Summary
Adverse reactions to ingested foods are extremely common, especially in children. Different pathogenetic mechanisms underlie them, only those mediated by immune processes being defined as food allergies. Allergic reactions to food are due to several distinct immune reactions and can lead to a number of signs and symptoms, including diarrhea. Clinical presentations of the most common food allergies are illustrated, along with an outline of proper laboratory methods that are available to aid in the correct diagnostic approach. In spite of new, interesting developments, treatment of these conditions is still largely based on the elimination of the identified food allergens.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Cochrane S, Beyer K, Clausen M, Wjst M, Hiller R, Nicoletti C, Szepfalusi Z, Savelkoul H, Breiteneder H, Manios Y, Crittenden R, Burney P. Factors influencing the incidence and prevalence of food allergy. Allergy 2009;64(9):1246–1255.
Sicherer SH, Munoz-Furlong A, Sampson HA. Prevalence of seafood allergy in the United States determined by a random telephone survey. J Allergy Clin Immunol 2004;114(1):159–165.
Sicherer SH. Clinical aspects of gastrointestinal food allergy in childhood. Pediatrics 2003;111(6 Pt 3):1609–1616.
Guandalini S, Nocerino A. Food protein intolerance. In: Chris A. Liacouras M, ed. e-Medicine, 2009, http://www.emedicine.com/
Mari A, Ballmer-Weber BK, Vieths S. The oral allergy syndrome: improved diagnostic and treatment methods. Curr Opin Allergy Clin Immunol 2005;5(3): 267–273.
Rothenberg ME. Eosinophilic gastrointestinal disorders (EGID). J Allergy Clin Immunol 2004;113(1):11–28; quiz 29.
Liacouras CA, Ruchelli E. Eosinophilic esophagitis. Curr Opin Pediatr 2004; 16(5):560–566.
Sgouros SN, Bergele C, Mantides A. Eosinophilic esophagitis in adults: a systematic review. Eur J Gastroenterol Hepatol 2006;18(2):211–217.
Kagalwalla AF, Sentongo TA, Ritz S, Hess T, Nelson SP, Emerick KM, Melin-Aldana H, Li BU. Effect of six-food elimination diet on clinical and histologic outcomes in eosinophilic esophagitis. Clin Gastroenterol Hepatol 2006;4(9): 1097–1102.
Sicherer SH. Food protein-induced enterocolitis syndrome: clinical perspectives. J Pediatr Gastroenterol Nutr 2000;30 Suppl:S45–S49.
Nowak-Wegrzyn A, et al. Food protein-induced enterocolitis syndrome caused by solid food proteins. Pediatrics 2003;111(4 Pt 1):829–835.
Levy Y, Danon YL. Food protein-induced enterocolitis syndrome―not only due to cow’s milk and soy. Pediatr Allergy Immunol 2003;14(4):325–329.
Ravelli A, Villanacci V, Chiappa S, Bolognini S, Manenti S, Fuoti M. Dietary protein-induced proctocolitis in childhood. Am J Gastroenterol 2008;103(10): 2605–2612.
Sampson HA. Utility of food-specific IgE concentrations in predicting symptomatic food allergy. J Allergy Clin Immunol 2001;107(5):891–896.
Guajardo JR, et al. Eosinophil-associated gastrointestinal disorders: a world-wide-web based registry. J Pediatr 2002;141(4):576–581.
Hwang JB, Sohn SM, Kim AS. Prospective follow-up oral food challenge in food protein-induced enterocolitis syndrome. Arch Dis Child 2009;94(6):425–438.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Guandalini, S. (2010). Food Allergy. In: Guandalini, S., Vaziri, H. (eds) Diarrhea. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-183-7_6
Download citation
DOI: https://doi.org/10.1007/978-1-60761-183-7_6
Published:
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-60761-182-0
Online ISBN: 978-1-60761-183-7
eBook Packages: MedicineMedicine (R0)