Abstract
AbstractEight children, aged less than 5 years, with atopic dermatitis (AD) and food‐induced contact urticaria are described. These cases illustrate the clinical importance of food‐induced contact urticaria. The symptoms can be easily provoked and imitated in children under 4 years of age using the ‘Skin Application Food Test’ (SAFT). This test includes the application of foods on the skin, in the form they are consumed. The clinician should pay attention to clinical symptoms of immediate‐contact reactions, easy to recognize. The common skin symptoms are swollen face, in particular the lips, and itching or pain in the mouth and (contact) urticaria. Another dominating symptom is evident refusal of foods. Non‐immunological irritation reactions are also common in these children. Confusion with irritation reactions is first avoided of all by strict selective interpretation of the history told by the mother; and second, both the SAFT and the CAP RAST are positive only in immune‐mediated processes.
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