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...
...FOOD-INDUCED ANAPHYLAXIS is a s...
Diagnosis and Assessments
...iagnosis and Assessments
...e 1. Symptoms of Food-Induced Allergic...
...nitial Assess...
...agnosi...
...population of children need not be tes...
...care professional considering a diagno...
...be considered: (A, II) In individual...
Use the medical history and physical examinatio...
...and patient reports of FA must be confir...
...ure test (SPT) ( A , II )56...
...lergen-specific IgE (sIgE) tests...
...ntradermal testing ( A , III )561...
...ine use of measuring total serum IgE ( A ,...
...py patch test (APT) for the routine evaluation of...
...ne or a few specific foods from th...
...oral food challenges for diagnosing FA. ( A , I...
...ote: The double-blind, placebo-controlled food cha...
...y of the following nonstandardized t...
...s, and APTs may be considered to h...
...ote: The role of these tests in the diagnosis o...
...he medical history and oral food c...
...r, when history indicates that infants...
...se the medical history, resolution of symptoms w...
...e the medical history, including the a...
...dical history, including the resolut...
...the medical history, including the absenc...
...ldren less than 5 years old with moderate to seve...
Follow Up
Follow Up
...sting for individuals with FA depend...
Prevention
...revention
...k* for developing FA do not need to limit...
...ls with documented or proven IgE-mediated or non...
...ents with FA and their caregivers should be pr...
...dividuals without documented or proven...
...n with FA should have nutritional...
...with FA and their caregivers should...
...here are no medications currently recommende...
Immunizations
...unizations
...nsus recommendations for MMRV vaccine vary from t...
...: The safety of this practice has been recognize...
Pregnancy and Infancy
...ancy and Infancy...
...aternal diet during pregnancy or lactatio...
...infants should be exclusively breast-fed until 4...
...y infant formula instead of cow’s milk inf...
...ng hydrolyzed infant formulas, as opposed to cowâ€...
...and availability of extensively hydrolyzed infa...
...roduction of solid foods should NOT be delayed...
...at risk for developing FA are defined as those...
Treatment Summary
...atment Summary
...t of food-induced anaphylaxis should focus o...
...Summary of the Pharmacologic Management of A...