Guidelines for the Diagnosis and Management of Food Allergy in the United States: Summary of the NIAID-Sponsored Expert Panel Report

Immunotherapy in allergy and cellular tests

“…[136][137][138][139][140] Reports from the NIAID-sponsored Expert Panel provided concise clinical recommendations and additional guidance on points of current controversy in patient management about food allergy and immunotherapy, yet identifying gaps in the current scientific knowledge to be addressed through future research in the field. 141,142 Taken these reports altogether, a possible conclusion is that acquisition of oral tolerance to the diverse array of ingested food antigens and intestinal microbiota is an active immunologic process that is successfully established in the majority of individuals. In subjects who develop food allergy, there is a failure or loss of oral tolerance acquisition to a limited number of food allergens.…”

Diagnosis of food allergy: History, examination and in vivo and in vitro tests

“…Information gathered during the history should include an allergy-focused family history, [2][3][4] clinical history, [3,5,6] and dietary history. [3] Table 1 outlines the specific information required from the history.…”

“May Contain” Allergen Statements: Facilitating or Frustrating Consumers?

“…The immune response can trigger a number of symptoms involving the skin, digestive, respiratory, and cardiovascular systems (Boyce et al 2010). Some of the most common food allergens are highly prevalent in the USA such as fish, eggs, milk, peanuts, shellfish, soy, tree nuts, and wheat (Boyce et al 2010;Branum and Lukacs 2009), whilst sesame (Dano et al 2015), lupine (Jappe and Vieths 2010), mustard (Sirvent et al 2012), and celery (Fuchs et al 2012) have been identified as major allergenic food sources in European countries. Shellfish is the most common food allergen from Asia (Lee et al 2013;Shek et al 2010;Wu et al 2012) whilst egg and cow's milk allergies are most prevalent among young children and infants in Asia too (Chen et al 2011;Lee et al 2013;Wu et al 2012).…”