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PEDIATRICS Vol. 111 No. 6 June 2003, pp. 1645-1653

Nutritional Management of Pediatric Food Hypersensitivity

Shideh Mofidi, MS, RD, CSP

From the Elliot and Roslyn Jaffe Food Allergy Institute, Division of Allergy and Immunology, Department of Pediatrics, Mount Sinai School of Medicine, New York, New York

The diagnosis and management of food allergy requires attention to several important dietary issues. Successful exclusion of identified dietary allergens requires extensive education regarding the interpretation of ingredient labels of commercial products and an appreciation for issues of cross-contact in settings such as restaurants and commercial manufacturing. Once a food or food group is eliminated, attention must be focused on potential dietary insufficiencies resulting from these exclusions. These dietary issues are also central to the successful use of diagnostic elimination diets and physician-supervised oral food challenges. This review provides a framework for the dietary management of food hypersensitivity in infants and children both for short-term diagnostic and long-term therapeutic purposes. In addition, approaches for maternal dietary restriction for breastfed infants with food allergy and the introduction of solid foods to atopic infants are reviewed.

Key Words: food allergy • food hypersensitivity • nutrition • failure to thrive • elimination diet

Abbreviations: RDA, Recommended Dietary Allowance • DRI, Dietary Reference Intake • EFA, essential fatty acid • DHA, docosahexaenoic acid • AAP, American Academy of Pediatrics

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




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