_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_
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(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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