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
...initions
...FOOD-INDUCED ANAPHYLAXIS is a seri...
Diagnosis and Assessments
...agnosis and Assessments
...toms of Food-Induced Allergic React...
...tial Assessmen...
Diagno...
...neral population of children need not be tested f...
...professional considering a diagnosis of food-...
...sidered: (A, II) In individuals presenting...
...edical history and physical examination to aid...
...patient reports of FA must be confirmed, because...
...puncture test (SPT) ( A , II )561...
...specific IgE (sIgE) tests ( A , II )561...
...ntradermal testing ( A , III )5...
...utine use of measuring total serum IgE ( A , III...
...use atopy patch test (APT) for the...
...inating one or a few specific food...
...se oral food challenges for diagno...
...-blind, placebo-controlled food challenge...
...NOT use any of the following nonstandardized test...
...slgE tests, and APTs may be conside...
...e: The role of these tests in the d...
...he medical history and oral food challen...
...ote: However, when history indicates...
...e the medical history, resolution of symptom...
...edical history, including the absence of sympt...
...edical history, including the resolution...
...cal history, including the absence...
...er children less than 5 years old wit...
Follow Up
...ollow U...
...sting for individuals with FA depending on t...
Prevention
...vention...
...risk* for developing FA do not need to...
...s with documented or proven IgE-me...
...th FA and their caregivers should be provided wit...
...without documented or proven FA need n...
...ldren with FA should have nutritio...
Individuals with FA and their careg...
...re are no medications currently recomm...
Immunizations
...mmunizati...
...ugh consensus recommendations for MMRV vaccine var...
...safety of this practice has been recognized...
Pregnancy and Infancy
...ancy and Infanc...
...icting maternal diet during pregnancy or lactat...
...fants should be exclusively breast-fed u...
...fant formula instead of cow’s milk infant...
...der using hydrolyzed infant formulas, as oppos...
...e: Cost and availability of extensively hydr...
...introduction of solid foods should NOT be de...
...risk for developing FA are defined as t...
Treatment Summary
...eatment Summ...
...nagement of food-induced anaphylaxis sh...
...le 2. Summary of the Pharmacologic Manageme...