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factors\tsuch\tas\tconcomitant\tingestion\tof\tnonsteroidal\tantiinflammatory\tdrugs\t(NSAIDs)\tor\talcohol\n\tcan\tact\nas\taccelerants\tto\tthe\treaction\t(\nWauters\tet\tal,\t2018\n).\tThe\tprevalence\tand\tcausative\tagents\tand\teffective\nmethods\tof\tdiagnosis\tin\tFDEIA\tcontinue\tto\tbe\texplored.\nGalactose-α-1,3-galactose\tanaphylaxis\t(alpha-gal)
|
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Galactose-α-1,3-galactose\tanaphylaxis\t(alpha-gal)\nAn\tunusual\tform\tof\tanaphylaxis\tis\tthe\tdelayed\tanaphylaxis\tresponse\tto\tmammalian\tmeat\t(most\tcommonly\nbeef,\tlamb,\tpork,\tbison,\tbuffalo,\tand\tvenison).\tIt\tinvolves\tIgE\tantibodies\tthat\n\tthe\tindividual\tforms\tagainst\nthe\toligosaccharide\t\ngalactose-α-1,\t3-galactose\t(“alpha-gal”)
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] |
the\toligosaccharide\t\ngalactose-α-1,\t3-galactose\t(“alpha-gal”)\n,\twhich\tis\ttypically\tintroduced\tinto\tthe\nperson\tduring\tbites\tfrom\tticks,\tmost\tcommonly\tthe\tlone\tstar\ttick.\tThe\tlone\tstar\ttick\tis\tmost\tcommonly\nseen\tin\tthe\tsoutheast\tUnited\tStates\tbut\tits\trange\tis\tspreading\tto\tthe\tMidwest\tfrom\tTexas\tto\tIowa\tand\tin
|
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] |
New\tEngland.\tOther\tticks\tcommon\tin\tEurope\tor\tAustralia\tcan\tintroduce\n\talpha-gal\tinto\ta\tperson\tthrough\ntheir\tbite\t(\nCommins\tet\tal,\t2016\n).\tOther\tectoparasites\tsuch\tas\tcestodes,\tnematodes,\tand\tscabies\tin\tsub-\nSaharan\tAfrica\tcan\tintroduce\talpha-gal\tand\tcause\tsubsequent\treactions\t(\nCommins,\t2016\n).
|
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] |
Commins,\t2016\n).\nAbout\t4\tto\t6\tweeks\tafter\tthe\ttick\tbite,\tthe\tsubsequent\tingestion\tof\tmammalian\tmeat,\twhich\tcontains\nalpha-gal\tfor\twhich\tthere\tis\tnow\tan\tIgE\tantibody\tin\tthe\tpreviously\tbitten\tperson,\n\tcan\tlead\tto\treactions\nthat\tunlike\tusual\timmediate\tIgE-mediated\treactions\tare\tdelayed\tfor\tseveral\thours.\tThe\tunique\tdelay\tin
|
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] |
the\treaction\tis\tprobably\tdue\tto\tslow\tabsorption\tof\tthe\tcomplex\tlipids\tin\tthe\tmeat\tthat\tharbor\tthe\tantigen.\nThe\tfattier\tthe\tred\tmeat,\tthe\tmore\tlikely\tthe\treaction.\tHigh-fat\tdairy\tice\tcream\tcan\talso\toccasionally\ncause\ta\treaction\t(\nWilson\tand\tPlatts-Mills,\t2018\n).\nIntradermal
|
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0.0031984562519937754
] |
cause\ta\treaction\t(\nWilson\tand\tPlatts-Mills,\t2018\n).\nIntradermal\n\ttesting\twith\tcommercially\tavailable\tbeef,\tpork,\tand\tlamb\textracts\tcan\tbe\tdone\tsafely\tand\ncorrelates\twell\twith\tclinically\trelevant\talpha-gal\tallergy.\tIn\tmany\tcases\talpha-gal\tallergy\tis\tnot\tlifelong,
|
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and\tred\tmeat\tcan\tbe\treintroduced\tinto\tthe\tdiet\twith\tmedical\tsupervision\tafter\t18\tto\t24\tmonths\tof\navoidance\tof\tred\tmeat.\nFruit\tand\tvegetable\tallergies:\tPollen-food\tallergy\tsyndrome\t(PFAS)\tand\tlipid\n\ttransfer\nprotein\tsyndrome\t(LTPS)\nWhat\tused\tto\tbe\tcalled\t\noral\tallergy\tsyndrome\t(OAS)\n\tis\tnow\tmore\taccurately\treferred\tto\tas\ttwo\ndifferent\tsyndromes:
|
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0.06515759229660034,
0.004079863429069519
] |
is\tnow\tmore\taccurately\treferred\tto\tas\ttwo\ndifferent\tsyndromes:\t\npollen-food\tallergy\tsyndrome\t(PFAS)\n\tand\t\nlipid\ttransfer\tprotein\tsyndrome\n(LTPS)\n\t(\nMuluk\tand\tCingi,\t2018\n).\tBoth\tsyndromes\tare\tIgE-mediated\treactions\tcharacterized\tby\noropharyngeal\tsymptoms\tof\titchy\tmouth;\tscratchy\tthroat;\tswelling\tof\tthe\tlips,\tmouth,\tuvula,\n\tor\ttongue;
|
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] |
or\ttongue;\nand\tthroat\ttightness.\tItchy\tears\tare\tsometimes\treported.\tPFAS\tis\tusually\ta\tmilder\treaction\tconfined\tjust\nto\tthe\toral\tcavity.\tSymptoms\tare\trapid\tand\tappear\twithin\t5\tto\t30\tminutes\tafter\tingestion\tof\tthe\tallergen-\ncontaining\tfood\tand\tmost\toften\tsubside\twithin\t30\tminutes.\tIn\tLTPS\tthe\treaction\tnot\tonly\taffects\tthe\toral
|
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] |
cavity\tbut\talso\tcan\tbecome\tsystemic\twith\thives,\twheezing,\tvomiting,\n\tdiarrhea,\tand\tlow\tblood\tpressure,\tor\neven\tanaphylaxis.\tLTPS\tis\ta\tprimary\tallergy\tand\tpotentially\tmore\tsevere,\trequiring\tdifferent\tmanagement\nand\teven\tpossible\tprescription\tof\tan\tepinephrine\tauto-injector\tdevice\t(ADI)\t(\nTurner\tand\tCampbell,\t2014\n;\nTurner\tet\tal,\t2015\n).
|
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] |
Turner\tand\tCampbell,\t2014\n;\nTurner\tet\tal,\t2015\n).\nIn\tPFAS\tthe\treaction\tresults\tfrom\tcontact\twith\tfood\tallergen\tproteins\tsimilar\tto\tthose\tin\tpollens\t(usually\nbirch,\tragweed,\tmugwort,\n\tor\tother\tgrasses)\tthat\tthe\tperson\thas\talready\tbeen\tsensitized\tto\tthrough\tthe\nrespiratory\tsystem.\tIt\tis\ta\tsituation\tof\t\ncross-reactivity
|
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] |
allergen\tthat\tcauses\ta\treaction\tin\tthe\tpreviously\tsensitized\tindividual.\tPFAS\tis\tcommon\tin\tthose\twith\npollen\tallergies.\tThe\tprimary\tsensitization\tis\tto\tthe\tpollen,\tnot\tthe\tfood\t(\nTurner\tand\tCampbell,\t2014\n;\nTurner\tet\tal,\t2015\n).\nThe\tproteins\tresulting\tin\tPFAS\tare\theat\tlabile\tand\tare\tchanged\tduring\tcooking.\tHence,\tit\tis\tthe\traw
|
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] |
fruit\tor\tvegetable\tthat\tcauses\tthe\treaction;\tthe\tcooked\tversion\tcan\tusually\tbe\tconsumed\twith\tno\nproblems.\tBecause\treactions\tare\timmediate\tafter\tingestion\tof\tthe\traw\tfood,\tmost\tindividuals\tcan\tidentify\nthe\tfood\tculprit.\tHowever,\tif\tit\tis\tnot\tobvious\tfrom\ta\tthorough\tclinical\thistory,\tuse\tof\tcomponent\n\tresolved
|
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] |
resolved\ndiagnostic\t(CRD)\ttesting\tor\tskin-prick\ttesting\t(\nTable\t25.3\n)\tcan\tbe\tuseful.\nTABLE\t25.3\nTests\tUsed\tin\tthe\tAssessment\tof\tAdverse\tReactions\tto\tFoods\nSkin\tTests\nSkin\ttesting\n(scratch,\nprick,\tor\npuncture)\nA\tdrop\tof\tantigen\tis\tplaced\ton\tthe\nskin,\tand\tthe\tskin\tis\tthen\nscratched\tor\tpunctured\tto\tallow\npenetration\tof\tthe\tantigen\tto
|
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0.0445641465485096,
0.07396064698696136,
0.04678802937269211,
0.03827841207385063
] |
scratched\tor\tpunctured\tto\tallow\npenetration\tof\tthe\tantigen\tto\nreach\tsensitized\n\tIgE;\tassesses\npresence\tof\tantigen-specific\tIgE\n(sIgE)\tand\tsensitization\nScreening\ttest;\tcannot\tbe\trelied\tupon\tas\tsole\ndiagnostic\ttool;\tnegative\tresults\tconfirm\tabsence\nof\tIgE-mediated\tsensitivity;\tpositive\tresults\tonly\nconfirm\tpresence\tof\tsIgE-mediated\tsensitization
|
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] |
confirm\tpresence\tof\tsIgE-mediated\tsensitization\nand\tnot\tnecessarily\tfood\tallergy;\tneed\tto\tbe\ncombined\twith\tthorough\thealth\thistory\tof\tfood-\nsymptom\trelationship\nAtopy\tpatch\ntest\nSmall\tpads\tsoaked\twith\tallergen\nare\tapplied\tto\tunbroken\tskin\tfor\n48\thours\tand\tread\tat\t72\thours\nVariable\tsensitivity\tand\tspecificity;\tused\tto\tassess
|
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0.08924803137779236,
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] |
Variable\tsensitivity\tand\tspecificity;\tused\tto\tassess\ndelayed\tor\tnon-IgE\treactions;\tno\tclinical\tvalue\tin\ndiagnosis\tof\tfood\tallergy;\tcombined\twith\tskin\nprick\ttesting\t(SPT)\tor\tsIgE\tmay\thave\tvalue\tin\tthe\ndiagnosis\tof\tatopic\tdermatitis\t(Hammond\tand\nLieberman,\t2018)\tor\teosinophilic\tesophagitis\n(Spergel\tet\n\tal,\t2012)\nBlood\tTests\nImmunoCAP\nImmunoCap\nISAC
|
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0.04097408801317215,
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0.08107572048902512,
0.029643498361110687,
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0.059972427785396576,
0.03017321787774563,
0.006851146928966045
] |
(Spergel\tet\n\tal,\t2012)\nBlood\tTests\nImmunoCAP\nImmunoCap\nISAC\nImmulite\nTest\tfor\tallergen-specific\tIgE\tin\nserum\t(sIgE);\tserum\tis\tmixed\nwith\tfood\ton\ta\tpaper\tdisk\tand\nthen\twashed\twith\tradioactively\nlabeled\tIgE.\tUsed\tfor\tassessing\nIgE-mediated\treactions;\tISAC\ntests\tfor\ta\tpanel\tof\t100\tfoods\tor\nmore\nHigh\tsensitivity,\tbut\tlow\tspecificity\tfor\tfood
|
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more\nHigh\tsensitivity,\tbut\tlow\tspecificity\tfor\tfood\nallergy;\tdetectable\tsIgE\tby\titself\tnot\tdiagnostic\nof\tfood\tallergy,\n\tbut\tlarger.\tsIgE\tvalues\tcorrelate\nwith\tincreased\tlikelihood\tof\tfood\tallergy;\tmost\nreliable\tfor\tthese\tfoods:\teggs,\twheat,\tcow’s\tmilk,\npeanuts,\tand\tsoy;\thas\tthe\tpotential\tfor\tover\ndiagnosing\tby\tdetecting\tsensitization\tto\tfoods
|
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diagnosing\tby\tdetecting\tsensitization\tto\tfoods\nthat\tmay\tnot\tbe\tclinically\trelevant\nMolecular\nAllergen\nAnalysis\n(MAA);\nComponent-\nresolved\ndiagnostic\n(CRD)\ttesting\nMeasures\tsIgE\tto\tspecific\ncomponents\tof\tprotein\tantigens\nin\tfood,\tnot\tto\tthe\twhole\tfood\nextract;\taugments\taccuracy\tof\nconventional\tsIgE\ttesting
|
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] |
extract;\taugments\taccuracy\tof\nconventional\tsIgE\ttesting\nIdentifies\tclinically\trelevant\tsIgE\tfrom\tirrelevant\nsIgE\twith\tprognostic\tbenefit\tfor\tclinical\treaction\nand\tseverity;\tespecially\tuseful\tin\tassessing\npeanut\tallergy,\tpollen-food\tallergy\tsyndrome\n(PFAS),\tand\tlipid\ttransfer\tprotein\tsyndrome\n(LTPS)\nBasophil\nactivation\ntest\t(BAT)
|
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] |
(LTPS)\nBasophil\nactivation\ntest\t(BAT)\nUsing\tfresh\twhole\tblood,\nmeasures\n\tbasophil\tresponse\tto\nan\tallergen\tin\ta\ttest\ttube\tand\tcan\nbe\tan\tin-vitro\tsurrogate\tfor\tan\noral\tfood\tchallenge\t(OFC)\n(Hoffmann\tet\tal,\t2015).\nMimics\tan\tallergic\treaction,\tnot\tjust\tsensitization;\nbecoming\tmore\twidely\tused\tto\ttest\tfor\tsesame\tor
|
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becoming\tmore\twidely\tused\tto\ttest\tfor\tsesame\tor\npeanut\tallergy\t(Appel\tet\tal,\t2018);\tpotentially\ncan\tdistinguish\tbetween\tthose\tsensitized\tand\nthose\tclinically\tallergic\nMast\tcell\nactivation\ntest\t(MCAT)\nUsing\tplasma,\tmeasures\tmast\tcell\nresponse\tto\tallergenic\tcross-\nlinking\tsIgE\ton\tmast\tcell\tsimilar\nto\tBAT
|
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linking\tsIgE\ton\tmast\tcell\tsimilar\nto\tBAT\nStill\texperimental;\tmay\tbe\tused\tin\ttesting\tfor\npeanut\tallergy\t(Gomes-Belo\tet\tal,\t2018)\nSerum\tIgG4\nBlood\ttesting\tfor\tfood-specific\nIgG4\nNot\tvalidated\tfor\tdiagnostic\tuse;\ttends\tto\tindicate\nprevious\texposure\tto\tthe\tfood\tand\ttolerance,\tnot\nallergic\treaction;\tmay\tbe\tmore\tuseful\tas\ta\tratio\nIgG4/IgE
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allergic\treaction;\tmay\tbe\tmore\tuseful\tas\ta\tratio\nIgG4/IgE\n\tin\tEoE\tdiagnosis;\tmay\tbe\tuseful\tin\tCRD\ntesting\nLeukocyte\nactivation\ntesting\n•\t\nAntigen\nleukocyte\ncellular\nantibody\ttest\n(ALCAT)\n•\t\nMediator\nrelease\ttest\n(MRT)\nAllergen\tis\tmixed\twith\twhole\nblood\tserum\tleukocyte\nsuspension.\tLysed\tleukocytes,\nprimarily\tneutrophils,\tare
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suspension.\tLysed\tleukocytes,\nprimarily\tneutrophils,\tare\nassessed\tusing\tDNA\treleased;\nindicates\trelease\tof\tinflammatory\nmediators\tand\tpositive\tresponse\nto\tthe\tfood\tallergen\nMeasures\n\tnon–IgE-mediated\timmune\tresponses;\nindicates\tresponse\tto\tfoods\tby\tinnate\timmune\ncells;\tbecoming\tmore\tvalidated\tfor\tdiagnostic
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] |
cells;\tbecoming\tmore\tvalidated\tfor\tdiagnostic\nuse\t(Ali\tet\tal,\t2017;\tGarcia-Martinez\tet\tal,\t2018)\nOther\tTests—Not\tRecommended\nApplied\nkinesiology,\nalso\tcalled\nmuscle\nstrength\ntesting\nSubject’s\tarm\tis\textended\tand\tvial\nwith\tthe\ttest\tfood\tis\tplaced\tin\tthe\nsubject’s\thand,\tand\tthe\tmuscle\nstrength\tin\tthe\topposite\tarm\n\tis\ntested\tby\tplacing\tlight\tpressure
|
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] |
strength\tin\tthe\topposite\tarm\n\tis\ntested\tby\tplacing\tlight\tpressure\non\tthe\tarm;\ttest\tis\tconsidered\nNonstandardized;\tmay\tresult\tin\tfalse-positive\tor\nfalse-negative\tresults;\tnot\treliable\tand\tnot\nvalidated\tfor\tdiagnostic\tuse\t(Hammond\tand\nLieberman,\t2018)
|
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] |
positive\tif\tmuscle\tstrength\nweakens\tand\tarm\tmoves\tmore\neasily\nSublingual\ntesting\nDrops\tof\tallergen\textract\tare\nplaced\tunder\tthe\ttongue\tand\nsymptoms\tare\trecorded\nMay\tresult\n\tin\tfalse-positive\tresults;\tnot\tvalidated\nfor\tdiagnostic\tuse\nProvocation\ntesting\tand\nneutralization\nSubcutaneous\tinjection\tof\tallergen\nextract\telicits\tsymptoms;\tthis\tis
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] |
may\tcause\n\tsevere\tadverse\treaction\tin\tthose\twith\ntrue\tIgE-mediated\tfood\tallergy\nLTPS\tis\tcommon\tin\tMediterranean\tcountries\twhere\tlipid\ttransfer\tprotein\t(LTP)\tis\ta\twidely\tcross-\nreacting\tallergen\tin\tplant\tfoods.\tIn\tsouthern\tEurope\tLTPS\tis\tassociated\twith\thigher\trisk\tof\tsevere
|
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] |
systemic\treaction,\tbut\tthe\treason\tfor\tthis\tis\tunknown.\tBecause\tof\tthis\tit\tis\timportant\tto\tdiagnose\tLTPS\ncorrectly\tand\tnot\tmisdiagnose\n\tit\tfor\tthe\tmilder\tPFAS.\tThe\tmost\tfrequently\timplicated\tfoods,\tcooked\tor\nraw,\tinclude\tpeaches,\tapples,\tpears,\tapricots,\tplums,\tcherries,\twalnuts,\tand\thazelnuts\t(\nAsero\tet\tal,\t2018\n;\nVenter\tet\tal,\t2018\n).\t\nBox\t25.3
|
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] |
Asero\tet\tal,\t2018\n;\nVenter\tet\tal,\t2018\n).\t\nBox\t25.3\n\tlists\tfoods\tand\tpollens\tassociated\twith\tPFAS\tand\tLTPS.\nBOX\t25.3\nPotential\tFoods\tand\tPollens\tInvolved\tin\tPollen-Food\tAllergy\nSyndrome\t(PFAS)\tand\tLipid\tProtein\tTransfer\tSyndrome\t(LPTS)\nAlmonds\nB\nApple\nB\nApricot\nB\nBanana\nR\nCarrot\nB,\tG\nCelery\nB\nChamomile\nR\nCherry\nB\nCucumber\nR\nEchinacea\nR\nFennel\nB
|
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] |
B,\tG\nCelery\nB\nChamomile\nR\nCherry\nB\nCucumber\nR\nEchinacea\nR\nFennel\nB\nFig\nB,\tG\nGreen\tpepper\nB\nHazelnut\nB\nKiwi\nB\nMelon\nR,\tG\nMung\tbeans\nB\nNectarine\nB\nOranges\nR,\tG\nParsley\nB\nParsnip\nB\nPeanut\nG\nPeach\nB\nPear\nB\nPlum\nB\nPotato\nB\nPrune\nB\nPumpkin\tseed\nB\nSoy\nB\nStrawberry\nB\nSunflower\tseeds\nR\nTomato\nG\nWalnut\nB\nZucchini\nR\nB\n,\tBirch\tpollen;\t\nG\n,\tgrass\tpollen;\t\nR
|
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] |
Tomato\nG\nWalnut\nB\nZucchini\nR\nB\n,\tBirch\tpollen;\t\nG\n,\tgrass\tpollen;\t\nR\n,\tragweed\tpollen.\t\nSources:\tJoneja\tJV:\t\nThe\thealth\tprofessional’s\tguide\tto\tfood\tallergies\tand\tintolerances\n,\tChicago,\t2013,\tAcademy
|
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] |
of\tNutrition\tand\tDietetics,\tp\t311.\t\nAmerican\tCollege\tof\tAsthma,\tAllergy\tand\tImmunology,\t(ACAAI),\t2018.\t\nFerreira\tF,\tGadermaier\tG\tand\tWallner\tM:\tTree\tPollen\tAllergens\tin\tGlobal\tAtlas\tof\tAllergy,\t2014.\nLatex-fruit\tor\tlatex-food\tsyndrome\nNatural\trubber\tlatex\t(NRL)\tor\t\nHevea\tbrasiliensis\n,\tused\tin\tlatex\trubber\tgloves,\tballoons,\tbottle\tnipples,
|
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] |
,\tused\tin\tlatex\trubber\tgloves,\tballoons,\tbottle\tnipples,\nchildren’s\trubber\ttoys,\telastic\tbands,\texercise\tbands,\tand\tmany\tother\tarticles\tin\tthe\tenvironment,\ncontains\tmany\tproteins\tthat\tcan\tbe\thighly\tallergenic.\tAn\tNRL-allergic\treaction\tis\tIgE-mediated\tand\tis\noften\tseen\tin\thealth\tcare\tworkers\t(8%\tto\t17%),\tother
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] |
of\tchildren\twith\tspina\tbifida\tfor\texample)\t(\nAmerican\tLatex\tAllergy\tAssociation,\t2018\n).\tSymptoms\tof\tNRL\nallergy\tinclude\tall\tthe\tusual\tsymptoms\tof\tan\n\tIgE-mediated\tallergy:\turticaria,\tangioedema,\trunny\tnose,\nsneezing,\theadache,\treddened\tand\titchy\teyes,\tsore\tthroat,\tabdominal\tcramps,\tand\teven\tanaphylaxis.
|
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] |
It\tis\testimated\tthat\t50%\tto\t70%\tof\tpeople\twith\tlatex\tallergies\thave\tIgE\tantibodies\tthat\tcan\tcross-react\nwith\tantigens\tfrom\tfoods,\tmostly\tfruits,\tand\tcause\tallergic\tsymptoms\tof\tthe\t\nlatex-fruit\tsyndrome\tor\nlatex-food\tsyndrome\n.\tSymptoms\tof\tlatex-food\n\tallergy\tvary,\twith\tmany\tbeing\tsimilar\tto\tthose\twith\tNRL
|
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allergy\tvary,\twith\tmany\tbeing\tsimilar\tto\tthose\twith\tNRL\nallergy,\tincluding\tanaphylaxis.\tSensitization\toccurs\tfrom\tskin\tcontact\twith\tlatex,\tand\tthe\tfood\tallergy\nreaction\tis\tan\tIgE-mediated\treaction\tto\tthe\tlatex\tcross-reacting\tproteins\tfound\tin\tthe\tfood.
|
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] |
For\tthose\twith\tNRL\tdocumented\tallergy,\tbut\twith\tno\tsymptoms\tafter\tconsumption\tof\tassociated\tfoods,\nit\tis\timportant\tto\tkeep\tin\tmind\tthat\tevery\n\tNRL-allergic\tindividual\treacts\tdifferently\tto\tfoods\twith\tlatex\ncross-reacting\tallergens.\tThe\tmost\tfrequently\treported\tfoods\tin\tlatex-food\tallergic\treactions\tare\tavocado,
|
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] |
banana,\tchestnut,\tkiwi,\tand\tmango,\tbut\tother\tfoods\tcan\tbe\tproblematic\t(\nJoneja,\t2013\n).\tMany\tlatex\nproducts,\tespecially\tpowdered\tlatex\tgloves,\twhere\tinhalation\tof\tthe\tpowder\tincreases\tthe\trisk\tof\nbecoming\tsensitized,\tare\tnow\tbanned\n\tfrom\thealth\tcare\tsettings,\tmaking\tthe\toccurrence\tof\tthis\tlatex-food
|
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] |
from\thealth\tcare\tsettings,\tmaking\tthe\toccurrence\tof\tthis\tlatex-food\nallergic\treaction\tless\tcommon.\tHowever,\tthere\tare\tstill\tmany\tNRL-containing\tproducts\tin\tuse\t(\nAmerican\nLatex\tAllergy\tAssociation,\t2018\n).\nMany\tclinicians\tadvise\tNRL-allergic\tindividuals\tto\tavoid\tfoods\tthat\thave\tcross-reactivity\tin\tthe\tinterest
|
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] |
of\tsafety.\tHowever,\tit\tcannot\tbe\tassumed\tthat\tthe\tNRL-allergic\tperson\twill\treact\tto\tthese\n\tfoods,\tor\tthat\nthere\twill\tnot\tbe\tother\tNRL\tallergen-containing\tfoods\tthat\tmay\tcause\ta\treaction.\tManagement\tis\tbased\non\tan\telimination\tdiet\tthat\tbegins\twith\tavoidance\tof\tfoods\tknown\tto\tbe\treactive\tfor\tthat\tindividual.\tWith\nthe\tdevelopment\tof\tCRD\ttesting\t(see
|
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] |
the\tdevelopment\tof\tCRD\ttesting\t(see\t\nTable\t25.3\n),\tthe\tproblematic\tlink\tbetween\tspecific\tcomponents\tof\nthe\tlatex\tprotein\tand\tcertain\tfruits\tis\tbeing\telucidated.\nSystemic\tnickel\n\tallergy\tsyndrome\t(SNAS)\nAllergy\tto\tthe\tmineral\tnickel\tbegins\tas\ta\tcontact\tdermatitis.\tIt\tis\tmore\tcommon\tin\twomen\tand\tincreases
|
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] |
in\tincidence\twith\tadvancing\tage.\tThe\tindividual\tis\tsensitized\tthrough\tprolonged\tskin\tor\tmucous\nmembrane\tcontact\twith\tnickel,\tusually\tfrom\tjewelry,\tbuttons,\tmetal\tstuds,\tclips,\twatchbands,\tor\noccupations\twhere\tmetal\tcontact\tis\tfrequent.\tIn\tthis\tcell-mediated\treaction\tlymphocytes\n\tproduce
|
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] |
produce\ncytokines\tat\tthe\tsite\tof\tnickel\tcontact,\twhich\tcause\tthe\titching,\tredness,\tand\tscaling\tof\tcontact\tdermatitis.\nIt\tis\ta\tdelayed\tand\tchronic\treaction\tthat\toccurs\twith\tevery\tsubsequent\tcontact\twith\tnickel\tat\tthat\tsite.\nIt\tis\tnow\trecognized\tthat\tthe\tindividual\twith\tnickel\tcontact\tdermatitis\tcan\tdevelop\ta\tsecondary
|
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0.008056210353970528
] |
response\tof\teczema\tor\tdermatitis\teven\twhen\tthe\tskin\tis\tnot\tin\tcontact\twith\tnickel,\n\tand\tit\tappears\tthat\tthis\nsystemic\tnickel\tallergy\tsyndrome\t(SNAS)\n\tin\tthe\tsensitized\tindividual\tis\tto\tnickel\tpresent\tin\tan\ningested\tfood.\nDiagnosis\tof\tcontact\tallergy\tto\tnickel\tis\tmade\tusing\tan\tatopy\tpatch\ttest\t(see\t\nTable\t25.3\n),\twhere\tthe
|
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-0.007724300492554903,
-0.10785377025604248,
0.020173905417323112,
0.09186907857656479,
0.013880342245101929,
0.005776641424745321,
0.03774997219443321,
0.12340373545885086,
0.081876739859581,
0.023772291839122772,
0.03228532522916794
] |
Table\t25.3\n),\twhere\tthe\nallergen\t(usually\tnickel\tsulfate)\tin\tthe\tpatch\tis\tleft\ton\tthe\tskin\tfor\tup\tto\t72\thours.\tAfter\t48\thours\tthe\tarea\nunder\tthe\tpatch\tis\tobserved\tfor\tredness,\titchiness,\n\tor\tblister.\tBecause\tthe\treaction\tis\tdelayed,\tit\tmay\ttake\n2\tto\t3\tdays\tto\tdevelop.
|
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0.01849520020186901,
0.06632828712463379,
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0.053357090801000595,
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0.038272466510534286,
0.06688695400953293,
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0.06813771277666092,
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0.06148739159107208,
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0.07928191870450974,
0.05091369152069092,
0.016274720430374146,
0.019840789958834648,
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0.056424178183078766,
0.0701836496591568,
0.07455778121948242,
-0.002463656710460782
] |
2\tto\t3\tdays\tto\tdevelop.\nIf,\tafter\tremoval\tof\tskin\tcontact\twith\tnickel,\tthe\tdermatitis\tpersists,\tand\tthere\tare\talso\tGI\tsymptoms,\nallergy\tto\tingested\tnickel\tin\tfood\tis\tsuspected.\tDietary\telimination\tof\tnickel\tand\tchallenge\twith\tfood\nnickel\tis\tthe\tonly\tway\tto\tdetermine\twhether\tnickel\tin\tfood\tis\tthe\tcause\tof\tthe\tcontinuing\tchronic\teczema\nand
|
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] |
and\n\tGI\tsymptoms.\tA\tlow-nickel\tdiet\t(a\tnickel-free\tdiet\tis\timpossible)\tis\tfollowed\tfor\t4\tweeks\tuntil\tthe\nsymptoms\tsubside.\tThis\tis\tfollowed\twith\ta\tchallenge\tof\ta\thigh\tnickel\tfood\twith\tobservation\t(often\tfor\nseveral\tweeks)\tof\treoccurrence\tof\tsymptoms\t(\nJoneja,\t2013\n).
|
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] |
several\tweeks)\tof\treoccurrence\tof\tsymptoms\t(\nJoneja,\t2013\n).\nNickel\toccurs\tnaturally\tin\tall\tfoods\tand\tmay\talso\tbe\tintroduced\tthrough\tprocessing\t(metal\tcontainers)\nor\tcooking\t(metal\tutensils).\tSome\n\tfoods\tsuch\tas\toats\tand\toatmeal,\tcocoa,\tgreen\tlentils,\tsoy\tbeans,\tdried
|
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legumes,\tand\tsome\tseeds\tare\tvery\thigh\tin\tnickel\tcompared\twith\tothers\tsuch\tas\tdairy\tproducts,\tmany\tfish,\nand\tmost\tvegetables\t(\nJoneja,\t2013\n).\tIt\tis\talso\trecommended\tthat\tadding\ta\tprobiotic\tsupplement\tof\nLactobacillus\treuteri\n\tmakes\tthe\tlow-nickel\tdiet\tmore\teffective\tin\timproving\tthe\tGI\tsymptoms\t(\nRandazzo\net\tal,\t2014\n).\nAn\tincreasing
|
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] |
Randazzo\net\tal,\t2014\n).\nAn\tincreasing\n\tnumber\tof\tstudies\tare\tsuggesting\tthat\tthe\tseverity\tof\tnickel-related\tcontact\tdermatitis\ncan\tbe\treduced\tby\toral\texposure\tto\tnickel\t(\nJoneja,\t2013\n;\t\nDi\tGioacchino\tet\tal,\t2014\n).\tThere\tmay\tbe\tan\ninitial\tworsening\tof\tthe\tdermatitis,\tbut\tprolonged\texposure\tcan\treduce\tthe\tclinical\tsymptoms.\tThe\tsubject
|
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] |
of\tnickel-contact\tdermatitis\tand\tnickel\tallergy\tand\tachievement\tof\ttolerance\tis\tcomplex\tand\tconfusing\nand\tin\tneed\tof\tmore\tresearch.\nNon–igE-mediated\treactions\nNon–IgE-mediated\tallergic\treactions\tto\tfood\tcontinue\tto\tbe\telucidated.\tThese\tare\tassociated\twith\tdelayed
|
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or\tchronic\treactions,\tare\toften\treferred\tto\tas\tcell\tmediated,\tand\tare\tpresent\tin\tthe\teosinophilic\tGI\ndiseases,\tfood\tprotein–induced\tenterocolitis\tsyndrome\t(FPIES)\tand\tfood\tprotein–induced\tproctocolitis\tor\nproctitis\t(FPIP),\tand\tSNAS.\nEosinophilic\tgastrointestinal\tdiseases\t(EGID)
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0.04027028754353523,
0.02795197255909443,
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-0.016935603693127632,
0.08166501671075821,
0.00428892532363534,
0.04336673393845558,
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0.039542097598314285,
0.08440650999546051,
0.003991023637354374,
0.032814837992191315,
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-0.02637866511940956,
0.05579868704080582,
0.11850716173648834,
0.024173542857170105
] |
Eosinophilic\tgastrointestinal\tdiseases\t(EGID)\nEosinophilic\tgastrointestinal\tdiseases\t(EGID)\tare\ta\tgroup\tof\tGI\tdisorders\tin\twhich\tthe\taccumulation\tof
|
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] |
eosinophils\n\t(granulocytes\tcapable\tof\treleasing\tinflammatory\tmediators)\tis\tpresent.\tThese\tdisorders\ninclude\teosinophilic\tesophagitis,\teosinophilic\tgastritis,\teosinophilic\tgastroenteritis,\teosinophilic\tenteritis,\nand\teosinophilic\tcolitis.\nEosinophilic\tesophagitis\t(EoE)\n\tand\t\neosinophilic\tgastroenteritis\t(EGE)\n\tare\tthe\tmost\tstudied,\tand
|
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] |
and\t\neosinophilic\tgastroenteritis\t(EGE)\n\tare\tthe\tmost\tstudied,\tand\nare\tcharacterized\tby\tinfiltration\tof\tthe\tesophagus,\tstomach,\tor\tintestines\twith\teosinophils.\tThe\tconditions\nreflect\ta\tTh2\tinflammation\tpattern.\tIt\tis\tnow\tthought\tthat\tboth\tconditions\tare\tmainly\tnon–IgE-mediated
|
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] |
allergic\treactions,\talthough\tthere\tstill\tmay\tbe\tan\tIgE-mediated\tcomponent\tto\tthe\treaction.\tAlmost\thalf\tof\nthe\tpatients\twho\n\tpresent\twith\tEGID\thave\tatopic\tfeatures\t(\nNASEM,\t2014\n).\nEosinophilic\tesophagitis\t(EoE)\nSymptoms\tof\tEoE\tvary\tdepending\ton\tthe\tage\tof\tthe\tperson\tand\tmay\tinclude\tearly\tsatiety\tand\tinability\tto
|
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manage\tvaried\tfood\ttextures\tin\tyoung\tchildren,\tto\treflux-like\tsymptoms\tand\tvomiting\tin\tschool-age\nchildren,\tand\tto\tdysphagia,\trefusal\tto\teat,\tand\tfood\timpaction\tin\tteenagers\tand\tadults.\tBecause\tit\tis\tnon-\nIgE\n\tmediated,\tas\tof\tyet\tthere\tare\tno\tspecific\ttests\tto\tidentify\tthe\tfood\ttriggers.\tEoE\tis\tmost\tcommonly
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treated\twith\toff-label\tuse\tof\tswallowed\ttopical\tcorticosteroids\t(TCS),\tbut\tthe\tlong-term\tefficacy\tand\tsafety\nof\tthis\ttreatment\tis\tnot\tyet\testablished.\tElimination\tdiets\tare\thelpful\tand\tshould\tbe\tused\tif\tat\tall\tpossible\n(\nRenz\tet\tal,\t2018\n;\t\nGroetch\tet\tal,\t2017\n).\nThe\tonly\tway\tto\tknow\tfor\tcertain\tthat
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;\t\nGroetch\tet\tal,\t2017\n).\nThe\tonly\tway\tto\tknow\tfor\tcertain\tthat\n\tsymptoms\tare\tcaused\tby\tEoE\tis\tby\tesophageal\ttissue\tbiopsy\nincluding\tthe\tpresence\tof\teosinophils,\tand\tthe\tuse\tof\tan\telimination\tdiet\tfor\ta\tperiod\tof\ttime\twith\nresolution\tof\tthe\tsymptoms\tand\thistology\tnormalization,\tfollowed\tby\trecurrence\tof\tsymptoms\tand
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] |
abnormal\tesophageal\thistology\twith\treintroduction\tof\tthe\teliminated\tfood\t(\nGroetch\tet\tal,\t2017\n).\nIdeally\tthe\treintroduction\tof\teach\tfood\tis\tfollowed\n\twith\tan\tesophageal\ttissue\tbiopsy;\thowever,\tbecause\nbiopsy\tis\tintrusive,\ttime\tsensitive,\tand\tnot\talways\tavailable,\tthe\tPediatric\tEosinophilic\tEsophagitis
|
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Symptom\tScore\t(PEESS,\tv.\t2.0)\tis\tused,\tespecially\twith\tchildren.\tUse\tof\tthis\tquestionnaire\twith\tchildren\t2\nto\t18\tyears\tof\tage\thas\tshown\tthat\treported\tsymptoms\tof\tdysphagia\tmost\tclosely\tcorrelate\twith\ttissue\nmarkers\tof\teosinophil\tactivity;\tfewer\n\treports\tof\tdysphagia\tcorrelate\twith\timprovement\tof\tEoE.\tThe\tPEESS\nis\tavailable\tat
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or\tfibrosis,\tcorrection\tand\tprevention\tof\tnutritional\tdeficiencies,\n\tprevention\tof\ttreatment-related\ncomplications,\tand\tmaintenance\tof\tquality\tof\tlife\t(\nGroetch\tet\tal,\t2017\n).\nAn\telimination\tdiet\tor\telemental\tdiet\tpresently\tis\tused\tto\tidentify\ttrigger\tfoods\tand\tbegin\ttreatment\tof
|
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] |
EoE.\tAn\telemental\tdiet\thas\tbeen\tfound\tto\tbe\tthe\tmost\teffective\ttherapy\twith\ta\thistologic\t(tissue\tlevel)\ndisease\tremission\trate\tof\t90.8%\tin\tchildren\tand\tadults\tand\twas\tas\teffective\tas\tsteroid\n\ttreatment\tin\tEoE\nsymptom\tresolution\t(\nArias\tet\tal,\t2014\n).\tHowever,\tthis\tdiet\tis\tdifficult\tto\timplement\tand\tmaintain\tlong-
|
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).\tHowever,\tthis\tdiet\tis\tdifficult\tto\timplement\tand\tmaintain\tlong-\nterm,\tso\ta\tless\taggressive\telimination\tdiet\tis\tnow\trecommended\t(\nMolina-Infante\tand\tLucendo,\t2018\n;\nGroetch\tet\tal,\t2017\n).\nSince\tthe\tmost\tcommon\tfood\ttriggers\tin\tEoE\tare\tcow’s\tmilk,\twheat/gluten,\tand\tchicken\teggs\tin\tchildren\nand\tadults\tin\tthe\tUnited\tStates,\tSpain,\tand\tAustralia,
|
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] |
and\tadults\tin\tthe\tUnited\tStates,\tSpain,\tand\tAustralia,\n\tmany\tEoE\tdietary\ttreatment\tprograms\tuse\tthe\t\nstep\nup\t2-4-6-food\telimination\tdiets\n.\tThis\tapproach\tbegins\twith\ta\ttwo-food\t(cow’s\tmilk\tand\twheat/gluten)\nelimination\tdiet.\tIf\tafter\t6\tweeks\tof\tstrict\tadherence\tto\tthis\tdiet\tthere\tis\tno\tremission\tof\tsymptoms,\ta
|
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] |
four-food\telimination\tdiet\t(cow’s\tmilk,\twheat/gluten,\tegg,\tand\tsoy)\tis\tstarted.\tIf\tthere\tis\tstill\tno\tresolution,\na\t\nsix-food\telimination\tdiet\t(SFED)\n\t(cow’s\tmilk,\twheat/gluten,\tegg,\tsoy,\tpeanuts/nuts,\tand\tfish/seafood)\nis\timplemented.\tThis\tstep\tup\t2-4-6\tapproach\tusually\tresults\tin\tprompt\trecognition\tof\tthe\tmajority\tof
|
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] |
responders,\treducing\tthe\tnumber\tof\tendoscopies\tand\tcosts,\tand\tshortening\tthe\tdiagnostic\tprocess\n(\nMolina-Infante\tand\tLucendo,\t2018\n).\tSee\t\nBox\t25.4\n\tfor\tguidelines\tfor\tthe\tstep\tup\t2-4-6\tapproach\tfor\nelimination\tdiets.\tAn\telemental\n\tdiet\tconsisting\tof\tan\tamino\tacid–based\tformula\tfree\tof\tpeptides\tor\tintact
|
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0.06363300234079361,
0.011719169095158577
] |
proteins\tmay\tbe\ta\tuseful\tsupplement,\tespecially\tin\tyoung\tchildren,\twhere\tthe\telimination\tdiet\tmay\tbe\ndifficult\tto\timplement\twithout\tcausing\thunger,\tnutritional\tinadequacy,\tfrustration,\tand\tabandonment\tof\nthe\tdiet.\nBOX\t25.4\nStep\tUp\t2-4-6\tApproach\tto\tFoods\tElimination\nFood—animal\tmilk\tand\twheat/gluten\telimination\tdiet
|
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] |
Food—animal\tmilk\tand\twheat/gluten\telimination\tdiet\nYou\tcan\tconsume\tall\tthese\tkinds\tof\tfoods\tfor\t6\tweeks,\tpreferably\traw,\tfresh,\tor\tuncooked:\n•\t\nVegetables,\ttubers\t(potato),\tand\tlegumes\n•\n\tMeat\t(excepting\tprocessed\tor\tprecooked\tmeats,\tlike\tsausages\tand\thamburgers)\n•\n\tFish\tand\tseafood\t(excepting\tprocessed\tor\tprecooked\tfish)\n•\n\tEgg\n•\n\tFruit\n•\n\tNuts
|
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0.016782695427536964
] |
•\n\tEgg\n•\n\tFruit\n•\n\tNuts\nYou\tcannot\tconsume\tfor\t6\tweeks\tany\tfood\tknown\tto\ttrigger\tallergic\tsymptoms\tsuch\tas\titchy\tmouth,\nscratchy\tthroat,\thives,\tskin\trash,\tor\tasthma.\nAvoid\tas\tmuch\tas\tpossible\teating\tout\tto\thave\ta\tbetter\tcontrol\tof\tfoods.\nTry\tto\talways\tpick\tfresh,\traw\twhole\tfoods\tand\tavoid\tthose\tcooked\twith\tsauces\tor\tfried\tin\tpans
|
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] |
where\tpotential\tcontamination\twith\tbreaded\tand/or\twheat\tsources\tis\tlikely.\nYou\tcan\tdrink\tcoffee,\ttea\t(without\tanimal\tmilk),\ttonic\twater,\tsoda,\tcola,\tfruit\tjuice,\twine,\tgin,\tvodka,\nand\n\trum.\tBeer\tand\twhiskey\tare\tforbidden\tsince\tthey\tare\tgluten-containing\tdrinks.\nYou\tcan\thave\tcoffee\twith\tsoy,\trice,\talmond,\twalnut,\tnut,\tor\tquinoa\tdrinks.
|
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0.026135841384530067,
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0.010743982158601284,
0.0006848503253422678,
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0.07124017179012299,
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0.027563899755477905,
0.0752427950501442,
0.04730901122093201,
0.024467049166560173,
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0.08824104070663452,
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0.029932333156466484,
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0.08494798839092255,
0.04405587166547775,
0.07613439112901688,
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0.003787633264437318,
0.04519158974289894,
-0.016874292865395546,
-0.04189738258719444,
0.02619541622698307,
-0.00406692223623395,
0.030895479023456573,
0.0224332083016634,
0.027864670380949974,
0.012849720194935799,
0.04364045336842537,
-0.04519979655742645,
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0.03337777033448219,
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0.09416113793849945,
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-0.09377586841583252,
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0.10393423587083817,
0.0026938572991639376
] |
As\ta\tgeneral\trule,\tyou\tshould\tavoid\tall\tfoods\tyou\tare\tnot\tfully\tsure\tto\tbe\tsafe.\nFoods\tto\tavoid:\n•\t\nAll\tcow’s,\tgoat’s,\tand\tsheep’s\tmilk\t(whole,\tlow-fat,\tskim,\tbutter\tmilk,\tevaporated,\tcondensed,\npowdered,\tformula\tmilk,\thot\tcocoa)\n•\t\nMilk\tproducts\t(all\tkind\tof\tcheeses,\tyogurt,\tbutter,\tmargarine,\tice\tcreams,\tmilkshakes,\tcustard,
|
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0.005236614029854536,
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0.004336490761488676,
0.03947144374251366,
0.054507724940776825,
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0.05801229923963547,
0.031803250312805176,
0.0037811852525919676,
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0.005054832901805639,
0.09585534036159515,
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0.0886821299791336,
0.016884298995137215,
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0.007595715578645468,
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0.06936796009540558,
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0.004983043763786554,
0.007571390364319086,
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0.051693812012672424,
0.08237430453300476,
0.08334209024906158,
-0.04748346284031868
] |
creme\tcaramel,\tand\trice\tor\ttapioca\tpudding)\n•\t\nFoods\tthat\tmay\tcontain\tmilk\t(biscuits,\tcookies,\tdoughnuts,\tmuffins,\tpancakes,\twaffles,\tcrackers,\ncream\tdesserts,\n\tsweets,\tcandies,\tchocolate\twith\tmilk,\tsausages,\tham,\tpork\tsausage)\nFoods\tallowed:\nMilks\tmade\tof\tsoy,\trice,\tspelt,\tquinoa,\talmond,\tcashews,\tor\tother\tnuts.\nWheat/gluten\nFoods\tto\tavoid:
|
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] |
Wheat/gluten\nFoods\tto\tavoid:\nAll\tproducts\tcontaining\twheat,\tbarley,\trye,\toats,\tspelt,\ttriticale,\tsemolina,\tand\tkamut.\tThis\twide\nrange\tof\tproducts\tmay\tinclude:\n•\t\nWheat-containing:\tbread,\ttoast,\tbiscuits,\tcookies,\tdoughnuts,\tmuffins,\n\tpretzels,\tpancakes,\nwaffles,\tcrackers,\tcream\tdesserts,\tsweets,\tcandies,\tpasta,\tcream,\tsoups,\tsauces,\tmalted
|
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0.06020939722657204,
0.0690370500087738,
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] |
food,\tand\tbreaded\tor\tfloured\tvegetables.\n•\t\nBeer,\twhiskey\nBe\tsure\tto\tavoid\tfoods\tthat\tcontain\tany\tof\tthe\tfollowing\tinformation:\n•\t\nFlour\tor\tfloured,\tfarina,\twheat\tenriched,\tmalted\tor\tmalt\tadded,\tbreaded.\n•\t\nStarch,\tfiber,\tprotein,\tvegetable\tprotein,\tsemolina,\thydrolyzed\tprotein,\tmalt,\n\tmalt\textract,\ncouscous,\tyeast,\tspices,\tflavorings.
|
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0.07240027189254761,
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] |
malt\textract,\ncouscous,\tyeast,\tspices,\tflavorings.\nFoods\tallowed:\nAll\tproducts\tallowed\tfor\tceliac\tpatients\tprovided\tthey\tdo\tnot\tcontain\tmilk\tor\tmilk\tprotein.\nFood—animal\tmilk,\twheat/gluten,\tegg,\tand\tlegumes\telimination\tdiet\nYou\tcan\tconsume\tall\tthese\tkinds\tof\tfoods\tfor\t6\tweeks,\tpreferably\traw,\tfresh,\tor\tuncooked:\n•\n\tVegetables\tand\ttubers\t(potato)
|
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] |
•\n\tVegetables\tand\ttubers\t(potato)\n•\t\nMeat\t(excepting\tprocessed\tor\n\tprecooked\tmeats,\tlike\tsausages\tand\thamburgers)\n•\n\tFish\tand\tseafood\t(excepting\tprocessed\tor\tprecooked\tfish)\n•\n\tFruit\n•\n\tNuts\nThe\tsame\tinstructions\tapply\tas\twith\tthe\t2-food\telimination\tdiet\tbut\twith\tthe\tadditional\t\nelimination\nof\ttwo\tmore\tfood\tgroups:\tegg\tand\tlegumes.\nEgg
|
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] |
elimination\nof\ttwo\tmore\tfood\tgroups:\tegg\tand\tlegumes.\nEgg\nFoods\tto\tavoid:\nAll\tproducts\tcontaining\tegg,\tbaked\tgoods,\tpasta,\tcakes,\tbiscuits,\tcookies,\tdoughnuts,\tmuffins,\npretzel,\n\tpancakes,\twaffles,\tcrackers,\tcream\tdesserts,\tsweets,\tcandies,\tprocessed\tmeat,\tgoose
|
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] |
liver,\tmayonnaise,\tfood\tcoated\tand\twrapped\tin\tbread,\tbreaded\tor\tcreamed\tvegetables,\tprocessed\nmeat,\tsauces.\nBe\tsure\tto\tavoid\tfoods\tthat\tcontain\tany\tof\tthe\tfollowing\tinformation:\n•\t\nAlbumin,\tapovitellin,\tbinder,\tcoagulant,\tcholesterol-free\tegg\tsubstitute,\tdried\tegg,\tegg\nwhite,\tegg\tyolk,\tegg\tlecithin,\tegg\tlysosome,
|
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] |
white,\tegg\tyolk,\tegg\tlecithin,\tegg\tlysosome,\n\teggnog,\tegg\twash,\tglobulin,\tlecithin,\tlivetin,\nlysozyme,\tmeringue,\tmeringue\tpowder,\tsimplesse,\tsurimi,\tovalbumin,\tovomucin,\tovomucoid,\novomucin,\tovomucoid,\tovotransferrin,\tovovitellin,\tpowdered\tegg,\ttrailblazer,\tvitellin,\twhole\negg.\nLegumes\nFoods\tto\tavoid:
|
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] |
egg.\nLegumes\nFoods\tto\tavoid:\nSoy,\tlentils,\tpea,\tchickpeas,\tbeans,\tpeanuts,\tlupin,\tguar\tgum,\tcarob\tbean,\talfalfa.\nBe\tsure\tto\tavoid\tfoods\tthat\tcontain\tany\tof\n\tthe\tfollowing\tinformation:\n•\t\nHydrolyzed\tvegetable\tprotein,\tplant\tprotein,\tvegetable\tgum,\tand\tvegetable\tstarch.\tThese\nproducts\tare\tusually\tpresent\tin\tcanned\tor\tprocessed\tfoods.\n•
|
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products\tare\tusually\tpresent\tin\tcanned\tor\tprocessed\tfoods.\n•\t\nOil\tmade\twith\tany\tof\tthe\taforementioned\tlegumes.\n•\t\nAfrican\tand\tAsian\tethnic\tfoods\toften\tcontain\tsoy\tand\tpeanuts.\nFood—animal\tmilk,\twheat/gluten,\tegg,\tlegumes,\tnuts,\tand\tfish/seafood\telimination\tdiet\nYou
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] |
You\n\tcan\tconsume\tall\tthese\tkinds\tof\tfoods\tfor\t6\tweeks,\tpreferably\traw,\tfresh,\tor\tuncooked:\n•\t\nVegetables\tand\ttubers\t(potato)\n•\t\nMeat\t(excepting\tprocessed\tor\tprecooked\tmeats,\tlike\tsausages\tand\thamburgers)\n•\t\nFruit\nThe\tsame\tinstructions\tapply\tas\twith\tthe\t4-food\telimination\tdiet\tbut\twith\tthe\t\nadditional
|
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] |
additional\nelimination\tof\ttwo\tmore\tfood\tgroups:\tnuts\tand\tfish/seafood.
|
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] |
Nuts\nFoods\tto\tavoid:\nAlmond,\n\tartificial\tnuts,\tBrazil\tnut,\tbeechnut,\tbutternut,\tcashew,\tchestnut,\tchinquapin\tnut,\tcoconut,\nfilbert/hazelnut,\tgianduja\t(a\tchocolate-nut\tmixture),\tginkgo\tnut,\thickory\tnut,\tlitchi/lychee/lychee\nnut,\tmacadamia\tnut,\tmarzipan/almond\tpaste,\tnangai\tnut,\tnatural\tnut\textract\t(e.g.,\talmond,
|
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] |
walnut),\tnut\tbutters\t(e.g.,\tcashew\tbutter),\tnut\tmeal,\tnut\tmeat,\tnut\tmilk\t(e.g.,\talmond\tmilk,\ncashew\tmilk),\tnut\tpaste\n\t(e.g.,\talmond\tpaste),\tnut\tpieces,\tpecan,\tpesto,\tpili\tnut,\tpine\tnut\t(also\nreferred\tto\tas\tIndian,\tpignoli,\tpigñolia,\tpignon,\tpiñon,\tand\tpinyon\tnut),\tpistachio,\tpraline,\tshea\nnut,\twalnut.
|
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nut,\twalnut.\nBe\tsure\tto\tavoid\tfoods\tthat\tcontain\tany\tof\tthe\tfollowing\tinformation:\n•\t\nOil\tmade\twith\tany\tof\tthe\taforementioned\tnuts.\n•\t\nAfrican\tand\tAsian\tethnic\tfoods\toften\tcontain\tnuts.\n•\t\nTree\tnut\tproteins\tmay\tbe\tfound\tin\n\tcereals,\tcrackers,\tcookies,\tcandy,\tchocolates,\tenergy
|
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] |
cereals,\tcrackers,\tcookies,\tcandy,\tchocolates,\tenergy\nbars,\tflavored\tcoffee,\tfrozen\tdesserts,\tmarinades,\tbarbecue\tsauces,\tand\tsome\tcold\tcuts,\nsuch\tas\tmortadella.\tSome\talcoholic\tbeverages\tmay\tcontain\tnut\tflavoring.\nFish/seafood\nFoods\tto\tavoid:\n•\t\nAll\tkinds\tof\tfish\t(anchovies,\tbass,\tcatfish,\tcod,\tflounder,\tgrouper,\thaddock,\thake,\thalibut,\therring,
|
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] |
mahi-mahi,\tperch,\tpike,\tpollock,\tsalmon,\n\tscrod,\tswordfish,\tsole,\tsnapper,\ttilapia,\ttrout,\ttuna)\n•\t\nAll\tkinds\tof\tshellfish\t(crab,\tlobster,\tprawns,\tshrimps)\tand\tmollusks\t(cockles,\tmussels,\toctopus,\noyster,\tsnails,\tsquid).\nBe\tsure\tto\tavoid\tfoods\tthat\tcontain\tany\tof\tthe\tfollowing\tinformation:\n•
|
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] |
•\t\nVegetable\tprotein,\tplant\tprotein,\tvegetable\tgum,\tand\tvegetable\tstarch.\tThese\tproducts\tare\nusually\tpresent\tin\tcanned\tor\tprocessed\tfoods.\n•\t\nOil\tor\tgelatin\tmade\twith\tany\tof\tthe\taforementioned\tfish\tor\tseafood\tproducts.\n•\t\nAfrican\tand\tAsian\tethnic\tfoods\tusually\tcontain\tfish\tand\tseafood\tand\tare\tconsidered\thigh-\trisk.
|
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0.006047144066542387
] |
See\talso\t“How\tto\tRead\ta\tLabel”\tin\t\nTable\t25.5\n.\t\nAdapted\tfrom:\tMolina-Infante\tJ,\tLucendo\tAJ:\tDietary\ttherapy\tfor\teosinophilic\tesophagitis,\t\nJ\tAllergy\tClin\nImmunol\n\t142:41,\t2018.\nOnce\tproblematic\n\tfoods\tare\tidentified,\ta\ttailored\telimination\tdiet\tthat\tthe\tpatient\tis\table\tto\tfollow
|
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] |
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