... use of HKL as an adjuvant during immunization can successfully bias the development of antigen- specic cytokine synthesis toward Th cytokine production even in the setting of an ongoing ... Symptoms usually develop within minutes af-ter ingestion of even a trace amount of peanut and may involve cutaneous, cardiovascular, gastrointestinal, genitourinary, and / or respiratory systems. ... of self- injectable epineph-rine (eg, Twinject or EpiPen autoinjectors)Patients and caregivers of a child with peanut allergy, includ-ing parents, teachers, babysitters, daycare workers, and...