Food Hypersensitivity and Adverse Reactions : A Practical Guide for Diagnosis title: and Management Clinical Allergy and Immunology ; 14 author: Frieri, Marianne publisher: CRC Press isbn10 | asin: 0824799038 print isbn13: 9780824799038 ebook isbn13: 9780585109442 language: English Food allergy, Food Hypersensitivity-- subject complications, Food Hypersensitivity-- diagnosis, Food Hypersensitivity--therapy. publication date: 1999 lcc: RC596.F667 1999eb ddc: 616.97/5 Food allergy, Food Hypersensitivity-- subject: complications, Food Hypersensitivity-- diagnosis, Food Hypersensitivity--therapy. Food Hypersensitivity and Adverse Reactions CLINICAL ALLERGY AND IMMUNOLOGY Series Editor MICHAEL A. KALINER, M.D. Medical Director Institute for Asthma and Allergy Washington, D.C. 1. Sinusitis: Pathophysiology and Treatment, edited by Howard M. Druce 2. Eosinophils in Allergy and Inflammation, edited by Gerald J. Gleich and A. Barry Kay 3. Molecular and Cellular Biology of the Allergic Response, edited by Arnold I. Levinson and Yvonne Paterson 4. Neuropeptides in Respiratory Medicine, edited by Michael A. Kaliner, Peter J. Barnes, Gert H. H. Kunkel, and James N. Baraniuk 5. Provocation Testing in Clinical Practice, edited by Sheldon L. Spector 6. Mast Cell Proteases in Immunology and Biology, edited by George H. Caughey 7. Histamine and H1-Receptor Antagonists in Allergic Disease, edited by F. Estelle R. Simons 8. Immunopharmacology of Allergic Diseases, edited by Robert G. Townley and Devendra K. Agrawal 9. Indoor Air Pollution and Health, edited by Emil J. Bardana, Jr., and Anthony Montanaro 10. Genetics of Allergy and Asthma: Methods for Investigative Studies, edited by Malcolm N. Blumenthal and Bengt Björkstén 11. Allergic and Respiratory Disease in Sports Medicine, edited by John M. Weiler 12. Allergens and Allergen Immunotherapy: Second Edition, Revised and Expanded, edited by Richard F. Lockey and Samuel C. Bukantz 13. Emergency Asthma, edited by Barry E. Brenner 14. Food Hypersensitivity and Adverse Reactions: A Practical Guide for Diagnosis and Management, edited by Marianne Frieri and Brett Kettelhut ADDITIONAL VOLUMES IN PREPARATION Diagnostic Testing of Allergic Disease, edited by Stephen F. Kemp and Richard F. Lockey Page i Food Hypersensitivity and Adverse Reactions A Practical Guide for Diagnosis and Management edited by Marianne Frieri Nassau County Medical Center, East Meadow, and State University of New York at Stony Brook Stony Brook, New York Brett Kettelhut Children's Hospital Medical Center and Cincinnati Allergy and Asthma Center Cincinnati, Ohio Page ii ISBN: 0-8247-9903-8 This book is printed on acid-free paper. Headquarters Marcel Dekker, Inc. 270 Madison Avenue, New York, NY 10016 tel: 212-696-9000; fax: 212-685-4540 Eastern Hemisphere Distribution Marcel Dekker AG Hutgasse 4, Postfach 812, CH-4001 Basel, Switzerland tel: 41-61-261-8482; fax: 41-61-261-8896 World Wide Web http://www.dekker.com The publisher offers discounts on this book when ordered in bulk quantities. For more information, write to Special Sales/Professional Marketing at the headquarters address above. Copyright © 1999 by Marcel Dekker, Inc. All Rights Reserved. Neither this book nor any part may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, microfilming, and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Current printing (last digit): 10 9 8 7 6 5 4 3 2 1 PRINTED IN THE UNITED STATES OF AMERICA Page iii Preface Our objective in preparing this book was to provide a resource offering up-to-date basic science and relevant clinical expertise in the area of food hypersensitivity. The contributors are highly qualified experts in the many aspects of this field, authors able to present state- of-the-art and practical information. The text is divided into five parts. The basic science section (Parts I and II) reviews the allergic and immunologic basis for food hypersensitivity. The clinical section (Parts III and IV) discusses in detail clinical manifestations, including prevalence, unusual presentations, diagnosis, prevention, and treatment. Part V contains chapters on the management of the hospitalized patient with food hypersensitivity, diets, and hypoallergenic formulas, as well as a list of patient resources. In order to achieve completeness in each of the five parts, some of the presented areas overlap. Several chapters contain detailed information on immunologic mechanisms including food allergen characterization, food contaminants, and "hidden foods." Other chapters discuss non-IgE- mediated topics and atypical cutaneous manifestations. The presentation of neurologic, autoimmune, and psychological topics provides information for an integrated team approach in evaluating the food-allergic patient. The book will be of great interest to and will provide an important scientific and clinical reference for internists, pediatricians, family practitioners, allergists-immunologists, gastroenterologists, dermatologists, psycholo-