PMID- 27039392 OWN - NLM STAT- MEDLINE DCOM- 20160922 LR - 20181202 IS - 1534-6315 (Electronic) IS - 1529-7322 (Linking) VI - 16 IP - 5 DP - 2016 May TI - Pearls and Pitfalls in Diagnosing IgE-Mediated Food Allergy. PG - 34 LID - 10.1007/s11882-016-0611-z [doi] AB - The term "food allergy" is used by many patients and clinicians to describe a range of symptoms that occur after ingestion of specific foods. However, not all symptoms occurring after food exposure are due to an allergic, or immunologic, response. It is important to properly evaluate and diagnose immunoglobulin E (IgE)-mediated food allergy as this results in reproducible, immediate onset, allergic reactions that can progress toward life-threatening anaphylaxis. Proper diagnosis requires understanding of the common foods that cause these reactions in addition to key historical elements such as symptoms, timing and duration of reaction, and risk factors that may predispose to development of IgE-mediated food allergy. Diagnostic testing for food-specific IgE can greatly aid the diagnosis. However, false-positive test results are very common and can lead to overinterpretation, misdiagnosis, and unnecessary dietary elimination. This review discusses important aspects to consider during evaluation of a patient for suspected IgE-mediated food allergy. FAU - Stukus, David R AU - Stukus DR AD - Department of Pediatrics, Section of Allergy and Immunology, Nationwide Children's Hospital and The Ohio State University College of Medicine, 700 Children's Drive, Columbus, Ohio, 43205, USA. David.stukus@nationwidechildrens.org. FAU - Mikhail, Irene AU - Mikhail I AD - Department of Pediatrics, Section of Allergy and Immunology, Nationwide Children's Hospital and The Ohio State University College of Medicine, 700 Children's Drive, Columbus, Ohio, 43205, USA. LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Allergy Asthma Rep JT - Current allergy and asthma reports JID - 101096440 RN - 0 (Allergens) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Allergens/immunology MH - Anaphylaxis/immunology MH - Food Hypersensitivity/diagnosis/*immunology MH - Humans MH - Immunoglobulin E/*immunology MH - Physical Examination MH - Recurrence OTO - NOTNLM OT - Anaphylaxis OT - Food allergy OT - Immunoglobulin E OT - Skin prick testing OT - Urticaria EDAT- 2016/04/04 06:00 MHDA- 2016/09/23 06:00 CRDT- 2016/04/04 06:00 PHST- 2016/04/04 06:00 [entrez] PHST- 2016/04/04 06:00 [pubmed] PHST- 2016/09/23 06:00 [medline] AID - 10.1007/s11882-016-0611-z [pii] AID - 10.1007/s11882-016-0611-z [doi] PST - ppublish SO - Curr Allergy Asthma Rep. 2016 May;16(5):34. doi: 10.1007/s11882-016-0611-z.