PMID- 21792544 OWN - NLM STAT- MEDLINE DCOM- 20120126 LR - 20211020 IS - 1534-312X (Electronic) IS - 1522-8037 (Linking) VI - 13 IP - 5 DP - 2011 Oct TI - Differentiating food allergies from food intolerances. PG - 426-34 LID - 10.1007/s11894-011-0215-7 [doi] AB - Adverse reactions to foods are extremely common, and generally they are attributed to allergy. However, clinical manifestations of various degrees of severity related to ingestion of foods can arise as a result of a number of disorders, only some of which can be defined as allergic, implying an immune mechanism. Recent epidemiological data in North America showed that the prevalence of food allergy in children has increased. The most common food allergens in the United States include egg, milk, peanut, tree nuts, wheat, crustacean shellfish, and soy. This review examines the various forms of food intolerances (immunoglobulin E [IgE] and non-IgE mediated), including celiac disease and gluten sensitivity. Immune mediated reactions can be either IgE mediated or non-IgE mediated. Among the first group, Immediate GI hypersensitivity and oral allergy syndrome are the best described. Often, but not always, IgE-mediated food allergies are entities such as eosinophilic esophagitis and eosinophilic gastroenteropathy. Non IgE-mediated immune mediated food reactions include celiac disease and gluten sensitivity, two increasingly recognized disorders. Finally, non-immune mediated reactions encompass different categories such as disorders of digestion and absorption, inborn errors of metabolism, as well as pharmacological and toxic reactions. FAU - Guandalini, Stefano AU - Guandalini S AD - Section of Pediatric Gastroenterology, Celiac Disease Center, University of Chicago, 5839 S. Maryland Ave, MC 4065, Chicago, IL 60637, USA. sguandalini@peds.bsd.uchicago.edu FAU - Newland, Catherine AU - Newland C LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Gastroenterol Rep JT - Current gastroenterology reports JID - 100888896 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Food/*adverse effects MH - Food Hypersensitivity/*diagnosis/immunology MH - Gastrointestinal Diseases/*diagnosis/etiology MH - Humans MH - Immunoglobulin E EDAT- 2011/07/28 06:00 MHDA- 2012/01/27 06:00 CRDT- 2011/07/28 06:00 PHST- 2011/07/28 06:00 [entrez] PHST- 2011/07/28 06:00 [pubmed] PHST- 2012/01/27 06:00 [medline] AID - 10.1007/s11894-011-0215-7 [doi] PST - ppublish SO - Curr Gastroenterol Rep. 2011 Oct;13(5):426-34. doi: 10.1007/s11894-011-0215-7.