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Exacerbation of Eczema and History of Food Allergy

  • Elena Camelia Berghea
Chapter

Practical Points

  • Primary food allergy mainly affects young children

  • Primary food allergy is caused by class I food allergens which are heat-stable and resistant to degradation or proteolytic digestion, having the potential to induce severe reactions

  • Adults frequently develop food allergy as a consequence of an inhalant sensitization, with class II allergens

  • Class II allergens are easily degradable food allergens that tend to induce milder reactions, often limited to oral allergy symptoms

  • The presented case was an example of polysensitivity to food and respiratory allergens in a child with atopic dermatitis

  • Molecular component diagnosis is useful in identifying sensitization to major and minor allergens and possible cross-reactivity, when several food and respiratory allergies are present

Keywords

Oral food challenge Primary food allergy Class I food allergens 

References

  1. 1.
    Kelly JP, Hourihane J. Dietary intervention in eczema. Paediatr Child Health. 2011;21(9):406.CrossRefGoogle Scholar
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    Muraro A, Werfel T, Hoffmann-Sommergruber K, Roberts G, Beyer K, Bindslev-Jensen C, Cardona V, Dubois A, duToit G, Eigenmann P, Fernandez Rivas M, Halken S, Hickstein L, Host A, Knol E, Lack G, Marchisotto MJ, Niggemann B, Nwaru BI, Papadopoulos NG, Poulsen LK, Santos AF, Skypala I, Schoepfer A, Van Ree R, Venter C, Worm M, Vlieg-Boerstra B, Panesar S, de Silva D, Soares-Weiser K, Sheikh A, Ballmer-Weber BK, Nilsson C, de Jong NW, Akdis CA. EAACI food allergy and anaphylaxis guidelines: diagnosis and management of food allergy. Allergy. 2014;69(8):1008–25.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Elena Camelia Berghea
    • 1
    • 2
  1. 1.Emergency Clinical Hospital for Children M.S. CurieBucharestRomania
  2. 2.University of Medicine and Pharmacy Carol DavilaBucharestRomania

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