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I fully agree with Ms Schultz that nuts and peanuts should be excluded from the diets of all young children because of the risk of aspiration. However, the letter by Ms Schultz raises an important point. Many infants are given peanut butter and other foods that contain nut products prior to their third birthday. These products often are overlooked as sources of major allergens. In my remarks, which were directed at the question of allergenicity, I wished to emphasize that all peanutand nut-containing products should be avoided.
Sampson HA. Peanuts in Infants: Inhalants as Well as Allergens-Reply. JAMA. 1989;261(15):2202. doi:10.1001/jama.1989.03420150052033