Journal of food allergy最新文献_第2页

Clearing the path: Food allergy considerations for military applicants. 扫清道路：军队申请者的食物过敏注意事项。

Journal of food allergy Pub Date : 2024-08-01 DOI: 10.2500/jfa.2025.7.250006

Vishaka R Hatcher, Karla E Adams

{"title":"Clearing the path: Food allergy considerations for military applicants.","authors":"Vishaka R Hatcher, Karla E Adams","doi":"10.2500/jfa.2025.7.250006","DOIUrl":"10.2500/jfa.2025.7.250006","url":null,"abstract":"Background: Military and civilian allergists can be consulted for their expertise in food allergy to guide medical evaluations for military service applicants. Military accession (acceptance) standards with regard to food allergy can be daunting, with added complexity when considering service-specific broadening of guidelines and waiver tolerance. The allergist plays a critical role in evaluating patients with food-related concerns who are interested in military service.Objective: The purpose of this short communication is to aid in understanding of current military medical standards and diagnostic protocols related to food allergies in recruitment and enlistment, identification of food reactions that may impact candidacy for military accession, and provide strategies to address the food-related condition and help navigate the military medical evaluation process.Methods: We conducted a thorough review of current applicable military standard guidelines for accession pertinent to food allergies. Through review of Department of Defense medical standard guidelines as well as some service-specific initiatives to expand accessions, allergists can systematically steer through the evaluation process to support military applicants, clearing the path for accession.Results: We provide case-based recommendations to guide allergists in the evaluation of patients with possible food allergy who are interested in application for military service.Conclusion: Through appropriate use of published medical standards and evidence-based practice with strategic stepwise evaluation, the allergist can help clear the path for military applicants in the accessions process.","PeriodicalId":73751,"journal":{"name":"Journal of food allergy","volume":"7 1","pages":"42-45"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Food allergy thresholds, context, and balance in 2025. 2025年的食物过敏阈值、背景和平衡。

Journal of food allergy Pub Date : 2024-08-01 DOI: 10.2500/jfa.2025.7.250002

Marcus S Shaker, Jason Sanders, Aikaterini Anagnostou

引用次数: 0

Infant anaphylaxis and epinephrine use: Can we improve acute management? 婴儿过敏反应和肾上腺素的使用：我们能改善急性管理吗？

Journal of food allergy Pub Date : 2024-08-01 DOI: 10.2500/jfa.2025.7.240067

Aikaterini Anagnostou, Matthew Greenhawt, S Shahzad Mustafa, Jay A Lieberman, Marcus Shaker

引用次数: 0

How to manage asthma in a food-allergic patient: A practical approach. 如何处理食物过敏患者的哮喘：一种实用的方法。

Journal of food allergy Pub Date : 2024-08-01 DOI: 10.2500/jfa.2025.7.250008

Douglas P Mack

{"title":"How to manage asthma in a food-allergic patient: A practical approach.","authors":"Douglas P Mack","doi":"10.2500/jfa.2025.7.250008","DOIUrl":"10.2500/jfa.2025.7.250008","url":null,"abstract":"This article examines the intricate interplay between food allergy and asthma by focusing on the challenges of managing food allergy in patients with asthma. Although asthma is a prevalent comorbidity in food allergy, often > 50% among older children, its impact on food allergy outcomes remains not fully understood. Studies indicate a higher prevalence of asthma among individuals experiencing fatal anaphylaxis, yet there is no consistent evidence that supports a direct causal link between food allergy and the development of asthma. Clinicians and patients often overestimate asthma control, which leads to underestimated risks associated with severe food allergy reactions. This article underscores the critical need for optimal asthma control before and during oral food challenges and dietary advancement therapies, highlighting the heightened risk of severe reactions in individuals with poorly controlled asthma. Whereas biologics such as omalizumab show promise in enhancing asthma control and increasing food allergy thresholds, a comprehensive, multifaceted approach that involves diligent asthma management, patient education, and appropriate treatment strategies is essential for ensuring safe and effective management of food allergy in individuals with asthma. Integrated management, which addresses both conditions concurrently, is vital for improving patient safety and quality of life.","PeriodicalId":73751,"journal":{"name":"Journal of food allergy","volume":"7 1","pages":"21-26"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

New insights into food allergy and anaphylaxis management. 食物过敏和过敏反应管理的新见解。

Journal of food allergy Pub Date : 2024-08-01 DOI: 10.2500/jfa.2025.7.250009

Aikaterini Anagnostou

引用次数: 0

Selecting patients for food allergy therapy. 选择患者进行食物过敏治疗。

Journal of food allergy Pub Date : 2024-08-01 DOI: 10.2500/jfa.2025.7.250003

Aikaterini Anagnostou

{"title":"Selecting patients for food allergy therapy.","authors":"Aikaterini Anagnostou","doi":"10.2500/jfa.2025.7.250003","DOIUrl":"10.2500/jfa.2025.7.250003","url":null,"abstract":"Background: Food allergies pose a significant burden on the daily life of individuals with food allergy, including dietary, psychosocial, and economic impact. The management of food allergy has shifted recently from previous passive avoidance approaches to current active therapeutic interventions.Objective: This article aims to discuss selection of patients with food allergies for different therapies.Methods: Published literature on risks and benefits of various therapies as well as articles on shared decision-making were reviewed for this article. Key papers are included.Results and conclusion: In addition to the two U.S. Food and Drug Administration approved therapies currently available (for oral peanut immunotherapy and for treatment of single and/or multiple food allergies), many novel treatments are on the horizon. Alternative forms of food immunotherapy, such as epicutaneous and sublingual, as well as a variety of new biologics are under development. When selecting patients for therapy, it is important to consider multiple factors, including eligibility, age, type of food, history of life-threatening reactions, baseline quality of life, and the presence of atopic comorbidities. As the food allergy landscape becomes enriched with novel treatment modalities, choice of the appropriate therapy for each individual is more challenging. Avoidance also remains an acceptable strategy for those who prefer this approach.","PeriodicalId":73751,"journal":{"name":"Journal of food allergy","volume":"7 1","pages":"3-6"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Omalizumab in food allergy: Risks and benefits. Omalizumab治疗食物过敏：风险和益处。

Journal of food allergy Pub Date : 2024-08-01 DOI: 10.2500/jfa.2025.7.250004

S Shahzad Mustafa, Kristin Sokol

{"title":"Omalizumab in food allergy: Risks and benefits.","authors":"S Shahzad Mustafa, Kristin Sokol","doi":"10.2500/jfa.2025.7.250004","DOIUrl":"10.2500/jfa.2025.7.250004","url":null,"abstract":"Omalizumab is approved for the management of immunoglobulin E-mediated food allergy in individuals ages ≥ 1 year. Approval for food allergy followed the Omalizumab as Monotherapy and as Adjunct Therapy to Multi-Allergen OIT in Food Allergic Participants (OUtMATCH) study, which demonstrated that omalizumab increases the threshold dose of multiple food allergens needed to elicit an allergic reaction. Despite the demonstrated efficacy in food allergy and favorable safety profile, many questions remain. This review addresses the efficacy of omalizumab for the management of food allergy, as monotherapy, and in conjunction with oral immunotherapy. Safety in children is paramount, and this review addresses noted adverse events of anaphylaxis and malignancy. There is minimal knowledge with regard to the real-world impact on food allergy-related quality of life. Many questions still remain, including identifying who is the ideal patient for omalizumab, determining the role of oral food challenges before and during therapy with omalizumab, evaluating food allergy tolerance while on treatment, and optimizing the cost-effectiveness of this efficacious and well-tolerated management option for food allergy.","PeriodicalId":73751,"journal":{"name":"Journal of food allergy","volume":"7 1","pages":"7-13"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying thresholds of reaction for different foods. 确定不同食物的反应阈值。

Journal of food allergy Pub Date : 2024-07-01 DOI: 10.2500/jfa.2024.6.240006

Jay Adam Lieberman

引用次数: 0

Food allergy prevention through the decades: An ounce of humility is worth a pound of cure. 几十年来的食物过敏预防一盎司的谦虚胜过一磅的治疗。

Journal of food allergy Pub Date : 2024-07-01 DOI: 10.2500/jfa.2024.6.230018

Alexandra E Conway, Matthew Greenhawt, Elissa M Abrams, Marcus S Shaker

{"title":"Food allergy prevention through the decades: An ounce of humility is worth a pound of cure.","authors":"Alexandra E Conway, Matthew Greenhawt, Elissa M Abrams, Marcus S Shaker","doi":"10.2500/jfa.2024.6.230018","DOIUrl":"https://doi.org/10.2500/jfa.2024.6.230018","url":null,"abstract":"Food allergy prevention has undergone a significant transformation over the past 3 decades. This review provides an overview of the evolution of food allergy prevention, highlighting changes in guidance, cost-effectiveness of prevention, the role of shared decision-making, and the emergence of oral immunotherapy for those in whom primary prevention fails. Changes to food allergy prevention over recent decades can be conceptualized into five epochs, which have followed a general trend of loosening restrictions on the allergen introduction timeline. These epochs are characterized by significant maternal and infant dietary restrictions in the \"universal avoidance epoch\"(-1990), loosened maternal diet restrictions in the \"infant avoidance epoch\" (1990-2000), a time-bound allergen introduction schedule in the \"stratified avoidance epoch\" (2000-2010), retraction of recommendations in the \"corrective retraction epoch\" (2010-2015), and endorsement of early allergen introduction in the \"early introduction epoch\" (2015-present), the start of which is marked by the 2015 Learning Early About Peanut study. In hindsight, it is clear that certain recommendations from previous decades were not the best course of action. A no-screening early introduction approach to food allergy prevention is both cost-effective and beneficial to patient quality of life.","PeriodicalId":73751,"journal":{"name":"Journal of food allergy","volume":"6 1","pages":"3-14"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11382770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A diagnostic approach to IgE-mediated food allergy: A practical algorithm. IgE 介导的食物过敏诊断方法：实用算法。

Journal of food allergy Pub Date : 2024-07-01 DOI: 10.2500/jfa.2024.6.240007

Richard L Wasserman

引用次数: 0