Food Allergy Point of Care Pearls

Immunol Allergy Clin North Am. 2018 May;38(2):e1-e8. doi: 10.1016/j.iac.2017.10.003. Epub 2018 Feb 23.

Abstract

Food allergy should be suspected in individuals with a history of immediate reactivity following ingestion (ie, typically within 20 minutes and almost always within 2 hours) with typical symptoms of immunoglobulin E-mediated reactivity (eg, urticaria, angioedema, coughing, wheezing, vomiting). Testing for food allergy should focus on the most likely allergen to provoke the reaction based on the patient's history. Safe introduction of peanut-containing foods into the diet of an infant at high risk of developing peanut allergy at 4 to 6 months is likely to reduce the risk of peanut allergy.

Keywords: Food allergy; Food allergy diagnosis; Peanut allergy; Testing for food allergy.

Publication types

  • Review

MeSH terms

  • Adrenergic beta-Agonists / therapeutic use
  • Allergens / immunology*
  • Diagnosis, Differential
  • Dietary Proteins / immunology*
  • Feeding Behavior*
  • Food Hypersensitivity / diagnosis*
  • Food Hypersensitivity / drug therapy
  • Food Hypersensitivity / immunology
  • Food Hypersensitivity / prevention & control
  • Food Labeling
  • Humans
  • Immunoglobulin E / immunology*
  • Immunotherapy / methods
  • Risk Factors
  • Skin Irritancy Tests / methods
  • Time Factors

Substances

  • Adrenergic beta-Agonists
  • Allergens
  • Dietary Proteins
  • Immunoglobulin E