Food Allergy
Key Points
Key Points
- FOOD ALLERGY (FA) is an adverse health effect arising from a specific immune response that occurs reproducibly on exposure to a given food.
- The symptoms of this disease can range from mild to severe and, in rare cases, can lead to anaphylaxis.
- The most common food allergens are eggs, milk, peanuts, tree nuts, soy, wheat, crustacean shellfish, and fish.
- Nonallergic food reactions, such as food intolerance, are frequently confused with FAs.
- Food allergy is managed by allergen avoidance or treatment of symptoms.
Definitions
...finitions...
...CED ANAPHYLAXIS is a serious, IgE-medi...
Diagnosis and Assessments
...osis and Assessment...
...Symptoms of Food-Induced Allergic ReactionsHavi...
...itial Assessment
...gnosis
...ral population of children need not be tested for...
...th care professional considering a d...
...should be considered: (A, II) In...
...he medical history and physical examination t...
Parent and patient reports of FA must...
...in puncture test (SPT) ( A , II...
...ergen-specific IgE (sIgE) tests ( A , II )561...
...ntradermal testing ( A , III )561...
...NOT the routine use of measuring t...
...atopy patch test (APT) for the rout...
...ting one or a few specific foods from the...
...od challenges for diagnosing FA. ( A , I...
...e: The double-blind, placebo-controll...
...NOT use any of the following nonstandar...
...slgE tests, and APTs may be considered...
...: The role of these tests in the diagnosis...
...medical history and oral food challeng...
..., when history indicates that infants or...
...l history, resolution of symptoms when...
...cal history, including the absence of symptoms whi...
Use the medical history, including the...
...medical history, including the absence...
...children less than 5 years old with...
Follow Up
...llow Up...
Use follow-up testing for individuals with FA d...
Prevention
Preventi...
...* for developing FA do not need to limit...
...documented or proven IgE-mediated or non-...
...with FA and their caregivers should...
...out documented or proven FA need not avoid pot...
...ll children with FA should have nutrition...
...ith FA and their caregivers should receive...
...medications currently recommended to pr...
Immunizations
Immunization...
...gh consensus recommendations for MMRV vaccine var...
Note: The safety of this practice has be...
Pregnancy and Infancy
...egnancy and Infanc...
...ting maternal diet during pregnancy or lactati...
...ants should be exclusively breast-fed until...
...soy infant formula instead of cowâ€...
Consider using hydrolyzed infant formulas, as...
...d availability of extensively hydrolyzed...
...uction of solid foods should NOT be d...
...isk for developing FA are defined as those...
Treatment Summary
...atment Summary...
The management of food-induced anaphylaxis s...
...mary of the Pharmacologic Management of Anaph...