Title
Food allergy and food intolerance : diagnosis and treatment
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Subject
Human medicine
Source (journal)
Internal and emergency medicine. - -
Volume/pages
4(2009) :1 , p. 11-24
ISSN
1828-0447
ISI
000264319300004
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Abstract
Food allergy is a matter of concern because it affects about 0.53.8% of the paediatric population and 0.11% of adults, and as well may cause life-threatening reactions. Skin prick testing with food extracts and with fresh foods, the measurement of food-specific IgE, elimination diets and a double-blind, placebo-controlled food challenge are the main diagnostic procedures; many non-validated procedures are available, creating confusion among patients and physicians. The treatment of food allergy is still a matter of debate. Antihistamines, corticosteroids and, if necessary (in case of anaphylaxis), epinephrine, are the drugs of choice for the treatment of symptoms of food allergy. Sodium cromolyn may be used prophylactically even though there are no controlled studies certifying its efficacy. The only etiologic treatment of food allergy is specific desensitization. Sublingual-oral-specific desensitization has been used by our group for the treatment of food-allergic patients with a high percentage of success.
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