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
...efinitions...
...OOD-INDUCED ANAPHYLAXIS is a serious, IgE-m...
Diagnosis and Assessments
...gnosis and Assessment...
...ymptoms of Food-Induced Allergic ReactionsHav...
...tial Assessme...
Diagno...
...eral population of children need not be tested...
...care professional considering a diagnosis o...
...considered: (A, II) In individuals presen...
...cal history and physical examination to a...
Parent and patient reports of FA must be co...
...puncture test (SPT) ( A , II )561...
...ecific IgE (sIgE) tests ( A , II )561...
...t NOT intradermal testing ( A , III...
...utine use of measuring total serum IgE ( A , III...
...atopy patch test (APT) for the routine evaluation...
...inating one or a few specific foods from th...
...oral food challenges for diagnosing FA. ( A ,...
...e: The double-blind, placebo-controlled foo...
...of the following nonstandardized...
...sts, and APTs may be considered to help identify f...
...The role of these tests in the diagnosis of...
...medical history and oral food challenge to...
...ever, when history indicates that infants or ch...
...al history, resolution of symptoms when t...
Use the medical history, including the absenc...
...dical history, including the resolution o...
...edical history, including the absence...
...er children less than 5 years old with mode...
Follow Up
Follow...
...up testing for individuals with FA depending on...
Prevention
...revention
...tients at risk* for developing FA do not need to l...
...ls with documented or proven IgE-mediated or non-I...
...FA and their caregivers should be provided w...
...uals without documented or proven FA nee...
...h FA should have nutritional counseling and regula...
...duals with FA and their caregivers should receive...
...re are no medications currently recommended...
Immunizations
...munizations
...consensus recommendations for MMRV vaccine vary fr...
...y of this practice has been recognized...
Pregnancy and Infancy
...ancy and Infancy
...ernal diet during pregnancy or lactation as a str...
...should be exclusively breast-fed until 4 to...
...sing soy infant formula instead of co...
...der using hydrolyzed infant formul...
...ost and availability of extensivel...
...roduction of solid foods should NO...
...Patients at risk for developing FA are defined as...
Treatment Summary
...reatment Summa...
...ment of food-induced anaphylaxis should focus on...
...of the Pharmacologic Management of...