_Curr  Opin Pediatr._ (javascript:AL_get(this, 'jour', 'Curr Opin 
Pediatr.');)  2009 Jul 22. [Epub ahead of  print]  
_Related  Articles_ 
(http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&DbFrom=pubmed&Cmd=Link&LinkName=pubmed_pubmed&LinkReadableName=Related%20Article
s&IdsFromResult=19629009&ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pub
med_ResultsPanel.Pubmed_RVAbstract) , _Links_ 
(javascript:PopUpMenu2_Set(Menu19629009);) 

 
(http://www.ncbi.nlm.nih.gov/entrez/utils/fref.fcgi?PrId=3159&itool=Abstract-def&uid=19629009&db=pubmed&url=http://meta.wkhealth.com/pt/pt-core/templat
e-journal/lwwgateway/media/landingpage.htm?issn=1040-8703&volume=&issue=&spa
ge=)  
An update on food allergy.

_Shaker  M_ 
(http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term="Shaker%20M"[Author]&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPa
nel.Pubmed_RVAbstract) , _Woodmansee  D_ 
(http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term="Woodmansee%20D"[Author]&itool=EntrezSystem
2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract) .

Dartmouth-Hitchcock Medical Center, Children's Hospital at  Dartmouth, 
Lebanon, New Hampshire, USA.

PURPOSE OF REVIEW: The present  review serves to address food allergy, 
which is a common problem encountered by  the general pediatrician. Between 4 
and 6% of US children have an allergic  reaction to at least one food, and the 
prevalence of some food allergies appears  to be increasing. RECENT 
FINDINGS: A combination of genetic influences,  characteristics of food antigen 
processing, and timing of food introduction may  influence the development of 
food allergy. Avoidance of highly allergenic foods  beyond 4-6 months may not 
be effective at preventing the development of food  allergy in most 
children, and the effect of specific early introduction of  allergenic foods is 
being investigated. Oral immunotherapy is under  investigation but may be 
limited in future use by several factors, including a  significant rate of 
allergic reactions. SUMMARY: Current management of food  allergy focuses on 
accurate diagnosis, appropriate counseling regarding strict  allergen avoidance 
with review of available educational resources, emergency  preparedness, 
instruction on the use of self-injectable epinephrine, and ongoing  surveillance 
for the possible development of tolerance.

PMID: 19629009  [PubMed - as supplied by publisher]
 
~~ I wonder what they mean by "specific EARLY introduction of allergenic  
foods"... What does early mean to researchers who live in a country which 
does  not really follow WHO recs for exclusive breastfeeding followed by 
appropriate  intro into complementary feeding with continued breastfeeding...
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA

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