fun fact: cross-reactivity btw house dust mite and lobster - rare but possible EDIT: 20:37 - we were told in PED: the reason why PEDs shouldn't get cow milk are: they contain FA => GI microhemo; casein & replacing proper food => Fe def.; just found out you're right, it's also bcs of incr Ag load, see "leaky gut" in children (GI tight junctions aren't fully developed yet: goodfoodeating.com/6421/food-allergies/) EDIT: 34:19 "In the young vomiting child, lethargy, floppiness, pallor without fever, and normal CRP should alert clinicians to a possible diagnosis of FPIES. In contrast, a highly elevated CRP is not a feature of FPIES, and in such cases an alternative diagnosis must be considered." www.sciencedirect.com/science/article/abs/pii/S2213219818306779 Your action plan link is not working :/ EDIT: I wanted to add two things reg. the epipen for the viewers: In a study only 2% of docs managed to correctly explain & show the patient how to use it - don't be the 98%. And: in up to 1/3 of all cases one epipen shot isn't enough - hence always prescribe two! Finally: 2020 a new short paper got out reg. the Dg criteria etc. of anaphylaxis, invest 5 - 10min and read and note the important parts (Dg, RF for severe course, RF biphasic, when to monitor (and how long) and ofc Rx/) www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20and%20Parameters/Anaphylaxis-2020-grade-document.pdf And thank you again for the AWESOME lecture. Saved my immuno/ allergo rotation