EpiPen epidemic: Suggestions for rational prescribing in childhood food allergy

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EpiPen epidemic: suggestions for rational prescribing in childhood food allergy.

There has been a marked increase in community concerns of the risk of food induced anaphylaxis in children and a consequent increase in the provision of the self or carer injectable epinephrine (EpiPen) (CSL Ltd, Parkville, Victoria, Australia)). The Australian use of EpiPens in children under 10 years has increased by 300% over 5 years with a crude rate of EpiPen provision of 1 per 544 Austral...

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Food allergy in childhood.

Food allergy in childhood is a popular subject which has attracted disapprobation from certain quarters because of overinflated claims based on flimsy evidence. In this article food intolerance and allergy are defined and the pathogenesis of food allergic reactions is considered. There is a description of the role that food allergy may play in urticaria, angioedema, anaphylaxis, eczema, asthma,...

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Predictors of childhood food allergy

Methods This a cross sectional study. To assess which characteristics were associated with food allergy, we conducted simple logistic regressions of each type of atopy with food allergy as the dependent variable. A p<0.05 was considered significant. In the data modeling, we did not assume any hierarchical effects of families and schools on the food allergy status of participating children. Ther...

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The natural history of childhood food allergy

DEFINITION OF FOOD ALLERGY — In this section, the terms "allergy" and "hypersensitivity" are used interchangeably to refer to an abnormal immunologic reaction to food. Such reactions can be mediated by IgE molecules directed against specific food proteins that activate mast cells and basophils, or can arise from other cellular processes involving eosinophils or T cells. (See "Clinical manifesta...

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Clinical Management of Childhood Food Allergy

There is an upsurge in demand of clinical service in the management of childhood food allergy in almost every developed place. Certainly, Hong Kong is of no immunity. Is food allergy a growing problem or is it just a diagnostic fashion? I believe that we are looking at a combination of 1) increased rates of sensitisation 2) increased likelihood of sensitisation progressing to disease 3)increase...

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ژورنال

عنوان ژورنال: Journal of Paediatrics and Child Health

سال: 2003

ISSN: 1034-4810,1440-1754

DOI: 10.1046/j.1440-1754.2003.00157.x