Food allergy: When and how to perform oral food challenges
- 1 November 1999
- journal article
- review article
- Published by Wiley in Pediatric Allergy and Immunology
- Vol. 10 (4), 226-234
- https://doi.org/10.1034/j.1399-3038.1999.00040.x
Abstract
In many situations, the diagnosis of food allergy rests simply upon a history of an acute onset of typical symptoms, such as hives and wheezing, following the isolated ingestion of a suspected food, with confirmatory laboratory studies of positive prick skin tests or RASTs. However, the diagnosis is more complicated when multiple foods are implicated or when chronic diseases, such as asthma or atopic dermatitis, are evaluated. The diagnosis of food allergy and identification of the particular foods responsible is also more difficult when reactions are not mediated by IgE antibody, as is the case with a number of gastrointestinal food allergies. In these latter circumstances, well‐devised elimination diets followed by physician‐supervised oral food challenges are critical in the identification and proper treatment of these disorders. Since childhood food allergies to common allergenic foods such as milk, egg, wheat and soy are usually outgrown, oral food challenges are also an integral part of the long‐term management of these children.Keywords
This publication has 38 references indexed in Scilit:
- To the Editor,Pediatric Allergy and Immunology, 1998
- Exercise-Induced Anaphylaxis: Useful Screening of Food SensitizationAnnals of Allergy, Asthma & Immunology, 1996
- The Clinical Spectrum of Anaphylaxis in North-West EnglandClinical and Experimental Allergy, 1996
- A population study of food intoleranceThe Lancet, 1994
- Dietary protein intolerance in infants with transient methemoglobinemia and diarrheaThe Journal of Pediatrics, 1993
- Patterns of food hypersensitivity during sixteen years of double-blind, placebo-controlled food challengesThe Journal of Pediatrics, 1990
- Natural history of food hypersensitivity in children with atopic dermatitisThe Journal of Pediatrics, 1989
- Milk- and soy-induced enterocolitis of infancy: Clinical features and standardization of challengeThe Journal of Pediatrics, 1978
- Enterocolitis in low-birth-weight infants associated with milk and soy protein intoleranceThe Journal of Pediatrics, 1976
- URTICARIA AND ANGIO-OEDEMA.British Journal of Dermatology, 1969