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[New perspectives on the diagnosis and treatment of food allergies in children].
Lakartidningen. 2016 04 05; 113L

Abstract

Acute allergic reactions to food are often IgE mediated. Symptoms vary in severity; from mild oral itching to anaphylactic reactions. Where birch pollen allergy is endemic, mild allergic reactions from e.g. fresh fruits and nuts are most likely caused by cross reactivity between pollen and plants (cross reactions). These mild symptoms, if caused by cross reactivity, do not progress to more severe symptoms, in contrast to »true« food allergy. However, making this distinction is a delicate task, since more severe reactions also often start with mild oral symptoms. Also conventional allergy tests, such as skin-prick test and blood test to detect IgE-antibodies (IgE-ab) to foods, discriminate poorly between cross reactions and true allergy. Component resolved diagnostics, i.e. analysis of IgE-ab to specific proteins in an allergen and CD-sens (Basophil allergen threshold sensitivity), can differentiate pollen-related cross reactions from true allergic reactions that may cause anaphylaxis. There is no widely accepted or evidence based treatment for food allergy, but reports from several studies have been published and many are in progress, where oral immunotherapy probably is the most promising form of treatment.

Authors+Show Affiliations

Karolinska Institutet - Institutionen för klinisk forskning och utbildning, Södersjukhuset och Sachsska Barn och Ungdomossjukhuset Stockholm, Sweden Karolinska Institute - Department of Clinical Science and Education, Södersjukhuset Stockholm, Sweden.- Stockholm, Sweden - Stockholm, Sweden.- Stockholm, Sweden Sachs' Children and Youth Hospital - Department of pediatrics, Södersjukhuset Stockholm, Sweden.- Stockholm, Sweden - Stockholm, Sweden.

Pub Type(s)

Journal Article
Review

Language

swe

PubMed ID

27046752

Citation

Brandström, Josef, et al. "[New Perspectives On the Diagnosis and Treatment of Food Allergies in Children]." Lakartidningen, vol. 113, 2016.
Brandström J, Glaumann S, Vetander M, et al. [New perspectives on the diagnosis and treatment of food allergies in children]. Lakartidningen. 2016;113.
Brandström, J., Glaumann, S., Vetander, M., & Nilsson, C. (2016). [New perspectives on the diagnosis and treatment of food allergies in children]. Lakartidningen, 113.
Brandström J, et al. [New Perspectives On the Diagnosis and Treatment of Food Allergies in Children]. Lakartidningen. 2016 04 5;113 PubMed PMID: 27046752.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [New perspectives on the diagnosis and treatment of food allergies in children]. AU - Brandström,Josef, AU - Glaumann,Susanne, AU - Vetander,Mirja, AU - Nilsson,Caroline, Y1 - 2016/04/05/ PY - 2016/4/6/entrez PY - 2016/4/6/pubmed PY - 2017/1/31/medline JF - Lakartidningen JO - Lakartidningen VL - 113 N2 - Acute allergic reactions to food are often IgE mediated. Symptoms vary in severity; from mild oral itching to anaphylactic reactions. Where birch pollen allergy is endemic, mild allergic reactions from e.g. fresh fruits and nuts are most likely caused by cross reactivity between pollen and plants (cross reactions). These mild symptoms, if caused by cross reactivity, do not progress to more severe symptoms, in contrast to »true« food allergy. However, making this distinction is a delicate task, since more severe reactions also often start with mild oral symptoms. Also conventional allergy tests, such as skin-prick test and blood test to detect IgE-antibodies (IgE-ab) to foods, discriminate poorly between cross reactions and true allergy. Component resolved diagnostics, i.e. analysis of IgE-ab to specific proteins in an allergen and CD-sens (Basophil allergen threshold sensitivity), can differentiate pollen-related cross reactions from true allergic reactions that may cause anaphylaxis. There is no widely accepted or evidence based treatment for food allergy, but reports from several studies have been published and many are in progress, where oral immunotherapy probably is the most promising form of treatment. SN - 1652-7518 UR - https://www.unboundmedicine.com/medline/citation/27046752/[New_perspectives_on_the_diagnosis_and_treatment_of_food_allergies_in_children]_ L2 - http://lakartidningen.se/id=DTU9 DB - PRIME DP - Unbound Medicine ER -