1.
Fatal anaphylaxis to food allergens: Learning from tragedies.
Roberts, G
Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology. 2018;(11):1376-1377
2.
Approach to evaluation and management of a patient with multiple food allergies.
Bird, JA
Allergy and asthma proceedings. 2016;(2):86-91
Abstract
BACKGROUND Diagnosing food allergy is often challenging, and validated testing modalities are mostly limited to immunoglobulin E (IgE)-mediated reactions to foods. Use of food-specific IgE tests and skin prick tests in individuals without a history that supports an IgE-mediated reaction to the specific food being tested diminishes the predictive capabilities of the test. OBJECTIVE To review the literature regarding evaluation of patients with a concern for multiple food allergies and to demonstrate an evidence-based approach to diagnosis and management. METHODS A literature search was performed and articles identified as relevant based on the search terms "food allergy," "food allergy diagnosis," "skin prick test," "serum IgE test," "oral food challenge", and "food allergy management." RESULTS Patients at risk of food allergy are often misdiagnosed and appropriate evaluation of patients with concern for food allergy includes taking a thorough diet history and reaction history, performing specific tests intentionally and when indicated, and conducting an oral food challenge in a safe environment by an experienced provider when test results are inconclusive. CONCLUSION An evidence-based approach to diagnosing and managing a patient at risk of having a life-threatening food allergy is reviewed.
3.
[A case report of food-induced ileus requiring two emergency laparotomies in one year].
Kubota, D, Kubota, Y
Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology. 2015;(3):500-7
Abstract
A 58-year-old woman completely edentulous man was transported to our hospital by ambulance with complaints of abdominal pain and vomiting. Abdominal computed tomography revealed multiple objects in the dilated ileum. An emergency laparotomy was performed and a diagnosis of ileus caused by ingestion of lotus root was established. We advised the patient to obtain and wear dentures. However, she did not comply and continued to swallow food without chewing. After 11 months, she was readmitted with the same symptoms. A second emergency laparotomy also revealed food-induced ileus. No recurrence of food-induced ileus has occurred after the patient agreed to wearing dentures. When encountering patients presenting with ileus, the patient's diet and eating habits should be verified, and the condition of the teeth at the time of diagnosis should be evaluated. Encouragement of patients to improve eating habits, along with adequate dental care, sufficiently prevents food-induced ileus.