Diagnosis of Allergic and Nonallergic Food Intolerance in Children
https://doi.org/10.15690/vsp.v12i2.619
Abstract
Because the incorrect food avoidance affects quality of life and nutrition, especially in children, there is possible harm in over-diagnosing food allergy. The approach to the proper diagnosis of food allergy and nonallergic intolerance requires consideration of the medical history, tests for food-specific IgE antibodies, skin puncture tests. Pediatrist must appreciate that a positive test for food-specific IgE or skin puncture test primarily denotes sensitization and may not confirm clinical allergy. Food elimination diet or oral food challenge is required for diagnosis confirmation. Additional procedures may be needed, depending on the differential diagnosis of IgE mediated or non-IgE mediated food intolerance.
About the Author
A. A. Cheburkin
Russian Medical Academy of Postgraduate education, Moscow
Russian Federation
Cheburkin Andrey Andreyevich, PhD, MD, professor of a Chair of Children’s Infectious Diseases, State Budget Educational Institution of Additional Education “Russian Medical Academy of Postgraduate Education”
Russian Federation
Cheburkin Andrey Andreyevich, PhD, MD, professor of a Chair of Children’s Infectious Diseases, State Budget Educational Institution of Additional Education “Russian Medical Academy of Postgraduate Education”
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Review
For citations:
Cheburkin A.A. Diagnosis of Allergic and Nonallergic Food Intolerance in Children. Current Pediatrics. 2013;12(2):44-51. (In Russ.) https://doi.org/10.15690/vsp.v12i2.619
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