Current Allergy and Asthma Reports

, Volume 1, Issue 1, pp 54–60

Food allergy and the respiratory tract

  • John M. James

DOI: 10.1007/s11882-001-0097-0

Cite this article as:
James, J.M. Curr Allergy Asthma Rep (2001) 1: 54. doi:10.1007/s11882-001-0097-0


Previous studies have confirmed that IgE-mediated, food allergy-induced respiratory tract symptoms occur, typically accompanied by cutaneous or gastrointestinal symptoms. The possibility that respiratory tract symptoms are food allergy induced should be considered in patients who have a current or past history of one or more of the following: atopic dermatitis, wheezing (or experiencing anaphylactic symptoms) after ingesting a particular food or foods, and confirmed food allergy. Moreover, the work-up of food allergy in asthma should be considered in patients in whom asthma is poorly controlled despite persistent use of appropriate asthma medications. A definitive diagnosis of food allergy should be based on clinical history, appropriate laboratory testing, and, when indicated, well-controlled oral food challenges. Treatment is based on establishing a safe elimination diet and an emergency plan for managing reactions caused by accidental ingestion.

Copyright information

© Current Science Inc. 2001

Authors and Affiliations

  • John M. James
    • 1
  1. 1.Colorado Allergy and Asthma Centers, PCFort CollinsUSA

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