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Food Allergy, An Issue of Immunology and Allergy Clinics of North America, E-Book

Food Allergy, An Issue of Immunology and Allergy Clinics of North America, E-Book

J. Andrew Bird

(2017)

Additional Information

Book Details

Abstract

This issue of Immunology and Allergy Clinics, Guest Edited by Dr. J. Andrew Bird, is devoted to Food Allergy. Articles in this outstanding issue include: Prevention of Food Allergies; Epidemiology of Food Allergy; Oral Tolerance Development and Maintenance; Diagnosis of Food Allergy; Food Allergy Management; Interventional Therapies for the Treatment of Food Allergy; Baked Milk and Egg as Oral Immunotherapy; Adjuvant Therapies for Desensitization; Alternative Therapies for Treatment of Food Allergy; Food Protein-Induced Enterocolitis Syndrome (FPIES); Diagnosis and Management of Eosinophilic Esophagitis; and Unfounded Diagnostic Procedures.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Food Allergy i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Foreword: The Quest for Food Allergy Treatments: On Course and Gaining Steam…Finally vii
Preface: Food Allergy vii
Prevention of Food Allergies vii
Epidemiology of Food Allergy vii
Oral Tolerance Development and Maintenance vii
Diagnosis of Food Allergy viii
Food Allergy Management viii
The Role of Baked Egg and Milk in the Diets of Allergic Children viii
Interventional Therapies for the Treatment of Food Allergy viii
Adjuvant Therapies in Food Immunotherapy ix
Complementary and Alternative Medicine for Treatment of Food Allergy ix
Diagnosis and Management of Eosinophilic Esophagitis ix
Food Protein-Induced Enterocolitis Syndrome ix
Unproven Diagnostic Tests for Food Allergy x
IMMUNOLOGYAND ALLERGY\rCLINICS OF NORTH AMERICA\r xi
FORTHCOMING ISSUES xi
May 2018 xi
August 2018 xi
November 2018 xi
RECENT ISSUES xi
November 2017 xi
August 2017 xi
May 2017 xi
Foreword: The Quest for Food Allergy Treatments: On Course and Gaining Steam…Finally\r\r xiii
Preface:\rFood Allergy xv
Prevention of Food Allergies 1
Key points 1
INTRODUCTION 1
THE CURRENT BURDEN OF IMMUNOGLOBULIN E–MEDIATED FOOD ALLERGIES AROUND THE WORLD 2
PREVENTION OF FOOD ALLERGY THROUGH TIMELY INTRODUCTION OF ALLERGENIC FOODS 3
HOW MUCH FOOD ALLERGY CAN WE PREVENT THROUGH TIMELY INTRODUCTION OF ALLERGENIC FOOD? 4
PREVENTING FOOD ALLERGY THROUGH TIMELY INTRODUCTION OF ALLERGENIC FOODS: ARE ALL FOOD ALLERGIES THE SAME? 4
HOW RELEVANT IS EARLY PEANUT INTRODUCTION IN COUNTRIES WITH LOW PEANUT ALLERGY PREVALENCE? 5
BARRIERS TO ACHIEVING OPTIMAL TIMING OF INTRODUCTION OF ALLERGENIC FOODS 5
IS THERE A ROLE FOR OTHER PREVENTION STRATEGIES APART FROM TIMING OF INTRODUCTION OF ALLERGENIC FOODS? 6
Vitamin D 6
Probiotics 7
Eczema Prevention 7
SUMMARY 8
REFERENCES 8
Epidemiology of Food Allergy 13
Key points 13
CHALLENGES IN UNDERSTANDING THE EPIDEMIOLOGY OF FOOD ALLERGY 13
Study Design 13
The Spectrum of Food Allergy 15
The Effect of Age on Food Allergy Estimates 15
BEST ESTIMATES OF THE PREVALENCE OF FOOD ALLERGIES 15
Current Data on the Prevalence of Food Allergy in the United States 15
Global Differences in Food Allergy Prevalence 16
Prevalence of Specific Food Allergies 16
Peanut allergy 17
Tree nut allergy 17
Egg allergy 17
Milk allergy 18
Shellfish allergy 18
Fish allergy 19
CHANGES OVER TIME IN FOOD ALLERGY 19
SPECIFIC RISK POPULATIONS 20
Disparities Between African American and Other Racial Ethnic Groups in Food Allergy 20
Role of Immigration on Food Allergy Rates 21
SUMMARY 21
REFERENCES 21
Oral Tolerance Development and Maintenance 27
Key points 27
INTRODUCTION 27
THE GASTROINTESTINAL MUCOSA: A UNIQUE PLACE IN ORAL TOLERANCE DEVELOPMENT 28
MECHANISM OF ORAL TOLERANCE 29
LOSS OF ORAL TOLERANCE 31
RESTORATION OF ORAL TOLERANCE DURING IMMUNOTHERAPY 32
SUMMARY 33
REFERENCES 33
Diagnosis of Food Allergy 39
Key points 39
INTRODUCTION 39
CLINICAL HISTORY 40
STANDARD TESTING 40
SKIN PRICK TESTING 41
SERUM FOOD ALLERGEN–SPECIFIC IMMUNOGLOBULIN E 41
MOLECULAR ALLERGEN ANALYSIS 44
BASOPHIL ACTIVATION TEST 45
EPITOPE ANALYSIS 47
ORAL FOOD CHALLENGE 48
UNPROVEN METHODS 49
SUMMARY 49
REFERENCES 49
Food Allergy Management 53
Key points 53
MANAGEMENT OF FOOD ALLERGIES 53
FOOD ALLERGEN AVOIDANCE 53
CLINICAL SYMPTOMS OF REACTIONS TO FOOD ALLERGENS 55
MANAGEMENT OF FOOD ALLERGIC REACTIONS 56
Epinephrine 57
Antihistamines 58
Adjuvant Therapies 58
School Management of Food Allergies 58
FOOD ALLERGENS IN MEDICATIONS AND VACCINES 59
Milk 60
Casamino acids 60
Lactose 60
Egg 60
Ovalbumin 60
Egg lecithin 61
Fish and Shellfish 61
Soy 61
Gelatin 61
QUALITY OF LIFE PREDICTORS 62
FUTURE ALLERGEN-SPECIFIC IMMUNOTHERAPY 62
REFERENCES 63
The Role of Baked Egg and Milk in the Diets of Allergic Children 65
Key points 65
INTRODUCTION 65
ALTERING THE ALLERGENICITY OF MILK AND EGG 66
PREDICTABILITY OF ALLERGY TESTING FOR BAKED EGG OR BAKED MILK TOLERANCE VERSUS ALLERGY 67
ORAL FOOD CHALLENGES TO BAKED EGG AND BAKED MILK 69
SAFETY OF BAKED MILK AND BAKED EGG ORAL FOOD CHALLENGES 70
TOLERANCE AND ADHERENCE TO DIETS CONTAINING BAKED MILK AND EGG 71
BAKED MILK AND BAKED EGG DIETS AS ORAL IMMUNOTHERAPY 72
Challenge procedure doses for baked egg 72
Challenge procedure doses for baked milk 72
BAKED CHEESE 73
EOSINOPHILIC ESOPHAGITIS 73
SUMMARY 74
REFERENCES 74
Interventional Therapies for the Treatment of Food Allergy 77
Key points 77
IMMUNOTHERAPY 78
Oral Immunotherapy 78
Peanut oral immunotherapy 78
Milk oral immunotherapy 79
Egg oral immunotherapy 79
Multiple-food Oral Immunotherapy 80
Adverse Reactions to Oral Immunotherapy 80
Risk Factors for Reactions 80
Gastrointestinal Reactions and Eosinophilic Esophagitis 81
Sublingual Immunotherapy 81
Epicutaneous Immunotherapy 82
Milk epicutaneous immunotherapy 84
Peanut epicutaneous immunotherapy 84
SUMMARY 84
REFERENCES 85
Adjuvant Therapies in Food Immunotherapy 89
Key points 89
INTRODUCTION 89
IDENTIFYING AN OPTIMAL OUTCOME: DESENSITIZATION VERSUS SUSTAINED UNRESPONSIVENESS 90
LIMITATIONS OF ORAL IMMUNOTHERAPY AS A POTENTIAL TREATMENT OF FOOD ALLERGY 90
ADJUVANT THERAPIES 91
Inhibition of the Immunoglobulin E–Mediated Allergic Response 91
Anti-immunoglobulin E monoclonal antibody 91
Interferon-gamma 93
Immune Response Modifiers 93
Toll-like receptor ligands 94
Modified bacteria expressing allergenic proteins 94
Combined administration of probiotic bacteria together with food allergen 95
FUTURE CONSIDERATIONS AND SUMMARY 97
REFERENCES 98
Complementary and Alternative Medicine for Treatment of Food Allergy 103
Key points 103
INTRODUCTION 104
COMPLEMENTARY AND ALTERNATIVE/INTEGRATIVE MEDICINE USE IN THE TREATMENT OF ALLERGY 104
Complementary and Alternative Medicine in the United States 104
Complementary and Alternative Medicine Use Among Allergy Practices 104
Traditional Chinese Medicine and New Drug Discovery 105
New Structure of Integrative Medicine in the Treatment of Allergy in the United States 105
Food allergy mechanisms and therapeutic targets 106
Sensitization phase 106
Reaction phase 106
Persistent phase 106
CHINESE HERBAL MEDICINE FOR FOOD ALLERGY 107
Food Allergy Herbal Formula 2 Formulation 107
Food Allergy Herbal Formula 2 Effect in Murine Model of Peanut Allergy and Multiple Food Allergies 111
Moving to Clinical Trials of Food Allergy Herbal Formula 2 112
Phase I trial of food allergy herbal formula 2 112
Extended phase I trial of food allergy herbal formula 2 113
Phase II clinical trial of food allergy herbal formula 2 113
Refined formulation: B-FAHF-2 114
B-FAHF-2 Plus Oral Immunotherapy for Concurrent Peanut/Tree Nut Allergy 114
Enhanced Refined Formulation: E-B-FAHF-2 and Clinical Study of Triple Therapy 115
Practice-based clinical observational studies 116
Traditional Chinese medicine effect on frequent and severe food anaphylaxis 116
Identification of active compounds for reduction of immunoglobulin E, mast cell activation, and inflammation 117
Immunoglobulin E Inhibitory Compounds 117
Mast cell and basophil activation inhibitory compounds 117
Eotaxin inhibitor 118
Cytokine modulator 118
JAPANESE HERBAL MEDICINE FOR FOOD ALLERGY 119
ACUPUNCTURE INHIBITION OF BASOPHIL HISTAMINE RELEASE 119
PROBIOTICS FOR TREATING FOOD ALLERGY 119
FUTURE CONSIDERATIONS AND SUMMARY 120
ACKNOWLEDGMENTS 120
REFERENCES 120
Diagnosis and Management of Eosinophilic Esophagitis 125
Key points 125
INTRODUCTION 125
SYMPTOMS 126
PATHOPHYSIOLOGY 126
DIAGNOSTIC TESTS 126
DIFFERENTIAL DIAGNOSIS 129
TREATMENT 129
MANAGEMENT 132
FUTURE CONSIDERATIONS 133
SUMMARY 133
REFERENCES 133
Food Protein-Induced Enterocolitis Syndrome 141
Key points 141
INTRODUCTION 141
EPIDEMIOLOGY 142
DIAGNOSIS 142
Symptoms 142
Acute symptoms 142
Chronic symptoms 144
Diagnostic Criteria 144
DIFFERENTIAL DIAGNOSIS 146
FOOD TRIGGERS 146
ACUTE MANAGEMENT 147
DIETARY MANAGEMENT AND TREATMENT 147
NATURAL HISTORY 149
SUMMARY AND FUTURE CONSIDERATIONS 150
REFERENCES 150
Unproven Diagnostic Tests for Food Allergy 153
Key points 153
INTRODUCTION 153
PROVEN TECHNIQUES FOR TESTING IMMUNOGLOBULIN E–MEDITATED FOOD ALLERGY 154
Skin Prick Testing 154
Food-Specific Serum Immunoglobulin E 154
Oral Food Challenges 154
OTHER FOOD ALLERGY DIAGNOSTIC MODALITIES 154
Patch Testing 154
“Mixed” allergy 155
Atopic dermatitis 155
Eosinophilic esophagitis 156
Conclusions on patch testing 157
Food-Specific Serum Immunoglobulin G 157
Irritable bowel syndrome 157
Other suspected allergic conditions 157
Immunoglobulin E–mediated allergy 158
Conclusions on serum food specific immunoglobulin G 158
Provocation and Neutralization 158
Pulse Testing 158
Electrodermal Testing 159
Cytotoxic Testing 159
Applied Kinesiology Testing 159
FUTURE CONSIDERATIONS/SUMMARY 160
REFERENCES 160