Food Hypersensitivity Flashcards

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1
Q

What are non-immunologic reactions to food

A

food intolerance
idiosyncratic adverse reactions
Pharmacologic reactions
Food poisoning

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2
Q

What is the incidence of Food Hypersensitivity reactions?

A

Overall not common. Up to 300% of dogs with atopic dermatitis reported to also have food allergy

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3
Q

What are common offending substances to dogs?

A
Beef,
Dairy products
Wheat
Poultry products
Lamb
etc.
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4
Q

What are common offending substances to cats?

A

Beef
Dairy products
Fish
Poultry Products

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5
Q

If an animal is less than 1 year of age and is showing signs of allergies, what would you expect?

A

Less than a year, lean closer to food

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6
Q

What are Historical features associated with food hypersensitivity reactions?

A

Seen in dogs and cats at any age
Non-seasonal signs
Generally the animal has been on the same diet for an extended time
Poorly responsive to glucocorticoids

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7
Q

what are physical findings associated with Food Hypersensitivity reactions

A

May resemble atopy
Dogs:Most common is the increased frequency of defecation
Cats: Non-descript. Facial dermatitis, otitis externa etc.

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8
Q

When should ou recommend food trial vs. allergy testing?

A

signalment
non-seasonal symptoms
poor response to treatment

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9
Q

Proportionally, if a cat vs dog is showing atopic dermatitis symptoms, what one would have a higher chance of being an Adverse Food Reaction

A

Cats: ARF are 50-90% of allergy cases

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10
Q

Is allergy testing for foods reliable?

A

NO this is not a reliable measurement

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11
Q

How do you diagnose (successfully) a food Hypersensitivity reaction?

A

Food trial

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12
Q

What are hydrolysates

A

Proteins that are broken down in size to reduce allergenicity.
Some diets are combination of hydrolysates and novel protein diets.

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13
Q

are grain free diets considered hypoallergenic?

A

no. These are not appropriate hypoallergenic diets.

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14
Q

What is his favorite hypoallergenic diets?

A

Ultamino for both dogs and cats

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15
Q

How long should a food trial extend?

A

Dogs: 8 week raises to 90% efficiency
Cat: 8 weeks raise sensitivity to 90%

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16
Q

Why is this statement correct? “A positive dietary response does not confirm an adverse food reaction”

A

Other disease conditions, especially atopic dermatitis, may respond to a commercial hypoallergenic diet:

  • high fatty acid levels
  • Support of barrier function
17
Q

therapy for ARF

A

Avoidance is key!

  • elimination diet to identify an ARF
  • Provocative exposure to identify specific allergens
  • Goal is to find a commercial diet that will be acceptable

Control Secondary infections

  • Timing is crucial
  • Treat infectionswhen initiating dietary trial
  • Success defined as control of secondary infections without antimicrobial therapy
18
Q

What is Oral Allergy Syndrome:

A

Pollen-Food Allergy syndrome

  • Type 1 Hypersensitivity
  • May result in exacerbation of signs with specific foods are ingested