To the Editor, Food allergy should be adequately diagnosed or excluded to avoid anxiety and unnecessary elimination of foods. 1,2 Mothers who suspect their child to be food allergic appeared to be more anxious and eliminated (multiple) foods unnecessarily. 3 Furthermore, peanutallergic children avoided tree nuts even when this food was proven to be safe or had been eaten before without symptoms. 4 We recommend to gradually introduce the food at home following a standardized schedule for children who are referred due to suspected food allergy but deemed tolerant (i.e. very low probability of food allergy based on medical and dietary history) for a specific food. However, this advice is declined for numerous reasons by many parents. Next to this, parents, who accepted the advice at first, did not introduce the food as recommended. To avoid unnecessary elimination and improve personalized medicine, it is therefore worthwhile to address potential hesitation during the visit and preferably in a standardized way. Health-related quality of life (HRQL) questionnaires might be valuable during this diagnostic process in order to screen for possible factors that influence the willingness to introduce the food at home.
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