The Likelihood of Remission of Food Allergy in Children: When Is the Optimal Time for Challenge?

Wood, Robert A.

doi:10.1007/s11882-011-0237-0

Cited by 6 publications

(2 citation statements)

References 46 publications

(45 reference statements)

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“…In patients with persistent allergy with unchanged specific IgE levels for several years, testing can be performed less frequently over time 88 . Factors to consider before deciding to pursue an OFC include the chance of success, the potential for risk, and the preferences of the patient and family including the importance of the food to the diet 103 . Other important considerations may include patient age, history of reactions, family characteristics, and comorbidities (e.g.…”

Section: Natural Coursementioning

confidence: 99%

Food Allergy

Savage¹,

Johns²

2015

Immunology and Allergy Clinics of North America

234

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Synopsis The prevalence of food allergy is rising for unclear reasons, with prevalence estimates in the developed world approaching 10%. Knowledge regarding the natural course of food allergies is important because it can aid the clinician in diagnosing food allergies and in determining when to consider evaluation for food allergy resolution. Many food allergies with onset in early childhood are outgrown later in childhood, although a minority of food allergy is persistent into adolescence and even adulthood. More research is needed to improve food allergy diagnosis, treatment, and prevention.

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Section: Natural Coursementioning

confidence: 99%

Food Allergy

Savage¹,

Johns²

2015

Immunology and Allergy Clinics of North America

234

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“…First, they have been used to assess the accuracy of other diagnostic methods, including skin tests, patch tests, and measurement of allergen-specific IgE levels [8][9][10][11][12][13][14][15] . Second, they have been used to assess threshold doses for different allergenic foods, providing essential data for the establishment of guidelines for the food industry and revealing the potential risks of low-level allergen exposure [16][17][18] .…”

Section: Oral Challenge Testingmentioning

confidence: 99%

Diagnostic Elimination Diets and Oral Food Provocation

Wood¹

2015

Food Allergy: Molecular Basis and Clinical Practice

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Accurately diagnosing patients with suspected food allergy is obviously critically important. The patient's health may be compromised if problem foods are left in the diet, while nutrition and quality of life may be negatively affected if foods are unnecessarily removed from the diet. In some patients, the diagnosis is very straightforward, such as with anaphylaxis with the first known exposure to peanut, but in many cases, the diagnosis will not be clear based on the history, skin tests, and serologic tests, especially because these tests often yield falsely positive results. In these instances, further testing will be needed, typically including diagnostic elimination diets and/or oral food challenges, which are the gold standard for the diagnosis of food allergy.

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Pearls and Pitfalls in Diagnosing IgE-Mediated Food Allergy

Stukus

2016

Curr Allergy Asthma Rep

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The term "food allergy" is used by many patients and clinicians to describe a range of symptoms that occur after ingestion of specific foods. However, not all symptoms occurring after food exposure are due to an allergic, or immunologic, response. It is important to properly evaluate and diagnose immunoglobulin E (IgE)-mediated food allergy as this results in reproducible, immediate onset, allergic reactions that can progress toward life-threatening anaphylaxis. Proper diagnosis requires understanding of the common foods that cause these reactions in addition to key historical elements such as symptoms, timing and duration of reaction, and risk factors that may predispose to development of IgE-mediated food allergy. Diagnostic testing for food-specific IgE can greatly aid the diagnosis. However, false-positive test results are very common and can lead to overinterpretation, misdiagnosis, and unnecessary dietary elimination. This review discusses important aspects to consider during evaluation of a patient for suspected IgE-mediated food allergy.

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The Likelihood of Remission of Food Allergy in Children: When Is the Optimal Time for Challenge?

Cited by 6 publications

References 46 publications

Food Allergy

Food Allergy

Diagnostic Elimination Diets and Oral Food Provocation

Pearls and Pitfalls in Diagnosing IgE-Mediated Food Allergy

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