Document Detail

Food allergy: a practical update from the gastroenterological viewpoint.
MedLine Citation:
PMID:  17279290     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To present an up-to-date and critical review regarding food allergies, focusing mainly on treatment and prevention. SOURCES: Review of published literature searched on MEDLINE database; those data which were the most up-to-date and representative were selected (2000-2006). The search included the European Society of Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the American Academy of Pediatrics (AAP). SUMMARY OF THE FINDINGS: The prevalence of allergic diseases has increased over the last decades, and food allergy seems to be part of this increase. Food allergy is much more common in pediatrics and has a significant medical, financial and social impact on young children and their families. Treatment and prevention of food allergy is a major challenge for public health, scientific and medical communities. There is a lot of misinformation and the medical management of this condition is still discussable. We present and discuss the guidelines regarding criteria for the prevention of food allergy and atopic diseases published by the Nutrition Committees of ESPGHAN jointly with the European Society for Pediatric Allergy and Clinical Immunology (ESPACI) and AAP. CONCLUSION: The overdiagnosis of food allergy is quite prevalent. There is a need for standardization of definitions and diagnostic procedures. The primary goal of therapy should be to first establish effective means of preventing food allergies. There is a need for accurate diagnostic methods to confirm or rule out the diagnosis. Patients need appropriate treatment by eliminating foods that cause symptoms, while avoiding the nutritional side effects and the cost of inappropriate diets.
Cristina Targa Ferreira; Ernest Seidman
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Jornal de pediatria     Volume:  83     ISSN:  0021-7557     ISO Abbreviation:  J Pediatr (Rio J)     Publication Date:    2007 Jan-Feb
Date Detail:
Created Date:  2007-02-06     Completed Date:  2007-09-06     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  2985188R     Medline TA:  J Pediatr (Rio J)     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  7-20     Citation Subset:  IM    
Gastroenterologista e endoscopista pediátrica. Mestre, Fundação Faculdade Federal de Ciências Médicas de Porto Alegre, Porto Alegre, RS, Brasil. Doutora, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.
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MeSH Terms
Acute Disease
Allergens / adverse effects,  immunology
Breast Feeding
Child Nutritional Physiological Phenomena / immunology*
Child, Preschool
Chronic Disease
Food Hypersensitivity / diagnosis,  diet therapy*,  prevention & control
Gastrointestinal Diseases / etiology,  immunology*
Immunoglobulin E / blood,  immunology
Infant Formula / administration & dosage
Infant, Newborn
Milk Hypersensitivity / diagnosis,  diet therapy,  prevention & control
Prenatal Nutritional Physiological Phenomena / immunology
Radioallergosorbent Test
Skin Tests
Soy Milk / administration & dosage
Reg. No./Substance:
0/Allergens; 37341-29-0/Immunoglobulin E
Comment In:
J Pediatr (Rio J). 2007 Jul-Aug;83(4):381-2; author reply 382   [PMID:  17676240 ]

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