food allergy

Question 1

what is it

Answer 1

adverse immune response to a food, commonly associated with cutaneous and GI reactions, and less frequently associated with respiratory reactions and anaphylaxis

Question 2

Is it the same as food intolerance

Answer 2

It is different
food intolerance is non-immunological

Question 3

Most common allergens

Answer 3

○ Cows milk
○ Hens eggs
○ Soy
○ Wheat
○ Peanuts
○ Tree nuts
○ Fish
○ Shellfish

Question 4

true or false - cross reactivity between similar foods can occur e.g. allergy to other mammalian milk in pt with cows milk allergy

Answer 4

true

Question 5

management of food allergy

Answer 5

strict avoidance of causative food

Question 6

this mast cell stabiliser is licensed as an adjunct to dietary avoidance in pt with food allergy

Answer 6

sodium cromoglicate

Question 7

true or false - Peanut protein may be offered as an adjunct to dietary avoidance in patients with peanut allergy in childhood, and treatment can be continued into adulthood

Answer 7

true

Question 8

A patient has accidentally had some food they are allergic to. Must they have an antihistamine to treat acute, non-life threatening symptoms e.g. flushing and urticaria?

Answer 8

low quality evidence to support use

Question 9

this antihistamine is licensed for the symptomatic control of food allergy

Answer 9

chlorphenamine

Question 10

1st line immediate treatment for food induced anaphylaxis

Answer 10

IM adrenaline