Background: The prevalence of food allergy in children is increasing worldwide. Strict avoidance of identified allergens from the diet is still the cornerstone of the management of food allergies. There are widespread concerns that food allergy and elimination diet may predispose children to nutrient deficiencies and growth failure. Aim: The aim of this paper was to review the current evidence on growth of children suffering from food allergy. Summarised is literature on the effects of the number and type of offending allergens, the child’s age and affected organ system, as well as the importance of supervision by a dietician/nutritionist. Conclusion: Children suffering from food allergy are stunted at the time of diagnosis and during the elimination diets, irrespective whether or not their nutritional requirements were fulfilled, and/or were under the control of a dietician. This underscores the need for further studies to obtain more precise insight into and better understanding of the mechanisms contributing to growth failure in children suffering from food allergy.
and parasitological processings were all negative. Bone marrow analysis revealed predominance of mature eosinophils without elements of malignant proliferation. Thus, diagnosis of chronic IEP was made. Oral administration of prednisone (0.7 mg/kg) provided a dramatic clinical improvement in two days. The prednisone dose was gradually reduced at intervals of two weeks and inhaled fluticasone 500 mcg daily was added. After 6 months systemic administration of prednisone was discontinued. However, 7 months later relapse of IEP occured. Again, the boy responded very vell to resumed oral prednisone (0.35 mg/kg) which was tapered again over a next 4 months course. Conclusion: The clinical presentation, the course of the disease, the severe eosinophilia of blood and BAL samples, and the absence of other known causes of pulmonary eosinophilia, all these diagnostic clinical elements suggested the diagnosis of chronic IEP. In spite to favourable long-term prognosis further follow-up of the boy is needed because according to modest published clinical experience relapses are always threatening.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.