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Table of Contents
Vol. 26, No. 2, 2008
Issue release date: April 2008
Section title: Paper
Dig Dis 2008;26:96–103
(DOI:10.1159/000116766)

Adverse Reactions to Food: Allergies and Intolerances

Montalto M. · Santoro L. · D’Onofrio F. · Curigliano V. · Gallo A. · Visca D. · Cammarota G. · Gasbarrini A. · Gasbarrini G.
Institute of Internal Medicine, Catholic University, Rome, Italy

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Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: 4/21/2008
Issue release date: April 2008

Number of Print Pages: 8
Number of Figures: 2
Number of Tables: 0

ISSN: 0257-2753 (Print)
eISSN: 1421-9875 (Online)

For additional information: http://www.karger.com/DDI

Abstract

All the anomalous reactions secondary to food ingestion are defined as ‘adverse reactions to food’. In 1995 the European Academy of Allergology and Clinical Immunology suggested a classification on the basis of the responsible pathogenetic mechanism; according to this classification, non-toxic reactions can be divided into ‘food allergies’ when they recognize immunological mechanisms, and ‘food intolerances’ when there are no immunological implications. The diagnostic approach to adverse reactions to food is based on accurate clinical history and objective examination, and further execution of specific tests when allergy or intolerance is suspected. The therapy for food allergies is the elimination of the food to which hypersensibility has been found; this strategy can lead, especially in pediatric age, to tolerance. If elimination diets cannot be completely performed, or if it is not possible to identify the food to eliminate, some drugs (e.g. antihistaminics, steroids, etc.) can be administered. Specific allergen immunotherapy has been recently introduced. Fundamental is food allergy prevention, especially in high-risk subjects. The therapeutic approach to secondary food intolerances is based principally on primitive disease resolution; on the other hand, some specific treatments (e.g. β-galactosidases in lactose malabsorption) are available in case of primary intolerance.

© 2008 S. Karger AG, Basel


  

Author Contacts

Dr. Massimo Montalto
Istituto di Medicina Interna, Università Cattolica del Sacro Cuore
Largo A. Gemelli, 8
IT–00168 Rome (Italy)
Tel. +39 06 3015 4334, Fax +39 06 3550 2775, E-Mail mmontalto@rm.unicatt.it

  

Article Information

Published online: April 21, 2008
Number of Print Pages : 8
Number of Figures : 2, Number of Tables : 0, Number of References : 72

  

Publication Details

Digestive Diseases (Clinical Reviews)

Vol. 26, No. 2, Year 2008 (Cover Date: April 2008)

Journal Editor: Malfertheiner P. (Magdeburg)
ISSN: 0257–2753 (Print), eISSN: 1421–9875 (Online)

For additional information: http://www.karger.com/DDI


Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: 4/21/2008
Issue release date: April 2008

Number of Print Pages: 8
Number of Figures: 2
Number of Tables: 0

ISSN: 0257-2753 (Print)
eISSN: 1421-9875 (Online)

For additional information: http://www.karger.com/DDI


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