PMID- 15842229 OWN - NLM STAT- MEDLINE DCOM- 20060131 LR - 20050421 IS - 0105-4538 (Print) IS - 0105-4538 (Linking) VI - 60 Suppl 79 DP - 2005 TI - Food allergy--accurately identifying clinical reactivity. PG - 19-24 AB - Up to 25% of adults believe that they or their children are afflicted with a food allergy. However, the actual prevalence of food allergy is much lower: approximately 6-8% of children suffer from food allergy during their first 3 years of life, and many children then develop clinical tolerance. Food allergy encompasses a whole spectrum of disorders, with symptoms that may be cutaneous, gastrointestinal or respiratory in nature. Food disorders also differ according to the extent that they are immunoglobulin E (IgE)-mediated. Skin-prick testing is often used to identify food sensitization, although double-blind, placebo-controlled food challenge (DBPCFC) tests remain the gold standard for diagnosis. Recent evidence suggests that quantitative IgE measurements can predict the outcome of DBPCFC tests and can replace about half of all oral food challenges. When an extensive medical history is obtained in combination with IgE quantification, even fewer patients may require formal food challenges. It has also become possible to map the IgE-binding regions of many major food allergens. This may help to identify children with persistent food allergy, as opposed to those who may develop clinical tolerance. In future, microarray technology may enable physicians to screen patients for a large number of food proteins and epitopes, using just a few drops of blood. FAU - Sampson, H A AU - Sampson HA AD - Department of Pediatrics, Mount Sinai School of Medicine, New York, NY 10029, USA. LA - eng PT - Journal Article PT - Review PL - Denmark TA - Allergy JT - Allergy JID - 7804028 RN - 0 (Epitopes) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adult MH - Antibody Specificity MH - Child MH - Child, Preschool MH - Epitopes/immunology MH - Food Hypersensitivity/blood/*diagnosis/epidemiology MH - Humans MH - Hypersensitivity, Delayed/blood/diagnosis MH - Immunoglobulin E/blood MH - Immunologic Tests MH - Prevalence MH - Respiratory Hypersensitivity/blood/diagnosis RF - 42 EDAT- 2005/04/22 09:00 MHDA- 2006/02/01 09:00 CRDT- 2005/04/22 09:00 PHST- 2005/04/22 09:00 [pubmed] PHST- 2006/02/01 09:00 [medline] PHST- 2005/04/22 09:00 [entrez] AID - ALL853 [pii] AID - 10.1111/j.1398-9995.2005.00853.x [doi] PST - ppublish SO - Allergy. 2005;60 Suppl 79:19-24. doi: 10.1111/j.1398-9995.2005.00853.x.