Abstract
Many children now suffer with a food allergy, immunoglobulin E (IgE) and/or non-IgE mediated. Food allergies have a significant impact on the child’s quality of life, as well as that of their family, due to the resultant dietary restrictions and the constant threat of a potentially life-threatening reaction. At present, there is no cure for food allergies, but there are exciting advances occurring in the management of IgE mediated allergies, including a more active approach to management with anticipatory screening testing, early introduction of common food allergens, active tolerance induction, use of biologics and active risk management. These areas will be discussed in this review.
Highlights
Food allergy prevalence has been increasing over the last few decades; currently, it affects 6%–8%of children
The highest prevalence is seen in the younger infants and toddlers with 2.5% of infants suffering from milk allergy and up to 10% of one-year-olds having to live with a range of food allergies, such as cow’s milk, egg, nut, soya, wheat, fish and shellfish [3,4,5]
Risk management has become more active in nature. These recent developments rely on an emerging evidence base and they may increase the complexity of managing children with food allergy, they have exciting implications for better quality of life and for allergy prevention
Summary
Food allergy prevalence has been increasing over the last few decades; currently, it affects 6%–8%. The traditional approach to managing food allergies has, been strict elimination diet and treatment of adverse reactions due to accidental ingestion. This is guided by written allergy action plans given to the children and their families along with the required emergency medications, mainly adrenaline, antihistamine and short acting β-adrenergic agonists in inhaler form [10]. Risk management has become more active in nature These recent developments rely on an emerging evidence base and they may increase the complexity of managing children with food allergy, they have exciting implications for better quality of life and for allergy prevention
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