Allergy and the Pediatric Otolaryngologist

Victoria S Lee; Sandra Y Lin

doi:10.1016/j.otc.2019.05.005

Allergy and the Pediatric Otolaryngologist

Otolaryngol Clin North Am. 2019 Oct;52(5):863-873. doi: 10.1016/j.otc.2019.05.005. Epub 2019 Jul 26.

Authors

Victoria S Lee¹, Sandra Y Lin²

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Johns Hopkins Outpatient Center, 6th Floor, 601 North Caroline Street, Baltimore, MD 21287-0910, USA.
² Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Johns Hopkins Outpatient Center, 6th Floor, 601 North Caroline Street, Baltimore, MD 21287-0910, USA. Electronic address: slin30@jhmi.edu.

PMID: 31353142
DOI: 10.1016/j.otc.2019.05.005

Abstract

Food allergy and allergic rhinitis are childhood diseases with special relevance to the pediatric otolaryngologist. Much of the diagnosis of food allergy can be made on history alone; strict avoidance is the mainstay treatment. Skin prick testing and serum-specific IgE testing play a stronger role in allergic rhinitis diagnosis. If pharmacotherapy fails, allergen immunotherapy is an option. Currently, there is intense investigation on diagnostic tests, novel treatments, and prevention strategies that could dramatically affect the way these diseases are identified and managed. This article summarizes the epidemiology, pathophysiology, diagnosis, and management of food allergy and allergic rhinitis.

Keywords: Allergic rhinitis; Avoidance; Food allergy; Oral food challenge; Skin prick testing; Specific IgE; Subcutaneous immunotherapy; Sublingual immunotherapy.

Publication types

Review

MeSH terms

Child
Food Hypersensitivity / diagnosis*
Food Hypersensitivity / therapy*
Humans
Immunoglobulin E / blood
Randomized Controlled Trials as Topic
Rhinitis, Allergic / diagnosis*
Rhinitis, Allergic / therapy*
Skin Tests
Sublingual Immunotherapy

Substances

Immunoglobulin E