Advances in the diagnosis and management of allergic disease: Applications to South African practice

Pentz, Adele; Green, Robin J.

doi:10.7196/samj.8959

Cited by 1 publication

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Clinicians should inform patients on how to deal with their food allergies. Patients and their parents must be educated on FA in terms of natural history (which is related to the type of food allergen involved), management including prevention of accidental exposure, and rescue therapy in the event of adverse reaction 164 , 165 …”

Section: Management Issues With Respect To Local Circumstancesmentioning

confidence: 99%

Challenges of managing food allergy in the developing world

Hossny

Ebisawa

El-Gamal

et al. 2019

World Allergy Organization Journal

View full text Add to dashboard Cite

Food allergy (FA) is currently a significant health care problem in the developing world. Widely varying study populations and methodologies, the use of surrogate markers such as self report or hospitalization rates due to anaphylaxis rather than objective methods, limits robust estimation of FA prevalence in low income settings. Also, allergy is under-recognized as a clinical specialty in the developing world which compromises the chance for accurate diagnosis. In this review, most published data on food allergens from developing or low income countries are displayed. The diagnostic challenges and limitations of treatment options are discussed. It seems that FA is an under-appreciated health care issue in the developing world, and accurate determination of its burden in low-income settings represents an important unmet need. Multicenter surveillance studies, using standardized methodologies, are, therefore, needed to reveal the true extent of the problem and provide epidemiological clues for prevention. Preventive strategies should be tailored to fit local circumstances in different geographic regions. In addition, studying the gene environment interactions and impact of early life microbiota on the expression of FA in developing communities would be worthwhile. Efforts and resources should be directed toward public health education and training of health care providers dealing with food allergic patients.

show abstract

Section: Management Issues With Respect To Local Circumstancesmentioning

confidence: 99%