27 Questions
Apart from food allergy, which of the following is mentioned as a co-factor for eczema?
Exercise
Why may the diagnosis of food allergy be unsuspected in children with chronic eczema?
Because foods may be tolerated without acute/severe reactions if eaten regularly
Why may foods be tolerated without acute/severe reactions in children with chronic eczema?
Due to reduced sensitivity
Apart from food allergy, what is mentioned as a co-factor for eczema?
Aspirin
Why may the diagnosis of food allergy be unsuspected in children with chronic eczema?
Children with eczema may tolerate foods without acute reactions
What do RAST & IMMUNOCAP TESTS and SKIN PRICK TESTING detect?
IgE antibodies
What are some of the presenting symptoms of the 40-year-old female mentioned in the text?
Anaphylactoid reactions, skin urticaria, gastrointestinal symptoms
Which food items are listed as triggers for symptoms experienced by the patient?
Spinach and ricotta triangles, garlic prawns, apples
What is the main focus of 'Living with Food Intolerances'?
Adjusting diet and lifestyle choices
What is the purpose of 'Diagnostic Elimination Diet'?
To determine if food plays a role in the symptoms
What are some of the associated conditions mentioned in the patient assessment?
Allergies, depression, anxiety
Which physical stimuli can trigger mast cells?
Heat, cold, pressure, scratching
What is the recommended approach for managing alpha-Gal IgE & red meat allergy?
Avoid all mammalian meats, artificial blood, and gelatin
What is the threshold for tolerating salicylate and amines per day?
1-2 serves per day
What are the allergens mentioned as triggers for food intolerance via nerve endings?
Natural flavours, preservatives, colourings
Where are mast cells located in the body?
Under skin, lining of airways, gastrointestinal tract
What is the recommended duration for the detailed protocol for elimination diet?
2 to 6 weeks
What are the initial outcomes of strict elimination diet?
Significant improvement (90-95%) in symptoms such as skin issues, gastrointestinal problems, fatigue, and joint aches and pains
What is the purpose of the N-of-1 trial challenge protocol?
To identify specific food/chemical triggers for symptoms
How is long-term management of food intolerances approached?
By liberalizing the diet, progressively increasing tolerated amounts of intolerant foods
What is the focus of the detailed overview of living with food intolerances?
Adjustments in diet and lifestyle choices
What is the main aim of repeat challenge results for various food/chemical categories?
To assess associated symptoms and identify individual reaction thresholds
What is the recommended duration for the elimination diet to evaluate food intolerances?
6 to 8 weeks
What are the initial outcomes of a strict elimination diet for managing food intolerances?
Significant improvement (90-95%) in symptoms
What is the purpose of the N-of-1 trial challenge protocol in managing food intolerances?
To identify specific food/chemical triggers for symptoms
How is long-term management of food intolerances approached after the initial strict elimination diet?
By progressively increasing tolerated amounts of intolerant foods
What is the focus of the detailed overview of living with food intolerances?
Adjustments in diet and lifestyle choices
Study Notes
Managing Food Intolerances: A Detailed Overview
- Different ways to consume food intolerant foods: on their own, in mixed dishes, with other ingredients, raw, steamed, stir-fried, boiled, slow-cooked, or baked
- Investigation of food intolerances to low chemical, high FODMAP foods, with reactions varying from "O.K." to "Terrible gas"
- Evaluation of patient's food intolerances through diagnostic elimination diet, focusing on exclusions of natural salicylates, amines, glutamates, added flavor enhancers, preservatives, food colors, and optionally wheat, milk, soy, and FODMAP foods
- Detailed protocol for elimination diet, requiring at least 2 to 6 weeks duration, along with a symptom diary and monitoring for withdrawal reactions, aiming for 5 consecutive days free of symptoms
- Initial outcomes of strict elimination diet, showing significant improvement (90-95%) in symptoms such as skin issues, gastrointestinal problems, fatigue, and joint aches and pains
- N-of-1 trial challenge protocol to identify specific food/chemical triggers for symptoms
- Repeat challenge results for various food/chemical categories (e.g., salicylate, amines, glutamate, propionate, antioxidants, colors) and associated symptoms (e.g., asthma, rash, headache, nausea)
- Personal diet assessment and adjustments based on challenge responses to determine individual reaction thresholds
- Long-term management of food intolerances through liberalizing the diet, progressively increasing tolerated amounts of intolerant foods
- Detailed overview of living with food intolerances, including adjustments in diet and lifestyle choices
- Assessment of the patient's food intolerances and challenges in identifying specific food/chemical triggers for symptoms
- Finding reaction thresholds and liberalizing the diet by increasing the frequency and amount of tolerated foods
Test your knowledge on the importance of recognizing eczema as a risk factor for food allergy. Learn about the high prevalence of food allergy in children with chronic eczema and the potential unsuspected diagnosis of food allergies. Understand the impact of regular food consumption on children with eczema and the implications of eliminating and reintroducing foods.
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