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Manifestations of food allergy: evaluation and management.
Am Fam Physician. 1999 Jan 15; 59(2):415-24, 429-30.AF

Abstract

The term "food allergy" refers to adverse immunologic reactions to food. Food allergy is usually mediated by IgE antibody directed to specific food proteins, but other immunologic mechanisms can also play a role. The primary target organs for food allergic reactions are the skin, the gastrointestinal tract and the respiratory system. Both acute reactions (hives and anaphylaxis) and chronic disease (asthma, atopic dermatitis and gastrointestinal disorders) may be caused or exacerbated by food allergy. The foods most commonly causing these reactions in children are milk, egg, peanuts, soy, wheat, tree nuts, fish and shellfish; in adults, they are peanuts, tree nuts, shellfish and fish. The diagnosis of food allergy requires a careful search for possible causes, confirmation of the cause(s) with supporting tests, including specific tests for IgE (i.e., prick skin tests, radioallergosorbent tests) and, in some cases, oral food challenges. Treatment consists of elimination of the causal food(s) along with medical treatment, including the prompt self-administration of epinephrine in the event of a serious reaction.

Authors+Show Affiliations

Division of Pediatric Allergy/Immunology, Mount Sinai Hospital, New York, N.Y. 10029-6574, USA.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

9930132

Citation

Sicherer, S H.. "Manifestations of Food Allergy: Evaluation and Management." American Family Physician, vol. 59, no. 2, 1999, pp. 415-24, 429-30.
Sicherer SH. Manifestations of food allergy: evaluation and management. Am Fam Physician. 1999;59(2):415-24, 429-30.
Sicherer, S. H. (1999). Manifestations of food allergy: evaluation and management. American Family Physician, 59(2), 415-24, 429-30.
Sicherer SH. Manifestations of Food Allergy: Evaluation and Management. Am Fam Physician. 1999 Jan 15;59(2):415-24, 429-30. PubMed PMID: 9930132.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Manifestations of food allergy: evaluation and management. A1 - Sicherer,S H, PY - 1999/2/4/pubmed PY - 1999/2/4/medline PY - 1999/2/4/entrez SP - 415-24, 429-30 JF - American family physician JO - Am Fam Physician VL - 59 IS - 2 N2 - The term "food allergy" refers to adverse immunologic reactions to food. Food allergy is usually mediated by IgE antibody directed to specific food proteins, but other immunologic mechanisms can also play a role. The primary target organs for food allergic reactions are the skin, the gastrointestinal tract and the respiratory system. Both acute reactions (hives and anaphylaxis) and chronic disease (asthma, atopic dermatitis and gastrointestinal disorders) may be caused or exacerbated by food allergy. The foods most commonly causing these reactions in children are milk, egg, peanuts, soy, wheat, tree nuts, fish and shellfish; in adults, they are peanuts, tree nuts, shellfish and fish. The diagnosis of food allergy requires a careful search for possible causes, confirmation of the cause(s) with supporting tests, including specific tests for IgE (i.e., prick skin tests, radioallergosorbent tests) and, in some cases, oral food challenges. Treatment consists of elimination of the causal food(s) along with medical treatment, including the prompt self-administration of epinephrine in the event of a serious reaction. SN - 0002-838X UR - https://www.unboundmedicine.com/medline/citation/9930132/Manifestations_of_food_allergy:_evaluation_and_management_ L2 - https://www.aafp.org/link_out?pmid=9930132 DB - PRIME DP - Unbound Medicine ER -