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Respiratory reactions induced by food challenges in adults
Author(s) -
BindslevJensen C.
Publication year - 1992
Publication title -
pediatric allergy and immunology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.269
H-Index - 89
eISSN - 1399-3038
pISSN - 0905-6157
DOI - 10.1111/j.1399-3038.1992.tb00050.x
Subject(s) - medicine , respiratory system , asthma , concomitant , food allergy , placebo , allergy , sensitization , respiratory allergy , intensive care medicine , dermatology , pediatrics , immunology , allergen , pathology , alternative medicine
Respiratory symptoms (asthma and/or rhinoconjunctivitis) upon oral intake of foods is most frequently seen in children, although sensitization in adulthood occurs. The diagnosis of food allergy must ecxlusive be based on the outcome of Double‐Blind, Placebo‐Controlled Food Challenges (DBPCFC) false positive results in the challenge tests and resulting unnecessary diet therapy. Only a proportion of true food allergic patients also develop respiratory symptoms, the most predominant symptoms being skin‐ and gastrointestinal sympoms upon intake. A striking feature in DBPCFC positive patients, is the concomitant development of symptoms and signs from more than one organ system (respiratory, skin and/or gastrointestinal). Treatment of food induced respiratory symptoms should be strict avoidance, since no pharmacologie agents has convincingly been shown to protect against development of asthma.