Mise au point sur l’immunothérapie multi-aliment

Multi-food oral immunotherapy (OIT) represents a potential avenue for the simultaneous management of multiple food allergies. It encompasses the ingestion of a range of allergens on a daily basis, with doses increasing progressively until a maintenance dose is reached. Multi-food OIT must follow a patient-centered approach. As with single-food OIT, multi-food OIT is responsible for mainly mild to moderate allergic reactions, which can be readily managed or prevented by conventional anti-allergy medication. However, the available literature suggests that multi-food OIT is as well tolerated as single-food OIT. The need for a technical platform and expertise continues to impede the accessibility of multi-food OIT. Low-dose OIT may be a solution to reduce allergic side effects and facilitating access to office-based multi-food OIT.