Food labelling and food-induced anaphylaxis in children. Where are the intersection points?

Abstract

Anaphylaxis is an acute life-threatening condition affecting several body systems. It might have a rapid onset and lead to a lethal outcome. The major provoking factors for the development of anaphylactic reactions in childhood are food allergens. High hypersensitivity to one food allergen can make it difficult for a family to find a substitution for an allergenic product. Food-induced anaphylactic reaction to quite a number of food allergens is a serious problem for both the physician and the family of an allergic child necessitating organization of appropriate and safe nutrition. In real life, the standard recommendation for the patient – to strictly follow the rules of the elimination diet with exclusion of the causative allergen and all cross-reactive allergens – often becomes unrealizable. There is a serious risk of developing new allergic reactions due to accidental intake of the triggering allergens because of incorrect food labelling by manufacturers. The objective of the work is to present a clinical case report that demonstrates the importance of performing allergy component testing (ImmunoCAP ISAC-112,) for identification of the full spectrum of allergens with subsequent assessment of allergenic molecules as triggering allergens and shows serious difficulties in the elaboration of recommendations on a personalised diet that should be adequate and safe for a child with a history of recurrent episodes of food-induced anaphylaxis. Key words: children, life-threatening reactions, allergy component testing, food labelling, food-induced anaphylaxis, food allergens

Anaphylaxis to Cow’s Milk Proteins is a Multifaceted and Unresolved Problem

“…Это относится как к Техническому регламенту, утвержденному решением Комиссии Таможенного союза с поправками Евразийского экономического союза (Российская Федерация, Казахстан, Республика Беларусь), так и к регуляторным документам Европейского союза, США, Канады, Австралии, Японии, КНР и т. д. [44]. Крайне важно отметить, что АФ к БКМ может быть связана с неочевидной (скрытой) экспозицией соответствующих аллергенов (табл.…”