Document Detail

Food allergy: diagnosis, treatment, prognosis, and prevention.
MedLine Citation:
PMID:  18751572     Owner:  NLM     Status:  MEDLINE    
Primary care providers are advised to refer to an allergist those children in whom they suspect a food allergic reaction. Approximately 6% of U.S. children have food allergy, although many more parents will present with concerns of a food-induced condition. At higher risk are young children with atopic dermatitis. Generally, the stronger the test response (wheal size or sIgE concentration), the more likely there is to be clinical allergy. However, testing must be applied judiciously. Most importantly, the medical history must be considered in order to interpret test results appropriately. Avoidance of the offending food allergen is currently the only way to prevent reactions. Because exposures and reactions can occur unexpectedly, patients and their families must be prepared to treat symptoms quickly with intramuscular epinephrine in the lateral thigh. Hopefully, additional treatment options will become available in the near future to ease the anxiety and fearfulness that parents and patients face on a daily basis. Until then, healthcare providers are urged to demonstrate the correct administration of autoinjectable epinephrine using a placebo device and review the technique with families on an ongoing basis.
Jennifer S Kim
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pediatric annals     Volume:  37     ISSN:  0090-4481     ISO Abbreviation:  Pediatr Ann     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-28     Completed Date:  2008-10-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0356657     Medline TA:  Pediatr Ann     Country:  United States    
Other Details:
Languages:  eng     Pagination:  546-51     Citation Subset:  IM    
Northwestern University Feinberg School of Medicine, USA.
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MeSH Terms
Adrenergic Agonists / therapeutic use
Allergens / adverse effects*
Child Welfare
Epinephrine / administration & dosage,  therapeutic use*
Food Hypersensitivity / diagnosis*,  drug therapy,  immunology,  prevention & control,  therapy*
Immunoglobulin E / immunology
Risk Factors
Reg. No./Substance:
0/Adrenergic Agonists; 0/Allergens; 37341-29-0/Immunoglobulin E; 51-43-4/Epinephrine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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