Food allergy diagnosis in patients with elimination diet history. Preliminary report

Background: Food allergy diagnosis is performed by a double blind placebo controlled challenge; however, in a lot of patients, it is only based on clinical history, skin prick tests, or parents’ perception. There is a high frequency of elimination diets without an adequate approach. Objective: To a...

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Main Authors: Elsy Maureen Navarrete-Rodríguez, Blanca Estela Del Río-Navarro, César Fireth Pozo-Beltrán, Daniela Edith García-Fajardo, Omar Josué Saucedo-Ramírez, Enrique Emanuel Castelán-Chávez
Format: Article
Language:English
Published: Colegio Mexicano de Inmunología Clínica y Alergia, A.C. 2014-09-01
Series:Revista Alergia México
Subjects:
Online Access:http://revistaalergia.mx/ojs/index.php/ram/article/view/4
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author Elsy Maureen Navarrete-Rodríguez
Blanca Estela Del Río-Navarro
César Fireth Pozo-Beltrán
Daniela Edith García-Fajardo
Omar Josué Saucedo-Ramírez
Enrique Emanuel Castelán-Chávez
author_facet Elsy Maureen Navarrete-Rodríguez
Blanca Estela Del Río-Navarro
César Fireth Pozo-Beltrán
Daniela Edith García-Fajardo
Omar Josué Saucedo-Ramírez
Enrique Emanuel Castelán-Chávez
author_sort Elsy Maureen Navarrete-Rodríguez
collection DOAJ
description Background: Food allergy diagnosis is performed by a double blind placebo controlled challenge; however, in a lot of patients, it is only based on clinical history, skin prick tests, or parents’ perception. There is a high frequency of elimination diets without an adequate approach. Objective: To analyze the results of diagnostic tests in a group of children with elimination diet-based on suspected food allergy and verify such studies with double blind placebo-controlled test challenge. Material and method: An observational, analytical and prospective study was done in a group of patients with elimination diet for suspected food allergy. We performed prick test, Prick-to-Prick test and patch test and the positive ones were verified by double-blind placebo-controlled challenge. Results: Fourty-three patients were included within a total of 1,935 tests. Both approach for immediate and late sensitivity had not statistically significant relationship between a positive test and the elimination of food. Until now, we had 4 (8%) positive challenges out of 50. Conclusion: The frequency of allergy proved by double-blind placebo-controlled test in 50 challenges was of 8% (4/50), thus, in the preliminary report we found a high frequency of elimination diets without adequate support. It is very important that food allergy diagnosis is accurate and based on an appropriate approach; since the implementation of an elimination diet in pediatric population can have a negative influence on their growth and development.
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spelling doaj.art-03f3750f97424396963b9cc04fea53e82023-08-02T04:19:42ZengColegio Mexicano de Inmunología Clínica y Alergia, A.C.Revista Alergia México0002-51512448-91902014-09-0161429830410.29262/ram.v61i4.422Food allergy diagnosis in patients with elimination diet history. Preliminary reportElsy Maureen Navarrete-Rodríguez0Blanca Estela Del Río-Navarro1César Fireth Pozo-Beltrán2Daniela Edith García-Fajardo3Omar Josué Saucedo-Ramírez4Enrique Emanuel Castelán-ChávezSecretaría de Salud, Hospital Infantil de México Federico Gómez, Departamento de Alergia e Inmunología Clínica Pediátrica. Ciudad de MéxicoSecretaría de Salud, Hospital Infantil de México Federico Gómez, Departamento de Alergia e Inmunología Clínica Pediátrica. Ciudad de MéxicoSecretaría de Salud, Hospital Infantil de México Federico Gómez, Departamento de Alergia e Inmunología Clínica Pediátrica. Ciudad de MéxicoSecretaría de Salud, Hospital Infantil de México Federico Gómez, Departamento de Alergia e Inmunología Clínica Pediátrica. Ciudad de MéxicoSecretaría de Salud, Hospital Infantil de México Federico Gómez, Departamento de Alergia e Inmunología Clínica Pediátrica. Ciudad de MéxicoBackground: Food allergy diagnosis is performed by a double blind placebo controlled challenge; however, in a lot of patients, it is only based on clinical history, skin prick tests, or parents’ perception. There is a high frequency of elimination diets without an adequate approach. Objective: To analyze the results of diagnostic tests in a group of children with elimination diet-based on suspected food allergy and verify such studies with double blind placebo-controlled test challenge. Material and method: An observational, analytical and prospective study was done in a group of patients with elimination diet for suspected food allergy. We performed prick test, Prick-to-Prick test and patch test and the positive ones were verified by double-blind placebo-controlled challenge. Results: Fourty-three patients were included within a total of 1,935 tests. Both approach for immediate and late sensitivity had not statistically significant relationship between a positive test and the elimination of food. Until now, we had 4 (8%) positive challenges out of 50. Conclusion: The frequency of allergy proved by double-blind placebo-controlled test in 50 challenges was of 8% (4/50), thus, in the preliminary report we found a high frequency of elimination diets without adequate support. It is very important that food allergy diagnosis is accurate and based on an appropriate approach; since the implementation of an elimination diet in pediatric population can have a negative influence on their growth and development.http://revistaalergia.mx/ojs/index.php/ram/article/view/4alergia alimentariadieta de eliminaciónhipersensibilidad inmediatahipersensibilidad tardíareto doble ciego.
spellingShingle Elsy Maureen Navarrete-Rodríguez
Blanca Estela Del Río-Navarro
César Fireth Pozo-Beltrán
Daniela Edith García-Fajardo
Omar Josué Saucedo-Ramírez
Enrique Emanuel Castelán-Chávez
Food allergy diagnosis in patients with elimination diet history. Preliminary report
Revista Alergia México
alergia alimentaria
dieta de eliminación
hipersensibilidad inmediata
hipersensibilidad tardía
reto doble ciego.
title Food allergy diagnosis in patients with elimination diet history. Preliminary report
title_full Food allergy diagnosis in patients with elimination diet history. Preliminary report
title_fullStr Food allergy diagnosis in patients with elimination diet history. Preliminary report
title_full_unstemmed Food allergy diagnosis in patients with elimination diet history. Preliminary report
title_short Food allergy diagnosis in patients with elimination diet history. Preliminary report
title_sort food allergy diagnosis in patients with elimination diet history preliminary report
topic alergia alimentaria
dieta de eliminación
hipersensibilidad inmediata
hipersensibilidad tardía
reto doble ciego.
url http://revistaalergia.mx/ojs/index.php/ram/article/view/4
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AT danielaedithgarciafajardo foodallergydiagnosisinpatientswitheliminationdiethistorypreliminaryreport
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