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Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsored expert panel

Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsored expert panel
Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsored expert panel
Food allergy is an important public health problem that affects children and adults and may be increasing in prevalence. Despite the risk of severe allergic reactions and even death, there is no current treatment for food allergy: the disease can only be managed by allergen avoidance or treatment of symptoms. The diagnosis and management of food allergy also may vary from one clinical practice setting to another. Finally, because patients frequently confuse nonallergic food reactions, such as food intolerance, with food allergies, there is an unfounded belief among the public that food allergy prevalence is higher than it truly is. In response to these concerns, the National Institute of Allergy and Infectious Diseases, working with 34 professional organizations, federal agencies, and patient advocacy groups, led the development of clinical guidelines for the diagnosis and management of food allergy. These Guidelines are intended for use by a wide variety of health care professionals, including family practice physicians, clinical specialists, and nurse practitioners. The Guidelines include a consensus definition for food allergy, discuss comorbid conditions often associated with food allergy, and focus on both IgE-mediated and non-IgE-mediated reactions to food. Topics addressed include the epidemiology, natural history, diagnosis, and management of food allergy, as well as the management of severe symptoms and anaphylaxis. These Guidelines provide 43 concise clinical recommendations and additional guidance on points of current controversy in patient management. They also identify gaps in the current scientific knowledge to be addressed through future research.
food, allergy, anaphylaxis, diagnosis, disease management, guidelines
0091-6749
S1-S58
Boyce, Joshua A.
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Assa'ad, Amal
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Burks, A. Wesley
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Jones, Stacie M.
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Sampson, Hugh A.
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Wood, Robert A.
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Plaut, Marshall
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Cooper, Susan F.
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Fenton, Matthew J.
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Arshad, S. Hasan
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Bahna, Sami L.
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Beck, Lisa A.
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Byrd-Bredbenner, Carol
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Camargo, Carlos A.
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Eichenfield, Lawrence
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Furuta, Glenn T.
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Hanifin, Jon M.
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Jones, Carol
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Kraft, Monica
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Levy, Bruce D.
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Lieberman, Phil
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Luccioli, Stefano
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McCall, Kathleen M.
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Schneider, Lynda C.
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Simon, Ronald A.
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Simons, F. Estelle R.
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Teach, Stephen J.
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Yawn, Barbara P.
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Schwaninger, Julie M.
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NIAID-Sponsored Expert Panel
Boyce, Joshua A.
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Assa'ad, Amal
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Burks, A. Wesley
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Jones, Stacie M.
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Sampson, Hugh A.
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Wood, Robert A.
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Plaut, Marshall
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Cooper, Susan F.
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Fenton, Matthew J.
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Arshad, S. Hasan
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Bahna, Sami L.
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Beck, Lisa A.
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Byrd-Bredbenner, Carol
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Camargo, Carlos A.
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Eichenfield, Lawrence
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Furuta, Glenn T.
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Hanifin, Jon M.
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Jones, Carol
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Kraft, Monica
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Levy, Bruce D.
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Lieberman, Phil
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Luccioli, Stefano
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McCall, Kathleen M.
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Schneider, Lynda C.
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Simon, Ronald A.
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Simons, F. Estelle R.
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Teach, Stephen J.
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Yawn, Barbara P.
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Schwaninger, Julie M.
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Boyce, Joshua A., Assa'ad, Amal, Burks, A. Wesley, Jones, Stacie M., Sampson, Hugh A., Wood, Robert A., Plaut, Marshall, Cooper, Susan F., Fenton, Matthew J., Arshad, S. Hasan, Bahna, Sami L., Beck, Lisa A., Byrd-Bredbenner, Carol, Camargo, Carlos A., Eichenfield, Lawrence, Furuta, Glenn T., Hanifin, Jon M., Jones, Carol, Kraft, Monica, Levy, Bruce D., Lieberman, Phil, Luccioli, Stefano, McCall, Kathleen M., Schneider, Lynda C., Simon, Ronald A., Simons, F. Estelle R., Teach, Stephen J., Yawn, Barbara P. and Schwaninger, Julie M. , NIAID-Sponsored Expert Panel (2010) Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsored expert panel. [in special issue: Guidelines for the Diagnosis and Management of Food Allergy in the United States: Report of the NIAID-Sponsored Expert Panel] Journal of Allergy and Clinical Immunology, 126 (6), S1-S58. (doi:10.1016/j.jaci.2010.10.007). (PMID:21134576)

Record type: Article

Abstract

Food allergy is an important public health problem that affects children and adults and may be increasing in prevalence. Despite the risk of severe allergic reactions and even death, there is no current treatment for food allergy: the disease can only be managed by allergen avoidance or treatment of symptoms. The diagnosis and management of food allergy also may vary from one clinical practice setting to another. Finally, because patients frequently confuse nonallergic food reactions, such as food intolerance, with food allergies, there is an unfounded belief among the public that food allergy prevalence is higher than it truly is. In response to these concerns, the National Institute of Allergy and Infectious Diseases, working with 34 professional organizations, federal agencies, and patient advocacy groups, led the development of clinical guidelines for the diagnosis and management of food allergy. These Guidelines are intended for use by a wide variety of health care professionals, including family practice physicians, clinical specialists, and nurse practitioners. The Guidelines include a consensus definition for food allergy, discuss comorbid conditions often associated with food allergy, and focus on both IgE-mediated and non-IgE-mediated reactions to food. Topics addressed include the epidemiology, natural history, diagnosis, and management of food allergy, as well as the management of severe symptoms and anaphylaxis. These Guidelines provide 43 concise clinical recommendations and additional guidance on points of current controversy in patient management. They also identify gaps in the current scientific knowledge to be addressed through future research.

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More information

Published date: December 2010
Keywords: food, allergy, anaphylaxis, diagnosis, disease management, guidelines
Organisations: Clinical & Experimental Sciences

Identifiers

Local EPrints ID: 197195
URI: https://eprints.soton.ac.uk/id/eprint/197195
ISSN: 0091-6749
PURE UUID: 09129cd6-6ed5-4282-bef5-83199fd54cb1

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Date deposited: 20 Sep 2011 10:42
Last modified: 14 Mar 2019 17:30

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Contributors

Author: Joshua A. Boyce
Author: Amal Assa'ad
Author: A. Wesley Burks
Author: Stacie M. Jones
Author: Hugh A. Sampson
Author: Robert A. Wood
Author: Marshall Plaut
Author: Susan F. Cooper
Author: Matthew J. Fenton
Author: S. Hasan Arshad
Author: Sami L. Bahna
Author: Lisa A. Beck
Author: Carol Byrd-Bredbenner
Author: Carlos A. Camargo
Author: Lawrence Eichenfield
Author: Glenn T. Furuta
Author: Jon M. Hanifin
Author: Carol Jones
Author: Monica Kraft
Author: Bruce D. Levy
Author: Phil Lieberman
Author: Stefano Luccioli
Author: Kathleen M. McCall
Author: Lynda C. Schneider
Author: Ronald A. Simon
Author: F. Estelle R. Simons
Author: Stephen J. Teach
Author: Barbara P. Yawn
Author: Julie M. Schwaninger

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