [Network co-ordinator](https://allergynorthwest.nhs.uk/section/network-co-ordinator/)

## Client Group

- [Hospitals](https://allergynorthwest.nhs.uk/client_group/hospitals/)
- [Links](https://allergynorthwest.nhs.uk/client_group/links/)