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Updated: May 29, 2026

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Basophil Activation Test for Allergy Diagnosis
Published on: May 31, 2021
Food allergy.
1Mount Sinai School of Medicine, New York, NY, USA. scott.sicherer@mssm.edu
The Mount Sinai Journal of Medicine, New York
|September 14, 2011
Summary
Food allergies are increasing, affecting millions. Diagnosis requires careful history, lab tests, and food challenges, while management focuses on avoidance and epinephrine, with new therapies under investigation.
Area of Science:
- Immunology
- Allergology
- Gastroenterology
Background:
- Food allergy prevalence is rising, impacting public health.
- Immune responses to food proteins, including carbohydrates in meats, are key.
- Food allergies are a leading cause of fatal anaphylaxis.
Purpose of the Study:
- To review current understanding of food allergy mechanisms, diagnosis, and management.
- To highlight emerging research in diagnostics and therapeutics for food allergies.
- To discuss the complexities of diagnosing food allergy, distinguishing sensitization from clinical allergy.
Main Methods:
- Review of existing literature on food allergy.
- Analysis of diagnostic challenges, including immunological assays and oral food challenges.
- Examination of current and novel therapeutic strategies.
Main Results:
- Food allergy mechanisms involve immunoglobulin E antibodies and cell-mediated responses.
- Diagnosis is complex, requiring integrated clinical and laboratory evaluation.
- Extensively heated foods may be tolerated by some children, suggesting potential immunotherapy benefits.
Conclusions:
- Accurate diagnosis of food allergy is crucial and often requires multiple methods.
- Allergen avoidance and emergency preparedness remain primary management strategies.
- Ongoing research into novel diagnostics and immunotherapies offers future hope for food allergy patients.
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