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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Format: | Article |
Language: | English |
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Colegio Mexicano de Inmunología Clínica y Alergia, A.C.
2014-09-01
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Series: | Revista Alergia México |
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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. |
first_indexed | 2024-03-12T19:33:06Z |
format | Article |
id | doaj.art-03f3750f97424396963b9cc04fea53e8 |
institution | Directory Open Access Journal |
issn | 0002-5151 2448-9190 |
language | English |
last_indexed | 2024-03-12T19:33:06Z |
publishDate | 2014-09-01 |
publisher | Colegio Mexicano de Inmunología Clínica y Alergia, A.C. |
record_format | Article |
series | Revista Alergia México |
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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