Food challenge procedure: optimal choices for clinical practice

Allergy and Asthma Proceedings
Sami L Bahna

Abstract

The diagnosis of food allergy depends on thorough medical history-taking that may be supplemented with trials of dietary eliminations, skin testing, and specific IgE antibody measurement. However, the reliability of such procedures is often suboptimal. For most cases, oral challenge testing is needed to confirm the diagnosis of food allergy and to identify the causative food(s). Though blinded challenges are ideal, open challenges can be appropriate in some cases, particularly in young children. An optimal design of the procedure would depend on the age of the patient, the anticipated symptoms, and the provoking food quantity. The test is much safer than many surgical and medical procedures being routinely performed. This article presents a practical guideline that can reliably and safely encourage an increased use of this important test in the diagnosis of food allergy.

Citations

Sep 11, 2008·Current Opinion in Pediatrics·Roberto Berni CananiRiccardo Troncone
Jan 1, 2011·Clinical and Translational Allergy·Chee K Woo, Sami L Bahna
Nov 19, 2010·Advances in Medical Sciences·B Cudowska, M Kaczmarski
Apr 25, 2009·Current Opinion in Allergy and Clinical Immunology·Shahid Randhawa, Sami L Bahna
Feb 11, 2015·Expert Review of Clinical Immunology·Ahmad A Mourad, Sami L Bahna
Nov 13, 2012·Allergologia et immunopathologia·M G MurrayS L Bahna
Dec 24, 2011·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Jonathan S Tam, Mitchell H Grayson
Aug 31, 2011·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·James L Chen, Sami L Bahna
Dec 7, 2010·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Soheila J MalekiSami L Bahna
Sep 13, 2011·Nutrition·Roberto Berni CananiRiccardo Troncone
Aug 11, 2015·Pediatrics International : Official Journal of the Japan Pediatric Society·Ayfer Yukselen, Coskun Celtik
Mar 2, 2011·Korean journal of pediatrics·Hye Yung YumBok Yang Pyun
Jun 16, 2009·The Journal of Allergy and Clinical Immunology·Anna Nowak-WegrzynUNKNOWN Adverse Reactions to Food Committee of American Academy of Allergy, Asthma & Immunology
Jul 13, 2016·Immunological Investigations·Samanta S Khora
Nov 7, 2012·Journal of Health Psychology·Linda J HerbertMary E Bollinger
Dec 15, 2010·American Journal of Rhinology & Allergy·Jay A Lieberman, Scott H Sicherer
Jan 13, 2018·Nutrition Reviews·Karla A BascuñánLuca Elli
Apr 18, 2021·Immunology and Allergy Clinics of North America·Sami L Bahna, Amal H Assa'ad
May 21, 2009·Current Opinion in Allergy and Clinical Immunology

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Allergy and Clinical Immunology
Anna Nowak-WegrzynAdverse Reactions to Food Committee of American Academy of Allergy, Asthma & Immunology
Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association
C VenterT Dean
The Journal of Allergy and Clinical Immunology
Gideon Lack
© 2021 Meta ULC. All rights reserved