Document Detail

Food allergy and food intolerance: diagnosis and treatment.
MedLine Citation:
PMID:  18709496     Owner:  NLM     Status:  MEDLINE    
Food allergy is a matter of concern because it affects about 0.5-3.8% of the paediatric population and 0.1-1% of adults, and as well may cause life-threatening reactions. Skin prick testing with food extracts and with fresh foods, the measurement of food-specific IgE, elimination diets and a double-blind, placebo-controlled food challenge are the main diagnostic procedures; many non-validated procedures are available, creating confusion among patients and physicians. The treatment of food allergy is still a matter of debate. Antihistamines, corticosteroids and, if necessary (in case of anaphylaxis), epinephrine, are the drugs of choice for the treatment of symptoms of food allergy. Sodium cromolyn may be used prophylactically even though there are no controlled studies certifying its efficacy. The only etiologic treatment of food allergy is specific desensitization. Sublingual-oral-specific desensitization has been used by our group for the treatment of food-allergic patients with a high percentage of success.
Giampiero Patriarca; Domenico Schiavino; Valentina Pecora; Carla Lombardo; Emanuela Pollastrini; Arianna Aruanno; Vito Sabato; Amira Colagiovanni; Angela Rizzi; Tiziana De Pasquale; Chiara Roncallo; Marzia Decinti; Sonia Musumeci; Giovanni Gasbarrini; Alessandro Buonomo; Eleonora Nucera
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Publication Detail:
Type:  Journal Article; Review     Date:  2008-08-16
Journal Detail:
Title:  Internal and emergency medicine     Volume:  4     ISSN:  1970-9366     ISO Abbreviation:  -     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-02     Completed Date:  2009-08-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101263418     Medline TA:  Intern Emerg Med     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  11-24     Citation Subset:  IM    
Department of Allergology, Catholic University Policlinico A. Gemelli, Largo Gemelli, 8, 00168, Rome, Italy.
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MeSH Terms
Diagnostic Techniques and Procedures*
Food Hypersensitivity / diagnosis*,  drug therapy*,  physiopathology

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