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Letters to the editor
Definitive diagnosis of nut allergy
  1. JONATHAN O'B HOURIHANE, Lecturer Paediatric Clinical Sciences
  1. Institute of Child Health, 30 Guilford Street
  2. London WC1N 1EH, UK
  3. Mailpoint 803, Southampton General Hospital
  4. Tremona Road, Southampton SO16 6YR, UK
  5. Staff Physician, National Jewish Medical and Research Center
  6. Denver, CO 80206, USA
  7. Mount Sinai Medical Centre
  8. 1 Gustave L Levy Place
  9. New York, NY 10029, USA
  10. Institute of Child Health
    1. JOHN O WARNER, Professor of Child Health, University of Southampton
    1. Institute of Child Health, 30 Guilford Street
    2. London WC1N 1EH, UK
    3. Mailpoint 803, Southampton General Hospital
    4. Tremona Road, Southampton SO16 6YR, UK
    5. Staff Physician, National Jewish Medical and Research Center
    6. Denver, CO 80206, USA
    7. Mount Sinai Medical Centre
    8. 1 Gustave L Levy Place
    9. New York, NY 10029, USA
    10. Institute of Child Health
      1. S ALLAN BOCK
      1. Institute of Child Health, 30 Guilford Street
      2. London WC1N 1EH, UK
      3. Mailpoint 803, Southampton General Hospital
      4. Tremona Road, Southampton SO16 6YR, UK
      5. Staff Physician, National Jewish Medical and Research Center
      6. Denver, CO 80206, USA
      7. Mount Sinai Medical Centre
      8. 1 Gustave L Levy Place
      9. New York, NY 10029, USA
      10. Institute of Child Health
        1. HUGH A SAMPSON, Professor Paediatric Allergy/Immunology
        1. Institute of Child Health, 30 Guilford Street
        2. London WC1N 1EH, UK
        3. Mailpoint 803, Southampton General Hospital
        4. Tremona Road, Southampton SO16 6YR, UK
        5. Staff Physician, National Jewish Medical and Research Center
        6. Denver, CO 80206, USA
        7. Mount Sinai Medical Centre
        8. 1 Gustave L Levy Place
        9. New York, NY 10029, USA
        10. Institute of Child Health
          1. STEPHAN STROBEL, Professor of Clinical Paediatric Immunology
          1. Institute of Child Health, 30 Guilford Street
          2. London WC1N 1EH, UK
          3. Mailpoint 803, Southampton General Hospital
          4. Tremona Road, Southampton SO16 6YR, UK
          5. Staff Physician, National Jewish Medical and Research Center
          6. Denver, CO 80206, USA
          7. Mount Sinai Medical Centre
          8. 1 Gustave L Levy Place
          9. New York, NY 10029, USA
          10. Institute of Child Health

            https://doi.org/10.1136/adc.82.1.88b

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              Editor,—We are concerned that the general readership of Archives of Disease in Childhood may be misled by a paper based on results of non-standardised or obsolete tests used in the diagnosis of children with potentially severe allergies to peanut and tree nuts.1 The implicit confidence of the paper's title is not supported by the experimental approaches.

              We would like to express our serious concern about the following specific points.

              It cannot be assumed a nut is “the only possible allergen” in a composite food. Any allergenic food can cross contaminate a “safe food.”

              Intradermal testing is not considered standard practice …

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