PMID- 30427644
OWN - NLM
STAT- MEDLINE
DCOM- 20200210
LR  - 20200210
IS  - 1936-2692 (Electronic)
IS  - 1088-0224 (Linking)
VI  - 24
IP  - 19 Suppl
DP  - 2018 Oct
TI  - Severity of peanut allergy and the unmet gaps in care: a call to action.
PG  - S412-S418
AB  - Peanut allergy is one of the most common food allergies in children, with a 
      prevalence that has been increasing over the past several decades. The allergy is 
      a type I, immunoglobulin E (IgE)-mediated reaction that commonly presents in 
      childhood and can be associated with an anaphylactic response. There are many 
      theories that attempt to explain the increasing prevalence, including dietary 
      changes, improvements in hygiene, and intentional allergen avoidance. Diagnosis 
      is made through a combination of a thorough patient history, peanut-specific 
      serum-specific IgE levels, peanut skin-prick test, and, if necessary, an oral 
      food challenge. Guidelines based on the landmark 2015 Learning Early About Peanut 
      Allergy trial suggest that peanuts should be introduced into the diet as early as 
      4 to 6 months of age in infants who are at highest risk of developing peanut 
      allergy. It is important for providers to recognize risk factors for the 
      development of peanut allergy, identify associated clinical symptoms, and provide 
      an accurate diagnosis of patients to effectively manage them and their families 
      and prevent future reactions.
FAU - Lieberman, Jay A
AU  - Lieberman JA
AD  - Associate Professor, Department of Pediatrics, The University of Tennessee Health 
      Science Center, Memphis, TN. Email: jlieber1@uthsc.edu.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PL  - United States
TA  - Am J Manag Care
JT  - The American journal of managed care
JID - 9613960
MH  - Child
MH  - Child, Preschool
MH  - Humans
MH  - Infant
MH  - *Peanut Hypersensitivity/diagnosis/epidemiology/physiopathology/prevention & 
      control
MH  - Prevalence
EDAT- 2018/11/15 06:00
MHDA- 2020/02/11 06:00
CRDT- 2018/11/15 06:00
PHST- 2018/11/15 06:00 [entrez]
PHST- 2018/11/15 06:00 [pubmed]
PHST- 2020/02/11 06:00 [medline]
AID - 87768 [pii]
PST - ppublish
SO  - Am J Manag Care. 2018 Oct;24(19 Suppl):S412-S418.