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
...efinitions...
...OOD-INDUCED ANAPHYLAXIS is a serious, IgE-mediate...
Diagnosis and Assessments
...sis and Assessments...
...ms of Food-Induced Allergic ReactionsHaving troub...
...nitial Assess...
...iagnos...
...general population of children need not be t...
...are professional considering a diagnosis of...
FA should be considered: (A, II) In indi...
...medical history and physical examination to aid...
...t and patient reports of FA must be confi...
...kin puncture test (SPT) ( A , II )...
...en-specific IgE (sIgE) tests ( A , II )561...
...OT intradermal testing ( A , III )...
...d NOT the routine use of measuring total...
...atopy patch test (APT) for the routine evaluat...
...ing one or a few specific foods from the d...
...oral food challenges for diagnosing FA. ( A ,...
...The double-blind, placebo-controll...
...NOT use any of the following nonstandardiz...
...slgE tests, and APTs may be considered...
...The role of these tests in the diagnosis of...
...medical history and oral food chal...
...ever, when history indicates that inf...
...the medical history, resolution of symptoms whe...
...history, including the absence of symptoms...
...the medical history, including the resolution of...
...medical history, including the absence o...
...children less than 5 years old with moderate t...
Follow Up
...llow Up...
...-up testing for individuals with FA d...
Prevention
...vention...
...k* for developing FA do not need to limit ex...
...documented or proven IgE-mediated or non-...
...FA and their caregivers should be p...
...ithout documented or proven FA need not avoid...
...l children with FA should have nutrition...
...s with FA and their caregivers should...
...e no medications currently recommended to p...
Immunizations
...unizations...
...ough consensus recommendations for MMRV vaccine...
Note: The safety of this practice has been...
Pregnancy and Infancy
...nancy and Infancy...
...ricting maternal diet during pregnancy o...
...nfants should be exclusively breast-fed un...
...y infant formula instead of cow’s milk infant...
...ng hydrolyzed infant formulas, as opp...
...Cost and availability of extensive...
...duction of solid foods should NOT be delayed beyon...
...atients at risk for developing FA are defined a...
Treatment Summary
...ment Summary...
...nt of food-induced anaphylaxis sho...
...mary of the Pharmacologic Management of Ana...