Diagnosis and management of food allergy
- Jan Bernhisel-Broadbent MD
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Food allergy affects 8% of children under 3 years of age and roughly 2% of the adult population. Major targets include cutaneous, gastrointestinal, and respiratory organs. Clinicians must recognize the spectrum of food allergy in order for these patients to be diagnosed accurately and managed. IgE-mediated reactions can progress rapidly, and severe reactions are often associated with refractory bronchoconstriction. IgE-mediated allergic patients should be equipped with education, an emergency action plan, and injectable epinephrine to aggressively treat food-induced reactions and prevent fatalities.
- Guarnaccia S, Muraro MA: Classification of adverse reactions to foods. Pediatr Allergy Immunol 1995, 6(suppl 8):13–19.
- Sampson HA, Anderson JA: Summary and recommendations: classification of g Efficacy of carotid endarterectomy for asymptomatic carotid stenosis. The Veterans Affairs astrointestinal manifestations due to immunologic reactions to foods in infants and young children. J Pediatr Gastroenterol Nutr 2000, 30(suppl 1):87–94. CrossRef
- Yunginger JW, Sweeney KG, Sturner WQ, et al.: Fatal food-induced anaphylaxis. JAMA 1988, 260:1450–1452. CrossRef
- Champion R, Roberts S, Carpenter R: Urticaria and angioedema: a review of 554 patients. Br J Dermatol 1969, 81:588–595. CrossRef
- Sampson HA, Mendelson LM, Rosen JP: Fatal and near-fatal anaphylactic reaction to food in children and adolescents. N Engl J Med 1992, 71:473–480.
- Sampson HA: Role of immediate food hypersensitivity in the pathogenesis of atopic dermatitis. J Allergy Clin Immunol 1983, 71:473–480. CrossRef
- Burks AW, James JM, Heigel A, et al.: Atopic dermatitis and food hypersensitivity reactions. J Pediatr 1998, 132:132–136. CrossRef
- Eigenmann PA, Sicherer SH, Barkowski TA, et al.: Prevalence of IgE-mediated food allergy among children with atopic dermatitis. Pediatrics 1998, 101:E8.
- Eigenmann PA, Calza AM: Diagnosis of IgE-mediated food allergy among Swiss children with atopic dermatitis. Pediatr Allergy Immunol 2000, 11:95–110. CrossRef
- Ortolani C, Ispano M, Pastorello EA, et al.: Comparison of results of skin prick tests (with fresh foods and commercial food extracts) and RAST in 100 patients with oral allergy syndrome. J Allergy Clin Immunol 1989, 83:683–690. CrossRef
- Kelly KF, Lazenby AJ, Rowe PC, et al.: Eosinophilic esophagitis attributed to gastroesophageal reflux: improvement with an amino-acid based formula. Gastroenterology 1995, 109:1503–1512. CrossRef
- Yocum MW, Khon DA: Assessment of patients who have experienced anaphylaxis: a 3-year survey. Mayo Clin Proc 1994, 69:16–23.
- Pumphrey RSH: Lessons for management of anaphylaxis from a study of fatal reactions. Clin Exp Allergy 2000, 30:1144–1150. CrossRef
- Horan R, Sheffer A: Food-dependent exercise-induced anaphylaxis. Immunol Allergy Clin North Am 1991, 11:757.
- Romano A, DiFonso M, Guiffreda F, et al.: Diagnostic work-up for food-dependent exercise-induced anaphylaxis. Allergy 1995, 50:817–824. CrossRef
- Primeau MN, Kagan R, Joseph L, et al.: The psychological burden of peanut allergy as perceived by adults with peanut allergy and the parents of peanut-allergic children. Clin Exp Allergy 2000, 30:1135–1143. CrossRef
- Sampson HA, Ho DG: Relationship between food-specific IgE concentrations and the risk of positive food challenges in children and adolescents. J Allergy Clin Immunol 1997, 100:447–451. CrossRef
- Yunginger JW, Ahlstedt S, Eggleston PA, et al.: Quantitative IgE antibody assays in allergic diseases. J Allergy Clin Immunol 2000, 105:1077–1084. CrossRef
- Sampson HA: Food allergy: part 2: diagnosis and management. J Allergy Clin Immunol 1999, 103:981–988. CrossRef
- Hourihane JO: Prevalence and severity of food allergy—need for control. Allergy 1998, 53(suppl 46):84–88.
- Huggett AC, Hischenhubec C: Food manufacturing initiatives to protect the allergic consumer. Allergy 1998, 53(suppl 46):89–92.
- Sampson HA: Food allergy. JAMA 1997, 278:1888–1894. CrossRef
- Berhisel-Broadbent J, Sampson HA: Cross-allergenicity in the legume botanical family in children with food hypersensitivity. J Allergy Clin Immunol 1989, 83:435–440. CrossRef
- Foucard T, Malmheden Yman I: A study on severe food reactions in Sweden—is soy protein an underestimated cause of food anaphylaxis? Allergy 1999, 54:261–265. CrossRef
- Sicherer SA, Sampson HA, Burks AW: Peanut and soy allergy: a clinical and therapeutic dilemma. Allergy 2000, 55:515–521. CrossRef
- Kjellman NI: Adverse reaction to foods: management and prognosis. Pediatr Allergy Immunol 1995, 6(suppl 8):54–58.
- Sicherer SH, Furlong TJ, DeSimone J, Sampson HA: Self-reported allergic reactions to peanut on commercial airliners. J Allergy Clin Immunol 1999, 104:186–189. CrossRef
- Sicherer SH, Munoz-Furlong A, Burks AW, Sampson HA: Prevalence of peanut and tree nut allergy in the US determined by a random digit dial telephone survey. J Allergy Clin Immunol 1999, 103:559–562. CrossRef
- Sampson HA: Peanut anaphylaxis. J Allergy Clin Immunol 1990, 86:1–3. CrossRef
- Simons EF, Roberts JR, Gu X, Simons KJ: Epinephrine absorption in children with a history of anaphylaxis. J Allergy Clin Immunol 1998, 101:33–37. CrossRef
- Muller U, Mosebeck H, Aberer W, et al.: EAACI position statement: adrenaline for emergency kits. Allergy 1995, 50:783–787. CrossRef
- Luyt DL, Dunbar H, Baker H: Nut allergy in children: investigation and management. J R Soc Med 2000, 93:283–287.
- Sampson HA: Fatal food-induced anaphylaxis. Allergy 1998, 53(suppl 46):125–130. CrossRef
- Wahn U: Review series VI: the immunology of fetuses and infants: what drives the allergic march? Allergy 2000, 55:591–599. CrossRef
- Diagnosis and management of food allergy
Current Allergy and Asthma Reports
Volume 1, Issue 1 , pp 67-75
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- 1. Bryner Clinic, Intermountain Health Care and Department of Pediatrics, Division of Immunology, University of Utah Health Sciences Center, 2180 E 4500 SO, Suite 245, 84117, Salt Lake City, UT, USA