Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 Kathy, Hmmm. Thank you! Lots to think about and lots to askmy doctor about. Abbie yeast not excessive, but child responds to > antifungals; regressions during pollen seasons > > > > During a conversation at the recent DAN! in Mclean, Va, Jim Neubrander, > > M.D., > > offered a fascinating model for understanding why some autistic kids > > show no elevated yeast via CDSA but show positive response to antifungals. > > > > Here is my rendition of Jim's hypothetical offering: > > > > A. Virtually everyone has yeast, and most healthy people would test low > > for Candida species on a CDSA. > > > > B. Jim and other docs have reported that some autistic kids regress > > (mildly?) during times of pollen, an observation that links immune > > reactions to regressions. > > > > C. Jim offered that perhaps the low-yeast-on-CDSA kids who improve via > > an antifungal may be kids who have a hypersensitivity to at least some > > antigens generated by yeast. > > > > D. A parallel is found in allergies to cats and peanuts. Whereas most > > individuals are fine while eating peanuts in the presence of cats, some > > individuals know that the presence of either, even in trace amounts, > > causes adverse reactions. > > > > E. Perhaps the low-yeast-on-CDSA kids who improve via antifungals are > > kids whose hypersensitivity reactions to yeast (see B above) are kids > > for whom the antifungal is (temporarily) drastically reducing the level > > of yeast-derived antigens, thereby minimizing or transiently eliminating > > source of the child's yeast-hypersensitivity reaction. > > > > This model is very different from the alternative model whereby the > > child who improves via antifungals despite " no " yeast via CDSA is said > > to have yeast colonization despite the negative lab findings. > > > > Parental observations about regressions during allergy seasons would be > > informative. > > > > > > > > > > > > > > > > > > > > Many frequently asked questions and answers can be found at > <http://www.autism-rxguidebook.com/forums> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 Hi, Abbie - Sorry so late - my household still hasn't recovered from my absence at the DAN conference! My son's allergy regimen is detailed below (Nasacort AQ, Nasalcrom, Intal nebs, prn Xopenex nebs, Singulair, Quercetin and Gastrochrom). He is on a yeast-free diet (and all the other F's). We started the Nasalcrom (OTC) and Intal nebs (scrip) when the doc thought that his behavioral blip was due to molds, with great improvement in both asthma/allergies and behaviors. Our next step would be to have him tested for airborne allergens and molds - you can test for 16 types of molds using PND methods (Provocation-Neutralization-Desensitization), which I don't understand very well but is detailed in Doris Rapp's book " Is This Your Child? " and probably elsewhere. Our allergist/DAN doc is Dr. Layton in Towson, MD. My son has not yet had this testing (it's pricey). My daughter (15 years old, severe asthma and allergies, ADHD/ODD/Asperger'y) had the testing done last summer after 5 1/2 years of traditional immunotherapy (which contained molds) and daily asthma management, with improvement but still daily allergy symptoms and asthma flares several times a year. She tested positive to 15 of the 16 molds, and most of the airborne allergens. She started sublingual immunotherapy daily based on the testing results using PND, and her asthma and allergies have never been so well controlled - she is a different child. We were able to stop her allergy shots. She had a symptom flare at the same time as he did (March), and we upped her drops to twice a day, and her symptoms went right away. (Every other year at this time, she ended up on antibiotics and oral steroids and maxed-out asthma management for pneumonis/sinusitis/asthma issues). We haven't done the boy yet, because he hasn't seemed so bad, and for financial issues, but we're heading in that direction. I also scrub their bathroom frequently, and we live in a dry house. He was born in SE Louisiana, with a lagoon (complete with alligator, LOL) in the backyard, so he has had plenty of exposure to mold. I don't think that mold becomes yeast, but I wonder if it cross-reacts or sensitizes you to yeast. Maybe it's just that my kids are so very IgE-mediated allergic. I also think that is " allergic " to yeast. I know that he has IgG to both Brewer's yeast and baker's yeast, and he didn't tolerate Saccharomyces boullardi (thanks to Anagrammy for teaching me about the connection!). He has never been tested for allergy to Candida - is there such a thing? I have not tried him on Aquaflora because of my concerns about possible yeast allergy. Anybody have any thoughts? Kathy yeast not excessive, but child responds to > antifungals; regressions during pollen seasons > > > > During a conversation at the recent DAN! in Mclean, Va, Jim Neubrander, > > M.D., > > offered a fascinating model for understanding why some autistic kids > > show no elevated yeast via CDSA but show positive response to antifungals. > > > > Here is my rendition of Jim's hypothetical offering: > > > > A. Virtually everyone has yeast, and most healthy people would test low > > for Candida species on a CDSA. > > > > B. Jim and other docs have reported that some autistic kids regress > > (mildly?) during times of pollen, an observation that links immune > > reactions to regressions. > > > > C. Jim offered that perhaps the low-yeast-on-CDSA kids who improve via > > an antifungal may be kids who have a hypersensitivity to at least some > > antigens generated by yeast. > > > > D. A parallel is found in allergies to cats and peanuts. Whereas most > > individuals are fine while eating peanuts in the presence of cats, some > > individuals know that the presence of either, even in trace amounts, > > causes adverse reactions. > > > > E. Perhaps the low-yeast-on-CDSA kids who improve via antifungals are > > kids whose hypersensitivity reactions to yeast (see B above) are kids > > for whom the antifungal is (temporarily) drastically reducing the level > > of yeast-derived antigens, thereby minimizing or transiently eliminating > > source of the child's yeast-hypersensitivity reaction. > > > > This model is very different from the alternative model whereby the > > child who improves via antifungals despite " no " yeast via CDSA is said > > to have yeast colonization despite the negative lab findings. > > > > Parental observations about regressions during allergy seasons would be > > informative. > > > > > > > > > > > > > > > > > > > > Many frequently asked questions and answers can be found at > <http://www.autism-rxguidebook.com/forums> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 29, 2004 Report Share Posted April 29, 2004 Abbie et al - Dr. Layton just told me that his personal opinion is that the antifungals treat molds as well as yeast, which is part of the improvement he sees. Molds would not be seen on the CDSA. Maybe this is why some kids get better on antifungals, even with a negative CDSA (except for microscopy)? Another theory. Kathy yeast not excessive, but child responds to > > antifungals; regressions during pollen seasons > > > > > > > During a conversation at the recent DAN! in Mclean, Va, Jim > Neubrander, > > > M.D., > > > offered a fascinating model for understanding why some autistic kids > > > show no elevated yeast via CDSA but show positive response to > antifungals. > > > > > > Here is my rendition of Jim's hypothetical offering: > > > > > > A. Virtually everyone has yeast, and most healthy people would test > low > > > for Candida species on a CDSA. > > > > > > B. Jim and other docs have reported that some autistic kids regress > > > (mildly?) during times of pollen, an observation that links immune > > > reactions to regressions. > > > > > > C. Jim offered that perhaps the low-yeast-on-CDSA kids who improve via > > > an antifungal may be kids who have a hypersensitivity to at least some > > > antigens generated by yeast. > > > > > > D. A parallel is found in allergies to cats and peanuts. Whereas most > > > individuals are fine while eating peanuts in the presence of cats, > some > > > individuals know that the presence of either, even in trace amounts, > > > causes adverse reactions. > > > > > > E. Perhaps the low-yeast-on-CDSA kids who improve via antifungals are > > > kids whose hypersensitivity reactions to yeast (see B above) are kids > > > for whom the antifungal is (temporarily) drastically reducing the > level > > > of yeast-derived antigens, thereby minimizing or transiently > eliminating > > > source of the child's yeast-hypersensitivity reaction. > > > > > > This model is very different from the alternative model whereby the > > > child who improves via antifungals despite " no " yeast via CDSA is said > > > to have yeast colonization despite the negative lab findings. > > > > > > Parental observations about regressions during allergy seasons would > be > > > informative. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Many frequently asked questions and answers can be found at > > <http://www.autism-rxguidebook.com/forums> > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2004 Report Share Posted April 30, 2004 Kathy, This is where Dr Layton's opinion really is a bonus because of his many years as a pediatrician that treats allergies and a DAN doc also. He may be on to something here because I suspect a lot of kids are in this category of no issues on labs but yet they see improvement on anti-fungals. We noticed this with JW. After the flagyl and diflucan made the labs normal, we still saw improvement each time he went on anti-fungals. Maybe some of the kids are hyper sensitive to molds. This is one plausible explanation and I'm sure there are others. In addition, I noticed all of the parents that briefed recovery stories at DAN had anti-fungals as one of their top treatments. I think the key is finding out which anti-fungal (and dose) does best for each child. L PS We see Dr Layton next Tues and I will talk more to him about it. Re: airborne molds (response to Abbie - long) Abbie et al - Dr. Layton just told me that his personal opinion is that the antifungals treat molds as well as yeast, which is part of the improvement he sees. Molds would not be seen on the CDSA. Maybe this is why some kids get better on antifungals, even with a negative CDSA (except for microscopy)? Another theory. Kathy yeast not excessive, but child responds to > > antifungals; regressions during pollen seasons > > > > > > > During a conversation at the recent DAN! in Mclean, Va, Jim > Neubrander, > > > M.D., > > > offered a fascinating model for understanding why some autistic kids > > > show no elevated yeast via CDSA but show positive response to > antifungals. > > > > > > Here is my rendition of Jim's hypothetical offering: > > > > > > A. Virtually everyone has yeast, and most healthy people would test > low > > > for Candida species on a CDSA. > > > > > > B. Jim and other docs have reported that some autistic kids regress > > > (mildly?) during times of pollen, an observation that links immune > > > reactions to regressions. > > > > > > C. Jim offered that perhaps the low-yeast-on-CDSA kids who improve via > > > an antifungal may be kids who have a hypersensitivity to at least some > > > antigens generated by yeast. > > > > > > D. A parallel is found in allergies to cats and peanuts. Whereas most > > > individuals are fine while eating peanuts in the presence of cats, > some > > > individuals know that the presence of either, even in trace amounts, > > > causes adverse reactions. > > > > > > E. Perhaps the low-yeast-on-CDSA kids who improve via antifungals are > > > kids whose hypersensitivity reactions to yeast (see B above) are kids > > > for whom the antifungal is (temporarily) drastically reducing the > level > > > of yeast-derived antigens, thereby minimizing or transiently > eliminating > > > source of the child's yeast-hypersensitivity reaction. > > > > > > This model is very different from the alternative model whereby the > > > child who improves via antifungals despite " no " yeast via CDSA is said > > > to have yeast colonization despite the negative lab findings. > > > > > > Parental observations about regressions during allergy seasons would > be > > > informative. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Many frequently asked questions and answers can be found at > > <http://www.autism-rxguidebook.com/forums> > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2004 Report Share Posted April 30, 2004 After discussion on the list about antifungals/antiyeast/antibacterial meds, I was wondering if someone would list in order the ones that our children currently seem to respond best to. We saw gains with Flagyl and Diflucan. I remember in CSB that these were both recommendations. Thank you, Theresa, SA > Kathy, > > This is where Dr Layton's opinion really is a bonus because of his many > years as a pediatrician that treats allergies and a DAN doc also. He may > be on to something here because I suspect a lot of kids are in this > category of no issues on labs but yet they see improvement on > anti-fungals. We noticed this with JW. After the flagyl and diflucan > made the labs normal, we still saw improvement each time he went on > anti-fungals. Maybe some of the kids are hyper sensitive to molds. This > is one plausible explanation and I'm sure there are others. In addition, > I noticed all of the parents that briefed recovery stories at DAN had > anti-fungals as one of their top treatments. I think the key is finding > out which anti-fungal (and dose) does best for each child. L > PS We see Dr Layton next Tues and I will talk more to him about it. Quote Link to comment Share on other sites More sharing options...
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