A 5-year-old girl is seen for asthma and food allergies to peanut and tree nuts. Since her last visit, she had one allergic reaction during which she developed hives and wheezing after taking a bite of a muffin cross-contaminated with peanut. This incident was treated with epinephrine. This past winter, she had multiple upper respiratory tract infections that required 2 courses of oral corticosteroids. Her asthma is currently well controlled with daily inhaled fluticasone, with no nighttime awakenings.
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