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Respiratory manifestations of food allergy.

Abstract

Food allergy may present with a variety of respiratory tract symptoms that generally involve immunoglobulin E antibody-mediated responses. Exposure is typically through ingestion, but in some cases, inhalation of airborne food particles may trigger these reactions. Upper and lower respiratory tract reactions are often a significant component of multisystem, anaphylactic reactions. However, chronic or isolated asthma or rhinitis induced by food is unusual. It is important to recognize that food allergy in early childhood is a marker indicating an increased risk to develop respiratory allergy. The role of food allergy in otitis media is controversial and probably is extremely rare. Likewise, asthmatic responses to food additives can occur but are uncommon. Studies using blinded oral food challenges have demonstrated that foods can elicit airway hyperreactivity and asthmatic responses. Therefore, an evaluation for food allergy should be considered in patients who are at risk, including those with recalcitrant or otherwise unexplained acute, severe asthma exacerbations, asthma triggered after ingestion of particular foods, and asthma that is accompanied by other manifestations of food allergy (e.g., anaphylaxis, moderate to severe atopic dermatitis).

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  • Publisher Full Text
  • Authors+Show Affiliations

    Colorado Allergy and Asthma Centers, PC, Fort Collins, Colorado 80525, USA. jamesftco@earthlink.net

    Source

    Pediatrics 111:6 Pt 3 2003 Jun pg 1625-30

    MeSH

    Animals
    Food Hypersensitivity
    Humans
    Respiratory Hypersensitivity

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    12777602

    Citation

    James, John M.. "Respiratory Manifestations of Food Allergy." Pediatrics, vol. 111, no. 6 Pt 3, 2003, pp. 1625-30.
    James JM. Respiratory manifestations of food allergy. Pediatrics. 2003;111(6 Pt 3):1625-30.
    James, J. M. (2003). Respiratory manifestations of food allergy. Pediatrics, 111(6 Pt 3), pp. 1625-30.
    James JM. Respiratory Manifestations of Food Allergy. Pediatrics. 2003;111(6 Pt 3):1625-30. PubMed PMID: 12777602.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Respiratory manifestations of food allergy. A1 - James,John M, PY - 2003/6/5/pubmed PY - 2003/6/18/medline PY - 2003/6/5/entrez SP - 1625 EP - 30 JF - Pediatrics JO - Pediatrics VL - 111 IS - 6 Pt 3 N2 - Food allergy may present with a variety of respiratory tract symptoms that generally involve immunoglobulin E antibody-mediated responses. Exposure is typically through ingestion, but in some cases, inhalation of airborne food particles may trigger these reactions. Upper and lower respiratory tract reactions are often a significant component of multisystem, anaphylactic reactions. However, chronic or isolated asthma or rhinitis induced by food is unusual. It is important to recognize that food allergy in early childhood is a marker indicating an increased risk to develop respiratory allergy. The role of food allergy in otitis media is controversial and probably is extremely rare. Likewise, asthmatic responses to food additives can occur but are uncommon. Studies using blinded oral food challenges have demonstrated that foods can elicit airway hyperreactivity and asthmatic responses. Therefore, an evaluation for food allergy should be considered in patients who are at risk, including those with recalcitrant or otherwise unexplained acute, severe asthma exacerbations, asthma triggered after ingestion of particular foods, and asthma that is accompanied by other manifestations of food allergy (e.g., anaphylaxis, moderate to severe atopic dermatitis). SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/12777602/full_citation L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=12777602 DB - PRIME DP - Unbound Medicine ER -