Trick-or-Treat Your Way to an Allergy-Free Halloween

AAAAI urges children to recognize symptoms and carry epinephrine

MILWAUKEE, Oct. 18 /PRNewswire/ — Halloween is right around the corner and millions of children are preparing to sport their ghost and vampire costumes for school parties and a night of trick-or-treating. However, for children who suffer from severe food allergies, Halloween is a time where extra precaution must be taken.

The American Academy of Allergy, Asthma and Immunology (AAAAI) asks children and parents to watch out for hidden foods that could trigger a life threatening allergic reaction called anaphylaxis. Food-related anaphylaxis leads to 150-200 deaths each year, so every exposure should be taken seriously.

Peanuts, tree nuts, eggs, milk and soy are the most common causes of food allergies in children. Eating even a small amount of these foods could trigger anaphylaxis.

Symptoms of anaphylaxis include severe headache, nausea and vomiting, sneezing and coughing, hives, swelling of the lips, tongue and throat, and itching all over the body. The most dangerous symptoms include difficulty breathing, a drop in blood pressure, and shock — all of which can be fatal.

If any of these symptoms occur, give the child self-injectable epinephrine, call 911 immediately, and schedule a follow-up appointment with your allergist/immunologist.

  Here are some helpful Halloween tips to avoid hidden food dangers:
— When classroom parties are planned, parents can help by packing treats
from home that their food-allergic child can eat.
— Create a “candy swap” with siblings or friends so that
allergen-containing candies can be traded for other treats such as
stickers or toys.
— Take the focus off of trick-or-treating by hosting a costume party that
emphasizes fun instead of candy. Halloween stickers, pencils, spider
rings and stamps are great alternatives for goody bags.
— Provide neighbors with allergy-safe candies for your child or ask
neighbors to hand out only candy with individualized labels — so kids
with allergies can determine whether the treat is safe to eat or not.
— Teach children to politely refuse offers of cookies and other homemade
— Remember that candy ingredients can vary for different sizes of the
same product such as full-size candy bars and their miniature versions,
which are not always individually labeled.

Consult with an allergist/immunologist

If your child has ever had an allergic reaction to a food, or has a history of food allergies, seek the care of an allergist/immunologist for a follow-up evaluation and to discuss treatment and environmental control options. For more information, visit the AAAAI’s Web site,

The AAAAI represents allergists, asthma specialists, clinical immunologists, allied health professionals and others with a special interest in the research and treatment of allergic disease. Allergy/immunology specialists are pediatric or internal medicine physicians who have elected an additional two years of training to become specialized in the treatment of asthma, allergy and immunologic disease. Established in 1943, the AAAAI has more than 6,500 members in the United States, Canada and 60 other countries. The AAAAI serves as an advocate to the public by providing educational information through its Web site at

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Source: The American Academy of Allergy, Asthma and Immunology