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Table 3 Case studies outlining 3 participants, each reporting minimal, moderate or severe impact from APPEAL-2

From: Allergy to Peanuts imPacting Emotions And Life (APPEAL): the impact of peanut allergy on children, adolescents, adults and caregivers in France

 

Minimal impact

Moderate impact

Severe impact

Demographics

Male, age 15

Male, age 23

Male, age 9 (child report)

Severity

Moderate

Severe

Moderate

AAI?

Yes

Yes

No

Confidencea

Confident

Quite confident

Confidentb

Controla

Good

Good

None or very littleb

Reaction history

Had two mild reactions when 8 years old (before diagnosis)

Very rarely has reactions, last one was 6 months ago. He went to hospital, received an infusion and adrenaline injection

One reaction aged 4 or 5 years (before diagnosis), experienced breathing difficulties and went to hospital

Main impacts

He avoids foods that he knows contain peanuts, but it has minimal impact

He is very cautious, always carries emergency medication

He doesn’t eat food in a restaurant if there is doubt about whether it contains peanuts; generally has good control

PA does not affect his daily activities; he is just careful

Not allowed to go to birthday parties

He is not allowed to eat at restaurants

Tells others not to come near him after eating peanuts or to wash their hands

Parents keep him away from peanuts; he has to go upstairs when people are eating peanuts at home

Children at school laughed at him because of his PA

  1. PA peanut allergy
  2. aHow confident do you feel in managing reactions to peanut; how much control do you have over your peanut allergy?
  3. bCaregiver report of how confident and how much control they believe the child feels