A 6-month-old boy attends with his mother for a routine check. He is exclusively breastfed, thriving and well,…

Question

A 6-month-old boy attends with his mother for a routine check. He is exclusively breastfed, thriving and well, and has had no solid food. He has had moderate eczema since 3 months of age, controlled with a topical corticosteroid and emollients. His 4-year-old sister has peanut allergy and carries an adrenaline autoinjector, and his mother is frightened of giving him nuts or egg and has been told by a relative to wait until he is older. He has never had an allergic reaction. Which one of the foll…

Accepted Answer

Begin iron-rich solids, including peanut, now.

Answer

Arrange skin prick testing before giving peanut.

Answer

Avoid egg and peanut until twelve months.

Answer

Delay all solids until his eczema clears.

Answer

Introduce solids now but avoid tree nuts.

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