LEADING ARTICLE
Allergy
Who should manage infants and young children with food induced symptoms?
1 Department of Paediatric Pneumology and Immunology, University Children’s Hospital Charité, Berlin, Germany
2 Department of Paediatric Gastroenterology and Clinical Nutrition, Royal Children’s Hospital, University of Melbourne, Melbourne, Australia
Correspondence to:
Correspondence to:
Prof. B Niggemann
Department of Paediatric Pneumology and Immunology, University Children’s Hospital Charité, Augustenburger Platz 1, 13353 Berlin, Germany; bodo.niggemann@charite.de
A proposal for a unified, interdisciplinary approach
Abbreviations: AD, atopic dermatitis; APT, atopy patch test; DBPCFC, double blind, placebo controlled food challenge; IgE, immunoglobulin E; SOTI, specific oral tolerance induction; SPT, skin prick test
Keywords: allergology; coeliac disease; dermatology; food allergy; food intolerance; gastroenterology
| The first 150 words of the full text of this article appear below. |
In recent years, many developed countries have experienced a rapid increase in real and perceived food allergic disorders.1,2 This phenomenon has caused a dramatic rise in the need for clinical allergy services, and waiting lists have in many centres become unmanageable. The costs to the NHS for managing allergic disorders in the UK currently exceeds £1 billion per annum.3 Health services have been generally slow to adapt to the increased need for allergy services, and access to specialised paediatric allergy services has remained particularly limited.3 This may potentially lead to adverse clinical outcomes due to unacceptable diagnostic delay or suboptimal management.4 The small number of paediatric subspecialists in tertiary centres is currently unable to assess children with allergies in a timely fashion. As a result, there is an urgent need for re-training of paediatricians in the management of food allergic disorders, including IgE mediated food allergy, gastrointestinal allergic manifestations,
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