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    The document summarizes a study that evaluated 234 children referred to a pediatric allergy clinic for suspected food allergies. The most common symptoms reported were anaphylaxis, wheezing, urticaria, and eczema. The top suspected foods were milk, egg, and wheat. Oral food challenge tests found that 44 of 356 challenges were positive, confirming food allergies in those patients. Milk was the most common food allergy identified. The study concludes that using a diagnostic algorithm including oral food challenges helps correctly diagnose food allergies and prevent unnecessary dietary restrictions or morbidity.

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    The document summarizes a study that evaluated 234 children referred to a pediatric allergy clinic for suspected food allergies. The most common symptoms reported were anaphylaxis, wheezing, urticaria, and eczema. The top suspected foods were milk, egg, and wheat. Oral food challenge tests found that 44 of 356 challenges were positive, confirming food allergies in those patients. Milk was the most common food allergy identified. The study concludes that using a diagnostic algorithm including oral food challenges helps correctly diagnose food allergies and prevent unnecessary dietary restrictions or morbidity.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    7 views1 page

    Scientific Meetings 012

    Uploaded by

    Singey Lhendup
    The document summarizes a study that evaluated 234 children referred to a pediatric allergy clinic for suspected food allergies. The most common symptoms reported were anaphylaxis, wheezing, urticaria, and eczema. The top suspected foods were milk, egg, and wheat. Oral food challenge tests found that 44 of 356 challenges were positive, confirming food allergies in those patients. Milk was the most common food allergy identified. The study concludes that using a diagnostic algorithm including oral food challenges helps correctly diagnose food allergies and prevent unnecessary dietary restrictions or morbidity.

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    © All Rights Reserved
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    Diagnostic evaluation of suspected food allergies in children


    Batmaz, S1 ; Arikoglu, T1 ; Uyaniker, M2 ; Erdodan, S1 ; Kuyucu, S1
    1
    Mersin University Hospital, Pediatric Allergy and Immunology, Mersin, Turkey;
    2
    Mersin University Hospital, Pediatrics, Mersin, Turkey

    Background: Food allergy is among the most complaints in children and its prevalance
    increased in recent years. Although history, physical examination and laboratory tests can be
    used for diagnosis, the gold standart is oral food challenge test. The aim of this study was to
    evaluate the clinical, laboratory and food challenge test results of patients who had been
    admitted to our department with a suspicion of food allergy.

    Method: A total of 234 children, all of whom were admitted to Mersin University Faculty of
    Medicine, Pediatric Allergy and Immunology Department between January 2009 and August
    2011, with a suspicion of food allergy according to their history, physical examination and/or
    laboratory findings were evaluated by means of serum food spesific IgE, skin prick tests and
    oral food challenge tests.

    Result: Total of 63.6% of the patients were male. The mean age was 3.5 years (4 months
    14.8 years). The admission symptoms included one or more of the following; anaphylaxis,
    wheezing, urticaria/ angioedema, cough, eczema, nasal congestion, rhinorrhea, perioral
    erythema, eye congestion, vomiting, and/or, generalized itching. The mostly suspected foods
    were milk, egg and wheat. We performed food elimination and oral challenge tests to
    children who were suspected to have food allergy according to history (169 challenges), and
    laboratory (serum specific IgE level >0.35 kUA/l and/or skin test positivity) findings (187
    challenges). Forty-four (12.3%) oral food challenge tests were positive among a total of 356
    challenges. These patients were mostly the ones whose symptoms (mostly wheezing)
    resolved after an elimination diet. By performing challenge tests 35 IgE mediated and 9 non
    IgE mediated food allergy were proven. Milk allergy was the most common food allergy,
    proven by oral food challenge.

    Conclusion: In our population, most of the suspected food allergies could be excluded by a
    rational diagnostic algorithm which included an oral food challenge as a gold standart test.
    Correct diagnosis is important to prevent both unnecessary dietary restrictions, and also,
    morbidity due to food allergy.

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