Food Allergy Diagnosis and Management

Predicting Outcomes of Oral Food Challenges by Using the Allergen-specific IgE/Total IgE Ratio 

Although allergists typically use allergen-specific IgE or skin prick tests to help confirm a suspected food allergy, both tests have the potential to mislabel patients who are tolerant as allergic to the food allergen.  We examined  the accuracy of the ratio of sIgE to total IgE in predicting the outcome of oral food challenges performed to confirm the development of tolerance and found that the ratio is more accurate than allergen-specific EgE in predicting tolerance.  CLICK HERE TO LEARN MORE. 

Factors Associated with Reported Food Allergy Tolerance among US Children

A question that I'm frequently asked by parents is: "When will my child grow out of this allergy?" To answer this question, we recently conducted the largest study of food allergy tolerance to date.  We found that approximately a quarter of children have outgrown their food allergy at an average age of 5.4 years.  CLICK HERE TO LEARN MORE. 

Parent report of Physician Diagnosis in Pediatric Food Allergy

Our national food allergy prevalence survey found that 30% of children with food allergy never receive a formal physician diagnosis, suggesting food allergy is under-diagnosed. We also discuss predictors of underdiagnosis and provide guidance to physicians regarding proper diagnosis of food allergy.  CLICK HERE TO LEARN MORE.  

Food Allergy Diagnosis and Management Practices: The Role of the Pediatrician

Until a cure for food allergy is found, improving management practices in clinical, social, and community settings remains essential. To ensure children receive comprehensive care from his or her pediatrician, this article describes best practices distilled from the recent NIAID  guidelines in food allergy management.  CLICK HERE TO LEARN MORE.  

Childhood Food Allergies: current diagnosis, treatment, and management strategies

The National Institute of Allergy and Infectious Diseases (NIAID) convened an expert panel in 2010 to develop guidelines outlining evidence-based practices in diagnosing and managing food allergy. The purpose of this review is to aid clinicians in translating the NIAID guidelines into primary care practice.  CLICK HERE TO LEARN MORE.  

Anaphylaxis in the Young Adult Population

Young adults are a unique group of individuals that will need guidance on how to manage and treat anaphylaxis if it should arise. The most common trigger for anaphylaxis in this population is food, and proper training of school and college staff is essential on how to react in an emergency situation. Young adults should receive additional counseling addressing increased risk-taking behavior, decreased adult supervision, dating, and the need for increased self-management during this time.  CLICK HERE TO LEARN MORE.  

Food Allergy Diagnosis and Management Practices among Physicians

This paper aimed to 1) estimate the rates of parent-reported versus physician-diagnosed food allergy, 2) determine pediatrician adherence to national guidelines, and 3) obtain pediatricians’ perspectives on guideline non-adherence. We found that that 10.9% of parents reported having a child with food allergy and two thirds of these cases were detected by the pediatrician. Our findings emphasize the need to better establish the role of the pediatrician and to improve awareness and adherence to guidelines. CLICK HERE TO LEARN MORE.