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Pediatrics PULMONARY > Food Allergy > Flashcards

Food Allergy Flashcards

1
Q

What is adverse food reaction?

A

Any abnormal reaction resulting from ingestion of a food

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2
Q

Food intolerance =

A

Non-allergic food hypersensitivites

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3
Q

Food intolerance (Non-allergic food hypersensitivites)

A

Adverse response caused by eg metabolic disorder

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4
Q

Food hypersensitivity/allergy:

A

Adverse immunologic reactions that might be due to IgE or non-IgE mediated immune mechanism

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5
Q

Pecentage of children below 2yrs of age with food allergy?

A

6%

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6
Q

Percentage of neonates woth milk allergy?

A

3-5%

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7
Q

Perrcentage of neonates that outgrow the milk allergy by 5th birthday?

A

80%

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8
Q

Percentage of children with egg allergy?

A

1,5%

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9
Q

Percentage of children with adverse reactions to food additives?

A

0,5%-1%

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10
Q

Food allergens - children

A
  • milk
  • egg
  • pea nuts
  • soy
  • wheat
  • fish
  • shellfish
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11
Q

Food allergens - adults

A
  • pea nuts
  • nuts
  • fish
  • shellfish
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12
Q

TABLE

A

Slide 8

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13
Q

What are the risk factors for allergy?

A
  • genetical
  • enviromental
  • immature state of the mucosal barrier play role in the inceased prevalence of food allergy in the first few years of life
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14
Q

What are the enviromental risk factors for allergy?

A
  • improper diet (early introduction of strong allergens)
  • mother diet during lactation
  • GI infection
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15
Q

Food hypersensitivity disorder (that is IgE mediated):

A
  • GI: vomiting, diarrhea, oral allergy syndrome, GI anaphylaxis
  • Cutaneous: urticaria, angioedema
  • Respiratory: rhinoconjuctivitis, wheezing
  • Generalized: anaphylactic shock
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16
Q

Food hypersensitivity disorder (that is IgE and cell mediated):

A
  • GI: allergic eosinophilic esophagitis, allergic eosinophilic gastroenteritis
  • Cutaneous: atopic dermatitis
  • Respiratory: asthma
17
Q

Food hypersensitivity disorder (that is cell mediated):

A

GI: food protein-induced enterocolitis, proctocolitis, entheropathy syndrome, celiac disease

  • Cutaneous: contact dermatitis, dermatitis herpetiformis
  • Respiratory: food induced pulmonary hemosiderosis
18
Q

What is Oral allergy syndrome elicited by?

A

-Elicited by a variety of plant proteins that cross react with airborne allergens especially birch, ragweed, mugwort pollens

19
Q

What are the symptoms of oral allergy syndrome?

A
  • pruritus
  • angioedemaof the lips, palate, tongue, oropharynx
  • sensation of tightness in the throat
20
Q

Food associated with OAS

A
  • Carrot, celery – birch, mugwort
  • Tomato - grass
  • Zucchini - ragweed
  • Apple, pear,apricot, kiwi – birch
  • Banana - ragweed
  • Orange - grass
21
Q

How is the gastrointestinal anaphylaxis typically presented as?

A

Gastrointestinal anaphylaxis typically presens as acute nausea, colicky abdominal pain, vomiting and generally occurs with allergic manifestations on the other target organs

22
Q

What is allergic eosinophilic esophagitis and gastroenteritis?

A

Infiltartion of the esophagus, stomach, and/or intestinal walls with eosinophils, basal zone hyperplasia and peripheral eosinophilia

23
Q

What are the typical symptoms of eosinophilic esophagitis and gastroenteritis?

A
  • dysphagia
  • abdominal pain
  • vomiting
24
Q

—

A

—

25
Q

Gastrointestinal food hypersensetivities:

A

Food protein-induced enteropathy, celiac disease typically diarrhea, abdominal distention, weight loss, nausea

26
Q

Cutaneous food hypersensetivies:

A
  • urticaria
  • atopic dermatitis
  • dermatitis herpetiformis
  • contact dermatitis
27
Q

Urticaria:

A

Pruritus, hives and/or swelling

28
Q

Atopic dermatitis:

A

Marked pruritus, eczematous rash in classic distribution

29
Q

Dermatitis herpetiformis:

A

Papulovesicular rash over extensir surfaces and buttocks

30
Q

Contact dermatitits:

A

Marked pruritus, rash

Pediatrics PULMONARY (4 decks)

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