Active treatment for food allergy

Food allergy has grown in rapidly in prevalence, currently affecting 5% of adults and 8% of children. Management strategy is currently limited to 1) food avoidance and 2) carrying and using rescue intramuscular epinephrine/adrenaline and oral antihistamines in the case of accidental ingestion; there...

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Main Authors: Aaron K. Kobernick, A. Wesley Burks
Format: Article
Language:English
Published: Elsevier 2016-10-01
Series:Allergology International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1323893016301083
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author Aaron K. Kobernick
A. Wesley Burks
author_facet Aaron K. Kobernick
A. Wesley Burks
author_sort Aaron K. Kobernick
collection DOAJ
description Food allergy has grown in rapidly in prevalence, currently affecting 5% of adults and 8% of children. Management strategy is currently limited to 1) food avoidance and 2) carrying and using rescue intramuscular epinephrine/adrenaline and oral antihistamines in the case of accidental ingestion; there is no FDA approved treatment. Recently, oral, sublingual and epicutaneous immunotherapy have been developed as active treatment of food allergy, though none have completed phase 3 study. Efficacy and safety studies of immunotherapy have been variable, though there is clearly signal that immunotherapy will be a viable option to desensitize patients. The use of bacterial adjuvants, anti-IgE monoclonal antibodies, and Chinese herbal formulations either alone or in addition to immunotherapy may hold promise as future options for active treatment. Active prevention of food allergy through early introduction of potentially offending foods in high-risk infants will be an important means to slow the rising incidence of sensitization.
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spelling doaj.art-ce5068623d534ab08b22d56e88d5f5852022-12-22T03:29:57ZengElsevierAllergology International1323-89302016-10-0165438839510.1016/j.alit.2016.08.002Active treatment for food allergyAaron K. Kobernick0A. Wesley Burks1Department of Allergy and Immunology, University of North Carolina School of Medicine, Chapel Hill, NC, USADepartment of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, NC, USAFood allergy has grown in rapidly in prevalence, currently affecting 5% of adults and 8% of children. Management strategy is currently limited to 1) food avoidance and 2) carrying and using rescue intramuscular epinephrine/adrenaline and oral antihistamines in the case of accidental ingestion; there is no FDA approved treatment. Recently, oral, sublingual and epicutaneous immunotherapy have been developed as active treatment of food allergy, though none have completed phase 3 study. Efficacy and safety studies of immunotherapy have been variable, though there is clearly signal that immunotherapy will be a viable option to desensitize patients. The use of bacterial adjuvants, anti-IgE monoclonal antibodies, and Chinese herbal formulations either alone or in addition to immunotherapy may hold promise as future options for active treatment. Active prevention of food allergy through early introduction of potentially offending foods in high-risk infants will be an important means to slow the rising incidence of sensitization.http://www.sciencedirect.com/science/article/pii/S1323893016301083AllergyEpicutaneousFoodImmunotherapySublingual
spellingShingle Aaron K. Kobernick
A. Wesley Burks
Active treatment for food allergy
Allergology International
Allergy
Epicutaneous
Food
Immunotherapy
Sublingual
title Active treatment for food allergy
title_full Active treatment for food allergy
title_fullStr Active treatment for food allergy
title_full_unstemmed Active treatment for food allergy
title_short Active treatment for food allergy
title_sort active treatment for food allergy
topic Allergy
Epicutaneous
Food
Immunotherapy
Sublingual
url http://www.sciencedirect.com/science/article/pii/S1323893016301083
work_keys_str_mv AT aaronkkobernick activetreatmentforfoodallergy
AT awesleyburks activetreatmentforfoodallergy