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ABC of Allergies: Food Allergy

ABC of Allergies: Review Experience Food Reactions

Clinical review by Carsten Bindslev-Jensen includes types of adverse reactions, common food and occupational allergens, testing, and treatment.

Definitions Adverse reactions to foods may be classified as due to either true food allergy or non allergic food intolerance In contrast food aversion refers to symptoms that are often non specific and unconfirmed by double blind placebo controlled food challenge Types of adverse reactions to foods Food allergy due to IgE mediated mechanism Coombs classification type I Food allergy not involving IgE in which other immunological mechanisms are implicated for example type IV Non allergic food intolerance for example pharmocological metabolic or toxic reactions to foods Food aversion symptoms are often non specific and unconfirmed by blinded food challenge A true food allergy is a disorder in which ingestion of a small amount of food elicits an abnormal immunologically mediated clinical response Food may cause allergic reactions by several mechanisms The classic type I IgE mediated reaction is the most thoroughly studied and potentially important in view of the risk of life threatening re

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