PMID- 36705658 OWN - NLM STAT- MEDLINE DCOM- 20230131 LR - 20230202 IS - 2162-5220 (Electronic) IS - 1710-3568 (Linking) VI - 34 IP - 1 DP - 2023 Jan-Feb TI - When Foods Cause Itch: Clinical Characteristics, Pathophysiology, and Recommendations for Food-Induced Skin and Mucosal Pruritus. PG - 13-20 LID - 10.1089/DERM.0000000000000916 [doi] AB - Itch occurs in various dermatologic and systemic conditions. Many patients report that certain foods instigate itch, although there is limited published information in dermatology on food-induced pruritus. In addition, itch severity is rarely mentioned. Food can induce pruritus through either ingestion or direct contact with skin or mucosal membranes. The most common type of itch provoked by food is acute urticaria, often through the classical immunoglobulin E (IgE)-mediated pathway. Other mechanisms include non-IgE-mediated, mixed (IgE-mediated and non-IgE-mediated), T-cell-mediated, and nonimmune reactions. For patients presenting with urticaria, generalized pruritus, oral pruritus, or dermatitis, a thorough history is warranted, and possible food associations should be considered and assessed. Although any food seems to have the potential to elicit an immune response, certain foods are especially immunogenic. Treatment includes avoidance of the trigger and symptom management. Careful consideration should be used as to avoid unnecessarily restrictive elimination diets. FAU - Vander Does, Ashley AU - Vander Does A AD - From the Dr Phillip Frost Department of Dermatology and Miami Itch Center, University of Miami, FL. FAU - Ju, Teresa AU - Ju T AD - From the Dr Phillip Frost Department of Dermatology and Miami Itch Center, University of Miami, FL. FAU - Yosipovitch, Gil AU - Yosipovitch G AD - From the Dr Phillip Frost Department of Dermatology and Miami Itch Center, University of Miami, FL. LA - eng PT - Journal Article PT - Review PL - United States TA - Dermatitis JT - Dermatitis : contact, atopic, occupational, drug JID - 101207335 RN - 0 (Allergens) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Humans MH - *Dermatitis, Atopic/complications MH - Pruritus/etiology/therapy/diagnosis MH - Skin MH - *Urticaria/etiology MH - Allergens/therapeutic use MH - Immunoglobulin E EDAT- 2023/01/28 06:00 MHDA- 2023/02/01 06:00 CRDT- 2023/01/27 10:53 PHST- 2023/01/27 10:53 [entrez] PHST- 2023/01/28 06:00 [pubmed] PHST- 2023/02/01 06:00 [medline] AID - 10.1089/DERM.0000000000000916 [doi] PST - ppublish SO - Dermatitis. 2023 Jan-Feb;34(1):13-20. doi: 10.1089/DERM.0000000000000916.