This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Burks, W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Burks, W.
Related Collections
Right arrow Allergy & Dermatology
PEDIATRICS Vol. 111 No. 6 June 2003, pp. 1617-1624

Skin Manifestations of Food Allergy

Wesley Burks, MD

From the University of Arkansas for Medical Sciences, Arkansas Children’s Hospital, Little Rock, Arkansas

The pediatrician is faced with evaluating a panoply of skin rashes, a subset of which may be induced by food allergy. Acute urticaria is a common manifestation of an allergic skin response to food, but food is rarely a cause of chronic urticaria. Approximately one third of infants/children with moderate to severe atopic dermatitis have food allergy. Although diagnosis of acute urticaria provoked by a food may be evident from a straightforward history and confirmed by diagnostic tests to detect food-specific IgE antibody, determination of the role of food allergy in patients with atopic dermatitis is more difficult and may require additional diagnostic maneuvers, including elimination diets and oral food challenges. The immunopathologic basis of food-allergic disorders that affect the skin and a rational approach to diagnosis and treatment are discussed. Additional disorders that are caused by or mimic ones caused by food allergy are reviewed.

Key Words: atopic dermatitis • urticaria • angioedema • dermatitis herpetiformis • auriculotemporal syndrome (Frey syndrome)

Abbreviations: AD, atopic dermatitis • IgE, immunoglobulin E • SBHR, spontaneous basophil histamine release • DBPCFC, double-blind, placebo-controlled food challenge • RAST, radioallergosorbent test • PST, prick skin test

Received for publication Sep 11, 2002; Accepted Oct 30, 2002.




This article has been cited by other articles:


Home page
 The Journal of School NursingHome page
J. Powers, M. Dewey Bergren, and L. Finnegan
Comparison of School Food Allergy Emergency Plans to the Food Allergy and Anaphylaxis Network's Standard Plan
The Journal of School Nursing, October 1, 2007; 23(5): 252 - 256.
[Abstract] [PDF]