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
...Definitions...
...FOOD-INDUCED ANAPHYLAXIS is a serio...
Diagnosis and Assessments
...Diagnosis and Asse...
...ms of Food-Induced Allergic ReactionsHa...
...itial Assessm...
...Diagnosis...
...al population of children need not be tested fo...
...are professional considering a dia...
...A should be considered: (A, II) In individu...
...he medical history and physical examination t...
...tient reports of FA must be confirmed, because...
...cture test (SPT) ( A , II )561...
...lergen-specific IgE (sIgE) tests ( A ,...
...T intradermal testing ( A , III )56...
...d NOT the routine use of measuring t...
...atopy patch test (APT) for the routine evalua...
...inating one or a few specific foods...
...food challenges for diagnosing FA. ( A ,...
...double-blind, placebo-controlled food challen...
...e any of the following nonstandardized...
...Ts, slgE tests, and APTs may be con...
Note: The role of these tests in th...
...l history and oral food challenge to establi...
...: However, when history indicates that in...
...se the medical history, resolution of symptoms wh...
...medical history, including the absence of...
...ical history, including the resolut...
...ical history, including the absence of s...
...ider children less than 5 years old with modera...
Follow Up
...Follow...
Use follow-up testing for individu...
Prevention
...Prevention...
...isk* for developing FA do not need to limit expo...
...h documented or proven IgE-mediated or non-IgE-med...
...tients with FA and their caregivers sh...
...without documented or proven FA need not...
...dren with FA should have nutritional c...
...th FA and their caregivers should...
...medications currently recommended to p...
Immunizations
...I...
...lthough consensus recommendations f...
...he safety of this practice has been recognized b...
Pregnancy and Infancy
...Pregnancy and Infancy...
...tricting maternal diet during pregnancy or l...
...s should be exclusively breast-fed...
...oy infant formula instead of cow’s...
...sing hydrolyzed infant formulas, as opposed to c...
...Cost and availability of extensively hydrolyzed...
...ction of solid foods should NOT be de...
...at risk for developing FA are defined as those w...
Treatment Summary
...Treatment Sum...
...nagement of food-induced anaphylaxis should focus...
...e 2. Summary of the Pharmacologic Management...