Food Allergy

Publication Date: August 1, 2014

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

...efinitions...

...INDUCED ANAPHYLAXIS is a serious, IgE-...


Diagnosis and Assessments

...agnosis and Assessme...

...1. Symptoms of Food-Induced Allergic ReactionsHa...


...tial Assessment...


Diagnos...

...population of children need not be...

...lth care professional considering a dia...

FA should be considered: (A, II) I...

...l history and physical examination to aid in the...

...patient reports of FA must be confirmed, be...

A skin puncture test (SPT) ( A , II )561

...-specific IgE (sIgE) tests ( A , I...

...ut NOT intradermal testing ( A , II...

...nd NOT the routine use of measuring total serum...

...NOT use atopy patch test (APT) for the routine...

...or a few specific foods from the diet m...

...challenges for diagnosing FA. ( A , I )...

...The double-blind, placebo-controlled food challen...

...of the following nonstandardized tests for the r...

..., slgE tests, and APTs may be considered to hel...

...e role of these tests in the diagnosis of o...

...e the medical history and oral foo...


Note: However, when history indicates that infan...

...history, resolution of symptoms when th...

...e the medical history, including the absence of...

Use the medical history, including the resol...

...the medical history, including the abse...

Consider children less than 5 years old with...


Follow Up

Follow...

...p testing for individuals with FA depending o...


Prevention

Preventi...

...* for developing FA do not need to limit...


...ndividuals with documented or proven IgE-m...


...and their caregivers should be provided...


...without documented or proven FA need n...


...children with FA should have nutritional...


...als with FA and their caregivers should...


...e are no medications currently recommend...


Immunizations

...mmunizati...

...onsensus recommendations for MMRV...


...: The safety of this practice has been recognized...


Pregnancy and Infancy

...egnancy and Infan...

...maternal diet during pregnancy or lactation...


...infants should be exclusively breast-fed unt...


...ant formula instead of cow’s milk i...


...ider using hydrolyzed infant formulas,...

...d availability of extensively hydrolyzed infa...


...troduction of solid foods should NOT be...


...risk for developing FA are defined as tho...


Treatment Summary

...eatment Summa...

...t of food-induced anaphylaxis shoul...


...e 2. Summary of the Pharmacologic Managem...