PMID- 37098403
OWN - NLM
STAT- MEDLINE
DCOM- 20231023
LR  - 20231106
IS  - 1534-4436 (Electronic)
IS  - 1081-1206 (Linking)
VI  - 131
IP  - 4
DP  - 2023 Oct
TI  - A review of food allergy panels and their consequences.
PG  - 421-426
LID - S1081-1206(23)00268-5 [pii]
LID - 10.1016/j.anai.2023.04.011 [doi]
AB  - Serum immunoglobulin E (IgE) assays to food specific IgE (s-IgE) are useful tools 
      for the confirmation of clinical suspicion of food allergy. However, the 
      specificity of these assays is poor given that sensitization is much more common 
      than clinical food allergy. Therefore, the use of broad panels to assess 
      sensitization to multiple foods often leads to overdiagnosis and unnecessary food 
      avoidance. Unintended consequences that may occur as a result include physical 
      harm, psychological harm, financial cost, opportunity cost, and even worsening of 
      existing health care disparities. Although current guidelines recommend against 
      the use of s-IgE food panel testing, these tests are widely available and 
      frequently used. To limit the negative impacts of s-IgE food panel testing, 
      further work is needed to effectively spread the message that these food panels 
      may cause unintended harm to patients and families.
CI  - Copyright (c) 2023 American College of Allergy, Asthma & Immunology. Published by 
      Elsevier Inc. All rights reserved.
FAU - Parrish, Christopher P
AU  - Parrish CP
AD  - Division of Allergy and Immunology, Departments of Pediatrics and Internal 
      Medicine, University of Texas Southwestern Medical Center, Dallas, Texas. 
      Electronic address: christopher.parrish@utsouthwestern.edu.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20230423
PL  - United States
TA  - Ann Allergy Asthma Immunol
JT  - Annals of allergy, asthma & immunology : official publication of the American 
      College of Allergy, Asthma, & Immunology
JID - 9503580
RN  - 0 (Allergens)
RN  - 37341-29-0 (Immunoglobulin E)
SB  - IM
MH  - Humans
MH  - Skin Tests
MH  - *Food Hypersensitivity/diagnosis/epidemiology
MH  - Allergens
MH  - Food
MH  - Immunoglobulin E
EDAT- 2023/04/26 00:41
MHDA- 2023/10/23 12:45
CRDT- 2023/04/25 19:14
PHST- 2023/01/24 00:00 [received]
PHST- 2023/03/28 00:00 [revised]
PHST- 2023/04/10 00:00 [accepted]
PHST- 2023/10/23 12:45 [medline]
PHST- 2023/04/26 00:41 [pubmed]
PHST- 2023/04/25 19:14 [entrez]
AID - S1081-1206(23)00268-5 [pii]
AID - 10.1016/j.anai.2023.04.011 [doi]
PST - ppublish
SO  - Ann Allergy Asthma Immunol. 2023 Oct;131(4):421-426. doi: 
      10.1016/j.anai.2023.04.011. Epub 2023 Apr 23.