Food allergy: which tests are worth doing and which are not?

Abstract:

:Adverse reactions to foods may arise by a variety of mechanisms, both immune (IgE and non-IgE) and non-immune mediated. This article considers those assays useful in the diagnosis of Type 1 hypersensitivity to foods (IgE-based) and, importantly, discusses those assays where evidence is lacking for their use. In all cases of suspected food allergy, a full clinical history is indispensable in facilitating diagnosis. Total serum IgE is not a suitable screen for food allergy. Suspect allergens may be confirmed by either skin prick testing or serological assays for specific IgE. Several studies suggest concentrations of food-specific IgE at which there is a high probability of reaction on food challenge. These cut-off levels are now being used by physicians to direct clinical advice. However, it is important to note that not all studies agree on these limits and the chosen cut-off is dependent on the population studied and the assay used.

journal_name

Ann Clin Biochem

authors

Lock RJ,Unsworth DJ

doi

10.1258/acb.2011.011011

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

300-9

issue

Pt 4

eissn

0004-5632

issn

1758-1001

pii

acb.2011.011011

journal_volume

48

pub_type

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