TOC Cover 2 Front Matter 5 Contents 7 Preface 17 Background 19 Historical Background, Definitions and Differential Diagnosis 19 Historical Background 19 Abstract 19 Definitions and Differential Diagnosis 21 Recent History and the Future 23 References 25 Immunological Basis of Food Allergy(IgE-Mediated, Non-IgE-Mediated, and Tolerance) 26 Abstract 26 Introduction 26 IgE-Mediated Food Allergy 27 Cover 2 Front Matter 5 Contents 7 Preface 17 Background 19 Historical Background, Definitions and Differential Diagnosis 19 Historical Background 19 Abstract 19 Definitions and Differential Diagnosis 21 Recent History and the Future 23 References 25 Immunological Basis of Food Allergy(IgE-Mediated, Non-IgE-Mediated, and Tolerance) 26 Abstract 26 Introduction 26 IgE-Mediated Food Allergy 27 Non-IgE-Mediated Food Allergy 29 Mixed-Immune Food Reactions 30 Oral Tolerance 31 Conclusion 32 References 34 Food Allergens: Molecular and Immunological Aspects, Allergen Databases and Cross-Reactivity 36 Abstract 36 Molecular Features of Food Allergens 37 Class I Food Allergens/Class II Food Allergens 40 Resistance to Food Processing and Digestion 41 Immunological Features of Food Allergens 43 Cross-Reactivity 44 References 46 Epidemiology: International Point of View, from Childhood to Adults, Food Allergens 48 Abstract 48 Epidemiology of Food Allergy 48 Reported Food Allergy and Epidemiology Study Methodology 49 Prevalence of Common Food Allergies 50 Changing Prevalence of Food Allergy 54 References 54 Clinical Aspects 56 Food Allergy in Childhood (Infancy to School Age) 56 Abstract 56 Introduction 56 IgE-Mediated (Immediate-Type) Food Allergy 57 Mixed IgE and Non-IgE-Mediated Food Allergy 60 Non-IgE-Mediated Food Allergy 62 Conclusions 66 References 66 Food Allergy in Adolescence and Adulthood 69 Abstract 69 Introduction 69 Food Allergies Due to Cross-Reaction with Inhalant Allergens 70 Sensitization to Galactose-Alpha-1,3-Galactose and Allergy to Red Meat 72 Clinical Symptoms 73 Differential Diagnosis of Food Allergy in Adults 74 References 75 Diagnosis and Management 77 Hints for Diagnosis 77 The Purpose of the Diagnosis 77 Is It Food Allergy? 77 Abstract 77 Which Is the Culprit Food? 79 Which Allergens Are Involved? 80 How Much Is Too Much? 80 Prerequisites for Diagnosis 81 The Diagnostic Process 81 Conclusions 84 References 84 Who Should Perform the Diagnosis? 84 IgE-Related Examination in Food Allergy with Focus on Allergen Components 86 Abstract 86 How IgE-Mediated Food Allergy Is Diagnosed 86 Component-Resolved Diagnostics 87 Development of a Test for Allergen Components 87 Heat Stability in Proteins 87 Species-Specific and Cross-Reactive Proteins 89 New Allergen Component Test: An Emerging Field of Interest 90 Temporal Development of Allergen Components 91 Singleplex versus Multiplex Testing 92 Skin Prick Test 93 Basophil Activation Test 93 Future Perspectives 93 Correlation of the Skin Prick Test and the Basophil Activation Test with Oral Immunotherapy 94 References 95 Non-IgE-Related Diagnostic Methods(LST, Patch Test) 97 Abstract 97 Introduction 97 Lymphocyte Stimulation Test 98 Patch Test/Atopy Patch Test 100 References 102 Diagnostic Elimination Diets and Oral Food Provocation 105 Elimination Diets 105 Abstract 105 Introduction 105 Oral Challenge Testing 106 Methodology 107 Challenge Settings and Procedures 108 Dosing Strategies 110 Risk and Treatment of Oral Food Challenges 111 Summary 112 References 112 Pharmacological Management of Acute Food-Allergic Reactions 114 Abstract 114 Introduction 114 Pharmacological Management of IgE-Mediated, Food-Induced Acute Allergic Reactions 116 Subsequent Management of IgE-Mediated Food-Induced Allergic Reactions 120 Pharmacological Management of Non-IgE-Mediated Food-Induced Allergic Reactions 121 Conclusions 122 References 122 Oral Immunotherapy and Potential Treatment 124 Oral Immunotherapy for Food Allergy 124 Abstract 124 Introduction 124 Clinical Use of Oral Immunotherapy 127 Novel Treatment for Food Allergy 128 References 130 Conclusion 130 Acknowledgments 130 Allergen-Based Food Allergies 132 Cow’s Milk Allergy in Children and Adults 132 Abstract 132 Introduction 132 Epidemiology 132 Clinical Manifestations 133 Pathogenesis 133 Allergens 133 Diagnosis 135 Treatment of Cow’s Milk Allergy 136 Natural History 136 Conclusions 140 References 140 Hen’s Egg Allergy 142 Introduction 142 Abstract 142 Symptoms 143 Allergenic Components of Egg White 143 Allergenic Components of Egg Yolk 144 Diagnosis 144 Natural History 145 Management and Therapy 146 Oral Immunotherapy to Egg Allergy 146 Clinical Case 147 Acknowledgments 147 References 147 Peanut and Tree Nut Allergy 149 Epidemiology 149 Abstract 149 Introduction 149 Clinical Reactions 150 Age of Presentation or First Reaction to Peanut and Tree Nuts 151 Co-Allergy to Peanut and Tree Nuts and Allergy to Multiple Tree Nuts 151 Subsequent Reactions 151 Resolution of Peanut Allergy 152 Resolution of Tree Nut Allergy 152 Peanut and Tree Nut Allergens 152 Case Study 154 Tree Nut Allergens 154 Conclusion 158 References 159 Grain and Legume Allergy 163 Abstract 163 Grain (Wheat) Allergies 163 Legume (Soybean) Allergies 166 References 168 Conclusions 168 Acknowledgments 168 Fish and Shellfish Allergy 170 Introduction 170 Prevalence 170 Abstract 170 Classification of Seafood Species 171 Clinical Manifestations 172 Fish and Shellfish Allergens 173 Allergenic Cross-Reactivity 175 Differential Diagnosis for Fish and Shellfish Allergy 176 Natural History and Treatment 177 Diagnosis 177 Conclusions 178 References 178 Fruit and Vegetable Allergy 180 Introduction 180 Abstract 180 Epidemiology 181 Pathogenesis: Allergen Sensitisation 181 Allergens 184 Clinical Symptoms 184 Diagnosis 185 Management 186 References 187 Disease-Based Food Allergies 189 Gastrointestinal Food Allergies 189 Introduction 189 Abstract 189 Clinical Presentation 190 Diagnostic Evaluation and Differential Diagnosis 194 Dietary Management 195 Conclusion 195 References 196 Atopic Eczema and Food Allergy 199 Prevalence and Natural History of Food Allergies in Atopic Eczema 199 Abstract 199 Clinical Reaction Patterns to Foods in Patients with Atopic Eczema 200 Pathogenesis of Food Allergy in Atopic Eczema 201 Allergens 201 Diagnosis of Food Allergy in Atopic Eczema 203 References 206 Anaphylaxis in Food Allergy 209 Introduction 209 Abstract 209 Diagnosis 210 Laboratory Evaluation 211 Management of Anaphylaxis 212 Food-Dependent Exercise-Induced Anaphylaxis 214 Summary 215 References 215 Eosinophilic Oesophagitis 217 Abstract 217 Introduction 217 Clinical Presentation in Children and Adults 218 Epidemiology 218 Mechanisms of Disease 219 Diagnostic Evaluation 220 Natural History and Complications 220 Treatment 221 Conclusion and Future Directions 223 References 223 Special Topics 227 Nutritional Aspects and Diets in Food Allergy 227 Elimination Diet in Food Allergy Diagnosis 227 Abstract 227 Elimination Diet in Food Allergy Management 228 Loopholes in the Labeling Laws 228 Changing Paradigms in the Management of Milk and Egg Allergy: Baked Milk and Egg Diet 229 The Effects of Allergen Avoidance on Nutrition in Children 230 Feeding and Developmental Needs 234 Nutritional Impact of Specific Food-Allergic Disorders 234 Nutritional Issues in Adults with Food Allergy 236 Summary 237 References 237 Food Allergy: Psychosocial Impact and Public Policy Implications 239 Abstract 239 Introduction 239 Impact of Food Allergy on Daily Life 240 Food Allergy Knowledge and Attitudes 240 Current Food Allergy-Related Public Policy 241 Implications and Future Directions 242 References 243 Worldwide Food Allergy Labeling and Detection of Allergens in Processed Foods 245 Abstract 245 Introduction 245 Labeling of Allergenic Foods 246 Ingredient Labeling and Exemptions 249 Advisory Labeling 249 Detection of Food Allergen Residues 251 Conclusion 251 Quantitative Immunoassay Methods 251 Qualitative Immunoassay Methods 251 References 252 The Effects of Food Allergy on Quality of Life 253 Abstract 253 Introduction 254 Main Body 256 Discussion 266 References 269 Conclusion 269 Prevention of Food Allergy 271 Introduction 271 Abstract 271 Onset of Sensitisation and Food Allergy 272 Maternal Diet (During Pregnancy and/or Breastfeeding) and the Prevention of Food Allergy 272 Methodological Challenges 272 Complementary Infant Feeding and the Prevention of Food Allergy 272 Combined Maternal and Infant Dietary Measures and the Prevention of Food Allergy 275 Routes of Sensitisation 276 Oral Tolerance Induction 276 Conclusions 277 Unpasteurised Milk, Probiotics and Prebiotics 277 Nutritional Supplements 277 References 278 Educational Programmes in Food Allergy 281 Abstract 281 Introduction 281 Individual Dietetic Treatment of Food Allergy 281 Structured Educational Group Sessions for Patients and Families with Atopic Eczema or Anaphylaxis 282 Educational Programmes for Atopic Eczema 282 Educational Program for Anaphylaxis Patients and Families 285 References 287 Acknowledgments 288 Author Index 289 Subject Index 290 Cover 297 Show more