James's specialist wants to do the milk challenge now to see if James is still allergic to it. The specialist does not like to rely on allergy tests alone especially with children that have atopic eczema as this gives a higher chance of false positives. We know that James has definitely reacted to dairy as he had a severe reaction when he was younger plus he has had contact reactions in the past. The specialist also wants the challenge carried out to see what pathway we go down next. If James passes the challenge then great, if not then depending on the type of reaction will depend on if he meets the criteria to go on the milk desensitization programme or if we move onto a baked milk challenge in a couple of months or so.
Kelly