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

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

Anna H. Nowak-Wegrzyn

(2012)

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Book Details

Abstract

This issue of Immunology and Allergy Clinics provides the latest essential updates in food allergies.  Topics include the following: mechanisms of allergic sensitization to foods—bypassing immune tolerance pathways; determinants of food allergenicity; epidemiology of food allergy; prevention of food allergy through manipulating the timing of food exposure; diagnosis and management of eosinophilic esophagitis; the burden of food allergies and mental health issues; state-of-the-art and new horizons in food allergy diagnostic testing; food-induced anaphylaxis; oral tolerance; immunotherapy for food allergy; complementary and alternative medicine for food allergy; paradigm shift in management of milk and egg allergy—baked milk and egg diet.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Immunology and Allergy Clinics of North America i
Copyright Page ii
Table of Contents vii
Contributors iii
Foreword: Is Food Allergy Giving Me a Headache? xiii
REFERENCES xiv
Preface: Food Allergy Guidelines and Beyond xv
REFERENCES xix
Chapter 1. Mechanisms of Allergic Sensitization to Foods: Bypassing Immune Tolerance Pathways 1
ORAL TOLERANCE 1
ANIMAL MODELS OF FOOD ALLERGY 3
MECHANISM OF ACTION OF ADJUVANTS 3
SENSITIZATION THROUGH NONORAL ROUTES 4
DIRECT EFFECTS OF FOOD ALLERGENS ON THE INNATE IMMUNE SYSTEM 5
SUMMARY 6
REFERENCES 7
Chapter 2. Determinants of Food Allergy 11
WHAT IS A FOOD ALLERGEN? 11
STRUCTURAL FEATURES 14
FUNCTIONAL FEATURES 15
PLANT FOOD ALLERGENS 16
ANIMAL FOOD ALLERGENS 17
WHAT CAN WE LEARN FROM 3 DISPARATE EXAMPLES OF FOOD ALLERGY? 17
MAMMALIAN MEAT ALLERGY 21
SUMMARY 26
ACKNOWLEDGMENTS 26
REFERENCES 26
Chapter 3. The Epidemiology of IgE-Mediated Food Allergy and Anaphylaxis 35
METHODOLOGIES FOR MEASURING FOOD ALLERGY PREVALENCE 36
THE MOST RECENT PREVALENCE ESTIMATES OF IGE-MEDIATED FOOD ALLERGY 37
FOOD-INDUCED ANAPHYLAXIS 38
EPIDEMIOLOGY OF FATAL ANAPHYLAXIS 40
WHAT IS THE EVIDENCE FOR A RISE IN INCIDENCE OF FOOD ALLERGY? 40
FACTORS ASSOCIATED WITH THE PRESUME RISE IN PREVALENCE 41
THE ROLE OF GENETICS IN PREDISPOSITION TO FOOD ALLERGY 41
ROLE OF RACE AND GENDER IN FOOD ALLERGY PREDISPOSITION 41
MODIFIABLE ENVIRONMENTAL RISK FACTORS FOR FOOD ALLERGY DEVELOPMENT 42
SUMMARY 46
REFERENCES 46
Chapter 4. Can We Prevent Food Allergy by Manipulating the Timing of Food Exposure? 51
BIOLOGICAL RATIONALE FOR TOLERANCE DEVELOPMENT ANTENATALLY AND POSTNATALLY 52
FACTORS AFFECTING TOLERANCE DEVELOPMENT 53
EFFECT OF TIMING OF FOOD EXPOSURE: PREGNANCY AND LACTATION 54
EFFECT OF TIMING OF FOOD EXPOSURE: INFANCY 56
SUMMARY 60
REFERENCES 60
Chapter 5. Eosinophilic Esophagitis: Diagnosis and Management 67
DIAGNOSIS 67
ALLERGY EVALUATION 71
TREATMENT 72
SUMMARY AND KEY POINTS 76
REFERENCES 77
Chapter 6. Mental Health and Quality-of-Life Concerns Related to the Burden of Food Allergy 83
THE CHILD’S PERSPECTIVE 84
THE FAMILY PERSPECTIVE 87
FOOD ALLERGY AND BULLYING: AN EMERGING ISSUE 89
INTERVENTIONS THAT ATTEMPT TO IMPROVE EMOTIONAL OUTCOMES AND QOL 90
CONCLUSIONS AND FUTURE DIRECTIONS 91
SUMMARY 92
REFERENCES 93
Chapter 7. Beyond Skin Testing: State of the Art and New Horizons in Food Allergy Diagnostic Test ing 97
MOLECULAR DIAGNOSIS IN FOOD ALLERGY 98
FUNCTIONAL ASSAYS 102
OTHER ASSESSMENT 103
SUMMARY 104
ACKNOWLEDGMENTS 104
REFERENCES 104
Chapter 8. Oral Immunotherapy and Anti-IgE Antibody-Adjunctive Treatment for Food Allergy 111
FOOD OIT 112
TRENDS IN OIT 122
IGE IN PATIENTS WITH FOOD ALLERGY 123
ANTI-IGE MONOCLONAL ANTIBODIES 123
MECHANISMS OF ANTI-IGE MAB 124
ANTI-IGE MAB IN RUSH SUBCUTANEOUS IMMUNOTHERAPY FOR RAGWEED 126
ANTI-IGE IN FOOD ALLERGY 126
COMBINING ANTI-IGE MAB WITH OIT 127
OTHER IMMUNOTHERAPEUTIC APPROACHES IN FOOD ALLERGY 129
SUMMARY AND FUTURE DIRECTIONS IN FOOD OIT 129
REFERENCES 130
Chapter 9. Alternative and Complementary Treatment for Food Allergy 135
FOOD ALLERGY AND CAM 135
CURRENT CONCEPTS IN MECHANISMS OF ORAL TOLERANCE AND A ROLE FOR CAM 136
THE SCOPE OF CAM 136
ALTERNATIVE APPROACHES TO DIAGNOSIS OF FOOD ALLERGY 137
SAFETY OF CAM 138
HERBAL MEDICINE FOR THE TREATMENT OF FOOD ALLERGY 138
ALTERNATIVE IMMUNOTHERAPY 144
NUTRITION 144
PROBIOTICS AND SOY ISOFLAVONES 145
SUMMARY 145
REFERENCES 146
Chapter 10. Paradigm Shift in the Management of Milk and Egg Allergy: Baked Milk and Egg Diet 151
EFFECT OF THERMAL PROCESSING ON ANTIGENICITY AND ALLERGENICITY 151
THE ROLE OF THERMAL PROCESSING IN THE NATURAL HISTORY OF EGG AND MILK ALLERGY 159
SUMMARY 160
REFERENCES 160
Chapter 11. Food-Induced Anaphylaxis 165
DEFINITION 165
EPIDEMIOLOGY 165
TRIGGERS OF FIA 167
RISK FACTORS 177
PATHOGENESIS 177
DIAGNOSIS 179
TREATMENT 183
PREVENTION OF ANAPHYLAXIS AND FATAL ANAPHYLAXIS 186
FOOD-DEPENDENT EXERCISE-INDUCED ANAPHYLAXIS 187
SUMMARY 188
REFERENCES 188
Index 197