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Asia Pac Allergy.  2013 Jan;3(1):59-69. 10.5415/apallergy.2013.3.1.59.

Diagnosis of food allergies: the impact of oral food challenge testing

Affiliations
  • 1Department of Allergy, Aichi Children's Health and Medical Center, Aichi 474-8710, Japan. koumei_itoh@mx.achmc.pref.aichi.jp

Abstract

A diagnosis of food allergies should be made based on the observation of allergic symptoms following the intake of suspected foods and the presence of allergen-specific IgE antibodies. The oral food challenge (OFC) test is the most reliable clinical procedure for diagnosing food allergies. Specific IgE testing of allergen components as well as classical crude allergen extracts helps to make a more specific diagnosis of food allergies. The Japanese Society of Pediatric Allergy and Clinical Immunology issued the 'Japanese Pediatric Guideline for Food Allergy 2012' to provide information regarding the standardized diagnosis and management of food allergies. This review summarizes recent progress in the diagnosis of food allergies, focusing on the use of specific IgE tests and the OFC procedure in accordance with the Japanese guidelines.

Keyword

Food hypersensitivity; Immunoglobulin E; Oral food challenge

MeSH Terms

Allergy and Immunology
Antibodies
Asian Continental Ancestry Group
Diagnosis*
Food Hypersensitivity*
Humans
Hypersensitivity
Immunoglobulin E
Antibodies
Immunoglobulin E
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