This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
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 arrowRequest 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 Bock, S. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bock, S. A.
Related Collections
Right arrow Allergy & Dermatology
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?
PEDIATRICS Vol. 111 No. 6 June 2003, pp. 1638-1644

Diagnostic Evaluation

S. Allan Bock, MD

From the National Jewish Medical and Research Center, University of Colorado Health Sciences Center, Denver, Colorado

The diagnosis and management of adverse food reactions is a challenge for pediatricians and other primary care providers. Children of all ages may present with a variety of symptoms that parents have attributed to constituents of the diet. An approach has been devised to aid pediatricians in the evaluation of these children. The process begins with a detailed history. This history may be used to classify the problem into categories of symptoms and possible mechanisms. When common food offenders are suspected of causing symptoms, it is reasonable to obtain in vitro tests that may then be used to decide whether elimination of certain foods is indicated and whether a referral to an allergist is needed. Using this approach, the physician may be able to identify children who are experiencing food-allergic symptoms and aid frustrated families in dealing with problems that have not had apparent solutions. The application of specific testing and the assessment of the results are discussed. Also reviewed are the techniques used by allergists so that pediatricians may help families understand procedures that will be recommended and performed.

Key Words: double-blind placebo-controlled food challenge • CAP System fluorescent enzyme immunoassay • radioallergosorbent test • oligoantigenic diet • prick skin test • food hypersensitivity • immunoglobulin E-mediated food hypersensitivity • non–immunoglobulin E-mediated food hypersensitivity

Abbreviations: IgE, immunoglobulin E • PST, prick/puncture skin test • FEIA, fluorescent enzyme immunoassay • DBPCFC, double-blind placebo-controlled food challenge

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


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 GutHome page
E Isolauri, S Rautava, and M Kalliomaki
Food allergy in irritable bowel syndrome: new facts and old fallacies
Gut, October 1, 2004; 53(10): 1391 - 1393.
[Abstract] [Full Text] [PDF]