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Mouse Body Temperature Measurement Using Infrared Thermometer During Passive Systemic Anaphylaxis and Food Allergy Evaluation
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Allergy to food additives.

Rocco Luigi Valluzzi1, Vincenzo Fierro, Stefania Arasi

  • 1Division of Allergy, University Department of Pediatrics, Pediatric Hospital Bambino Gesù, Rome, Vatican City, Italy.

Current Opinion in Allergy and Clinical Immunology
|March 19, 2019
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Summary
This summary is machine-generated.

Food additive allergy diagnosis and management are updated. While rare, reactions can be severe; avoidance and self-management are key. Oral food challenges may confirm allergies.

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Area of Science:

  • Food science
  • Allergology
  • Clinical immunology

Background:

  • Food additives enhance food characteristics but can trigger allergic reactions, ranging from mild to life-threatening.
  • Adverse reactions to food additives are generally infrequent but can be influenced by comorbidities such as asthma or chronic idiopathic urticaria.

Purpose of the Study:

  • To present an updated review of studies on the diagnosis and management of food additive allergy.
  • To inform healthcare professionals and patients about current understanding and strategies for food additive allergies.

Main Methods:

  • Review of existing studies on food additive allergy.
  • Assessment of diagnostic methods including physical examination, medical history, in-vivo, and in-vitro tests.
  • Evaluation of management strategies, focusing on dietary avoidance and self-management of severe reactions.

Main Results:

  • The prevalence of food additive allergy is low, potentially linked to comorbidities.
  • Accurate identification of food additives is facilitated by clear food labeling.
  • Natural additives like spices may elicit immediate reactions due to pollen sensitization or pan-allergen proteins.

Conclusions:

  • Strict avoidance of causative food additives is the primary treatment for diagnosed allergies.
  • High-risk individuals must be educated on recognizing and self-managing severe allergic reactions.
  • Additive-free diets are beneficial, and oral food challenges may be considered for confirmation if no contraindications exist.