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Boletín Médico del Hospital Infantil de México

2010, Number 5

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Bol Med Hosp Infant Mex 2010; 67 (5)

Practical approach to the diagnosis of food allergy

Góngora-Meléndez MA, Sienra-Monge JJL, Del Río-Navarro BE, Ávila CL

Language: Spanish
References: 45
Page: 390-398
PDF size: 297.58 Kb.


ABSTRACT

Food allergy has become the first clinical expression of atopy, beginning with dermal o gastric manifestations to continue with asthma an rhinitis (“the atopic march”), a very severe health problem not only for many children and parents, but also for the entire medical and paramedical community. Food allergy is defined as an abnormal immunological reaction to food proteins, which causes an adverse clinical reaction. Most of the people become tolerant to many foods; however, these tolerances sometimes fail and become an immunological reaction.
The evaluation of a child with suspected food allergy includes detailed medical history, physical examination, screening tests and response to elimination diet and to oral food challenge. None of the screening tests —alone or in combination— can definitely diagnose or exclude it.


REFERENCES

  1. Shaker M, Woodmansee D. An update on food allergy. Curr Opin Pediatr 2009;21:667-674.

  2. Sampson HA. Food allergy. Part 2: diagnosis and management. J Allergy Clin Immunol 1999;103:981-999.

  3. Sicherer SH. Food allergy. Lancet 2002;360:701-710.

  4. Sampson HA. Food allergy – accurately identifying clinical reactivity. Allergy 2005;60(suppl 79):19-24.

  5. Sampson HA, Albergo R. Comparison of results of skin tests, RAST, and double-blind, placebo-controlled food challenges in children with atopic dermatitis. J Allergy Clin Immunol 1984;74:26-33.

  6. Burks AW, Mallory SB, Williams LW, Shirrell MA. Atopic dermatitis: clinical relevance of food hypersensitivity reactions. J Pediatr 1988;113:447-451.

  7. Lack G. Food Allergy. N Engl J Med 2008;359:1252-1260.

  8. Bock SA, Buckley J, Holst A, May CD. Proper use of skin tests with food extracts in diagnosis of hypersensitivity to food in children. Clin Allergy 1977;7:375-383.

  9. Sporik R, Hill DJ, Hosking CS. Specificity of allergen skin testing in predicting positive open food challenges to milk, egg and peanut in children. Clin Exp Allergy 2000;30:1540-1546.

  10. Hill DJ, Hosking CS, Reyes-Benito LV. Reducing the need for food allergen challenges in young children: a comparison of in vitro with in vivo tests. Clin Exp Allergy 2001;31:1031-1035.

  11. Berstein IL, Li JT, Berstein DI, Hamilton R, Spector SL, Tan R, et al. Allergy diagnostic testing: an update practice parameter. Ann Allergy Asthma Immunol 2008;100:S1-S148.

  12. Bock SA, Atkins FM. Patterns of food hypersensitivity during sixteen years of double-blind, placebo-controlled food challenges. J Pediatr 1990;117:561-567.

  13. Sampson HA. Comparative study of commercial food antigen extracts for the diagnosis of food hypersensitivity. J Allergy Clin Immunol 1988;82:718-726.

  14. Atkins FM, Steinberg SS, Metcalfe DD. Evaluation of immediate adverse reactions to foods in adult patients. I. Correlation of demographic, laboratory, and prick skin test data with response to controlled oral food challenge. J Allergy Clin Immunol 1985;75:348-355.

  15. Sampson HA. Role of immediate food hypersensitivity in the pathogenesis of atopic dermatitis. J Allergy Clin Immunol 1983;71:473-480.

  16. Ortolani C, Ispano M, Pastorello EA, Ansaloni R, Magri GC. Comparison of results of skin prick tests (with fresh foods and commercial food extracts) and RAST in 100 patients with oral allergy syndrome. J Allergy Clin Immunol 1989;83:683-690.

  17. Ménardo J, Bousquet J, Rodiere M, Astruc J, Michel FB. Skin test reactivity in infancy. J Allergy Clin Immunol 1985;75:646-651.

  18. Sicherer SH, Teuber S, Adverse Reactions to Food Committee. Current approach to the diagnosis and management of adverse reactions to foods. J Allergy Clin Immunol 2004;114:1146-1150.

  19. Chapman JA, Bernstein L, Lee RE, Oppenheimer J, Nicklas RA, Portnoy JM, et al. Food allergy: a practice parameter. Ann Allergy Asthma Immunol 2006;96:S1-S68.

  20. Niggemann B, Reibel S, Wahn U. The atopy patch test (APT) – a useful tool for the diagnosis of food allergy in children with atopic dermatitis. Allergy 2000;55:281-285.

  21. De Boissieu D, Waguet JC, Dupont C. The atopy patch tests for detection of cow’s milk allergy with digestive symptoms. J Pediatr 2003;142:203-205.

  22. Spergel JM, Andrews T, Brown-Whitehorn TF, Beausoleil J, Liacouras CA. Treatment of eosinophilic esophagitis with specific food elimination diet directed by a combination of skin prick and patch tests. Ann Allergy Asthma Immunol 2005;95:336-343.

  23. Cocco R, Solé D. Patch test in the diagnosis of food allergy. Allergol Immunopathol 2009;37:205-207.

  24. Hamilton R. Clinical laboratory assessment of immediate-type hypersensitivity. J Allergy Clin Immunol 2010;125(suppl 2):S284-S296.

  25. Sampson H, Ho DG. Relationship between food-specific IgE concentration and the risk of positive food challenges in children and adolescents. J Allergy Clin Immunol 1997;100:444-451.

  26. Sampson HA. Utility of food-specific IgE concentrations in predicting symptomatic food allergy. J Allergy Clin Immunol 2001;107:891-896.

  27. Perry TT, Matsui EC, Conover-Walker MK, Wood RA. The relationship of allergen-specific IgE levels and oral food challenge outcome. J Allergy Clin Immunol 2004;114:144-149.

  28. Shek LP, Soderstrom L, Ahlstedt S, Beyer K, Sampson HA. Determination of food specific IgE levels over time can predict the development of tolerance in cow’s milk and hen’s egg allergy. J Allergy Clin Immunol 2004;114:387-391.

  29. Sampson HA, MacDonald SM. IgE-dependent histamine-releasing factors. Springer Semin Immunopathol 1993;15:89-98.

  30. Pollard HM, Stuart GJ. Experimental reproduction of gastric allergy in human beings with controlled observations on the mucosa. J Allergy 1942;13:467-473.

  31. Reimann H, Ring J, Ultsch B, Wendt P. Intragastral provocation under endoscopic control (IPEC) in food allergy: mast cell and histamine changes in gastric mucosa. Clin Allergy 1985;15:195-202.

  32. Bock SA, Sampson HA, Atkins FM, Zeiger RS, Lehrer S, Sachs M, et al. Double-blind, placebo-controlled food challenge (DBPCFC) as an office procedure: a manual. J Allergy Clin Immunol 1988;82:986-997.

  33. Berni CR, Ruotolo S, Discepolo V, Troncone R. The diagnosis of food allergy in children. Curr Opin Pediatr 2008;20:584-589.

  34. Hansen TK, Bindslev-Jensen C. Codfish allergy in adults. Identification and diagnosis. Allergy 1992;47:610-617.

  35. Norgaard A, Bindslev-Jensen C. Egg and milk allergy in adults. Diagnosis and characterization. Allergy 1992;47:503-509.

  36. Sicherer SH, Morrow EH, Sampson HA. Dose-response in double-blind, placebo-controlled oral food challenges in children with atopic dermatitis. J Allergy Clin Immunol 2000;105:582-586.

  37. Metcalfe D, Sampson H. Workshop on experimental methodology for clinical studies of adverse reactions to food and food additives. J Allergy Clin Immun 1990;86:421-442.

  38. Sampson HA, Mendelson LM, Rosen JP. Fatal and near-fatal anaphylactic reactions to food in children and adolescents. N Engl J Med 1992;327:380-384.

  39. Sicherer SH, Eigenmann PA, Sampson HA. Clinical features of food protein-induced enterocolitis syndrome. J Pediatr 1998;133:214-219.

  40. Powell G. Food protein-induced enterocolitis of infancy: differential diagnosis and management. Compr Ther 1986;12:28-37.

  41. Executive Committee AAA&I. Personnel and equipment to treat systemic reactions caused by immunotherapy with allergic extracts. American Academy of Allergy and Immunology. J Allergy Clin Immunol 1986;77:271-273.

  42. Stapel SO, Asero R, Ballmer-Weber BK, Knol EF, Strobel S, Vieths S, et al. Testing for IgG4 against foods is not recommended as a diagnostic tool: EAACI Task Force Report. Allergy 2008;63:793-796.

  43. Cerecedo I, Zamora J, Shreffler WG, Lin J, Bardina L, Dieguez MC, et al. Mapping of the IgE and IgG4 sequential epitopes of milk allergens with a peptide microarray–based immunoassay. J Allergy Clin Immunol 2008;122:589-594.

  44. López GH, Copto GA, Reynés MJ, Heller RS, Flores HS, González MM, et al. Consenso de alimentación del niño con alergia alimentaria. Asociación Mexicana de Pediatría. Acta Pediatr Mex 2005;26:270-292.

  45. Sampson HA. Adverse reactions to foods. In: Adkinson N, Bochner B, Busse W, Holgate S, Lemanske R, Simone F, eds. Adkinson: Middleton’s Allergy: Principles and Practice. St. Louis: Mosby, 2008. pp. 1139-1168.




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