TY - JOUR
T1 - Conducting an Oral Food Challenge
T2 - An Update to the 2009 Adverse Reactions to Foods Committee Work Group Report
AU - Bird, J. Andrew
AU - Leonard, Stephanie
AU - Groetch, Marion
AU - Assa'ad, Amal
AU - Cianferoni, Antonella
AU - Clark, April
AU - Crain, Maria
AU - Fausnight, Tracy
AU - Fleischer, David
AU - Green, Todd
AU - Greenhawt, Matthew
AU - Herbert, Linda
AU - Lanser, Bruce J.
AU - Mikhail, Irene
AU - Mustafa, Shahzad
AU - Noone, Sally
AU - Parrish, Christopher
AU - Varshney, Pooja
AU - Vlieg-Boerstra, Berber
AU - Young, Michael C.
AU - Sicherer, Scott
AU - Nowak-Wegrzyn, Anna
N1 - Publisher Copyright:
© 2019 American Academy of Allergy, Asthma & Immunology
PY - 2020/1
Y1 - 2020/1
N2 - Oral food challenges are an integral part of an allergist's practice and are used to evaluate the presence or absence of allergic reactivity to foods. A work group within the Adverse Reactions to Foods Committee of the American Academy of Allergy, Asthma & Immunology was formed to update a previously published oral food challenge report. The intention of this document was to supplement the previous publication with additional focus on safety, treatment of IgE-mediated allergic reactions, guidance for challenges in infants and adults, psychosocial considerations for children and families participating in an oral food challenge, specific guidance for baked milk or baked egg challenges, masking agents and validated blinding recipes for common food allergens, and recommendations for conducting and interpreting challenges in patients with suspected food protein–induced enterocolitis syndrome. Tables and figures within the report and an extensive online appendix detail age-specific portion sizes, appropriate timing for antihistamine discontinuation, serum and skin test result interpretation, written consents, and instructional handouts that may be used in clinical practice.
AB - Oral food challenges are an integral part of an allergist's practice and are used to evaluate the presence or absence of allergic reactivity to foods. A work group within the Adverse Reactions to Foods Committee of the American Academy of Allergy, Asthma & Immunology was formed to update a previously published oral food challenge report. The intention of this document was to supplement the previous publication with additional focus on safety, treatment of IgE-mediated allergic reactions, guidance for challenges in infants and adults, psychosocial considerations for children and families participating in an oral food challenge, specific guidance for baked milk or baked egg challenges, masking agents and validated blinding recipes for common food allergens, and recommendations for conducting and interpreting challenges in patients with suspected food protein–induced enterocolitis syndrome. Tables and figures within the report and an extensive online appendix detail age-specific portion sizes, appropriate timing for antihistamine discontinuation, serum and skin test result interpretation, written consents, and instructional handouts that may be used in clinical practice.
KW - Anaphylaxis
KW - Baked egg
KW - Baked milk
KW - Double-blind placebo-controlled food challenge
KW - Egg
KW - FPIES
KW - Food allergy
KW - Food protein–induced enterocolitis syndrome
KW - Milk
KW - Oral food challenge
KW - Peanut
KW - Tree nut
KW - Wheat
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U2 - 10.1016/j.jaip.2019.09.029
DO - 10.1016/j.jaip.2019.09.029
M3 - Article
C2 - 31950914
AN - SCOPUS:85077166523
SN - 2213-2198
VL - 8
SP - 75-90.e17
JO - Journal of Allergy and Clinical Immunology: In Practice
JF - Journal of Allergy and Clinical Immunology: In Practice
IS - 1
ER -