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...
...OD-INDUCED ANAPHYLAXIS is a serious, IgE-me...
Diagnosis and Assessments
...gnosis and Assessm...
...Symptoms of Food-Induced Allergic ReactionsHav...
...l Assessment...
...agnosis
...ulation of children need not be tested for FA...
...health care professional considering...
...d be considered: (A, II) In individuals presen...
...medical history and physical examinati...
...ent and patient reports of FA must be confir...
...n puncture test (SPT) ( A , II )561...
...n-specific IgE (sIgE) tests ( A ,...
...intradermal testing ( A , III...
...the routine use of measuring total s...
...o NOT use atopy patch test (APT) for the routi...
...ating one or a few specific foods from the di...
...oral food challenges for diagnosing FA. ( A ,...
...ote: The double-blind, placebo-contr...
...OT use any of the following nonstandardized...
...slgE tests, and APTs may be consid...
...te: The role of these tests in the diagno...
...history and oral food challenge to establi...
...te: However, when history indicates that infants...
Use the medical history, resolution of sympt...
...the medical history, including the a...
Use the medical history, including the res...
...l history, including the absence of symp...
...n less than 5 years old with moderat...
Follow Up
...low Up...
...p testing for individuals with FA...
Prevention
...vention...
...k* for developing FA do not need to...
...viduals with documented or proven IgE-med...
...ents with FA and their caregivers should...
Individuals without documented or proven FA nee...
All children with FA should have nutritional...
...s with FA and their caregivers should rece...
...here are no medications currently recom...
Immunizations
...nizations...
Although consensus recommendations for MMR...
...ety of this practice has been recogni...
Pregnancy and Infancy
...nancy and Infan...
...ng maternal diet during pregnancy o...
...should be exclusively breast-fed until 4 to...
...g soy infant formula instead of cow’s...
...der using hydrolyzed infant formul...
...and availability of extensively hydr...
...uction of solid foods should NOT be del...
* Patients at risk for developing FA are defined...
Treatment Summary
...ment Summary...
...gement of food-induced anaphylaxis should focus...
...le 2. Summary of the Pharmacologic Management...