Diagnostik und Management von Nahrungsmittelallergien im Kindes- und Jugendalter

Abstract

Food allergies can result in life-threatening reactions and diminish quality of life. The prevalence of food allergies is increasing with large regional variability. A few food allergens cover the majority of food-related reactions (cow`s milk, egg, wheat, soy, fish, crustacean, nuts and peanut). Food reactions can be categorized in IgE-mediated and non-IgE-mediated, the latter of which remaining often a clue in the diagnosis. Treatment of food allergy involves mainly strict avoidance of the trigger food. Medications help to manage symptoms of disease, but currently, there is no cure for food allergy.

Food Allergies and Quality of Life among School-Aged Children and Adolescents: A Systematic Review

“…Allergic reactions may range from mild local symptoms, such as Oral Allergy Syndrome (OAS), to severe life-threatening anaphylaxis [ 2 , 3 ]. Symptoms involve the gastrointestinal, respiratory and cardiovascular systems and the skin [ 2 , 4 ], while their appearance is not dose-dependent [ 5 ]. The diagnosis of suspected food allergy (FA) can be made by clinical history and physical examination, exclusion diets, Skin Prick Tests (SPT), blood test to determine specific immunoglobulin (IgE) levels and Oral Food Challenge (OFC) [ 5 , 6 , 7 , 8 , 9 , 10 , 11 ].…”