PMID- 26932168
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR  - 20161230
IS  - 1539-6304 (Electronic)
IS  - 1088-5412 (Linking)
VI  - 37
IP  - 2
DP  - 2016 Mar-Apr
TI  - Approach to evaluation and management of a patient with multiple food allergies.
PG  - 86-91
LID - 10.2500/aap.2016.37.3924 [doi]
AB  - BACKGROUND: Diagnosing food allergy is often challenging, and validated testing 
      modalities are mostly limited to immunoglobulin E (IgE)-mediated reactions to 
      foods. Use of food-specific IgE tests and skin prick tests in individuals without 
      a history that supports an IgE-mediated reaction to the specific food being 
      tested diminishes the predictive capabilities of the test. OBJECTIVE: To review 
      the literature regarding evaluation of patients with a concern for multiple food 
      allergies and to demonstrate an evidence-based approach to diagnosis and 
      management. METHODS: A literature search was performed and articles identified as 
      relevant based on the search terms "food allergy," "food allergy diagnosis," 
      "skin prick test," "serum IgE test," "oral food challenge", and "food allergy 
      management." RESULTS: Patients at risk of food allergy are often misdiagnosed and 
      appropriate evaluation of patients with concern for food allergy includes taking 
      a thorough diet history and reaction history, performing specific tests 
      intentionally and when indicated, and conducting an oral food challenge in a safe 
      environment by an experienced provider when test results are inconclusive. 
      CONCLUSION: An evidence-based approach to diagnosing and managing a patient at 
      risk of having a life-threatening food allergy is reviewed.
FAU - Bird, J Andrew
AU  - Bird JA
AD  - Division of Allergy and Immunology, Department of Pediatrics, University of Texas 
      Southwestern Medical Center, and the Food Allergy Center at Children's Medical 
      Center, Dallas, Texas, USA.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PL  - United States
TA  - Allergy Asthma Proc
JT  - Allergy and asthma proceedings
JID - 9603640
RN  - 0 (Allergens)
RN  - 37341-29-0 (Immunoglobulin E)
SB  - IM
MH  - Administration, Oral
MH  - Allergens/administration & dosage/immunology
MH  - Child, Preschool
MH  - Disease Management
MH  - Food/*adverse effects
MH  - Food Hypersensitivity/*diagnosis/epidemiology/prevention & control/*therapy
MH  - Humans
MH  - Immunoglobulin E/blood/immunology
MH  - Male
MH  - Skin Tests
EDAT- 2016/03/05 06:00
MHDA- 2016/12/15 06:00
CRDT- 2016/03/03 06:00
PHST- 2016/03/03 06:00 [entrez]
PHST- 2016/03/05 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - 10.2500/aap.2016.37.3924 [doi]
PST - ppublish
SO  - Allergy Asthma Proc. 2016 Mar-Apr;37(2):86-91. doi: 10.2500/aap.2016.37.3924.