Food Allergy, Pediatric

Jackie P-D. Garrett, MD and Terri Brown-Whitehorn, MD Reviewed 10/2018

BASICS

DESCRIPTION

Food allergy has recently been defined as “an adverse health effect arising from a specific immune response that occurs reproducibly on exposure to a given food.” Most commonly, the ...

DIAGNOSIS

Varies depending on the individual and the type of food hypersensitivity

IgE mediated
- Urticaria
- Angioedema
- Immediate GI reactions: abdominal pain (common in pediatrics), nausea, vomiting, diarr...

TREATMENT

GENERAL MEASURES

Avoidance of food allergen
Education
Anaphylaxis management plan along with epinephrine autoinjector in event of future reaction
FPIES acute management plan
Nutrition evaluation ...

ONGOING CARE

DIET

Nonanaphylactic and anaphylactic food allergies: removal of the offending food agent from diet
Nutrition evaluation

PATIENT EDUCATION

Epinephrine self-administration, if anaphylaxis
Educa...

ADDITIONAL READING

Boyce JA, Assa’ad A, Burks AW, et al; and NIAID-Sponsored Expert Panel. Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsor...

CODES

ICD9

995.7 Other adverse food reactions, not elsewhere classified, init
995.6 Anaphylactic reaction due to unspecified food
693.1 Dermatitis due to food taken internally
708 Allergic urticaria
692.5 ...

FAQ

Q: What are the most common food allergens leading to IgE-mediated allergic reactions in childhood?
A: Milk, egg, soy, wheat, and peanut are most common food allergens.
Q: What is the most important...

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