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Active management of food allergy: an emerging concept
  1. Katherine Anagnostou1,
  2. Gary Stiefel2,
  3. Helen Brough1,
  4. George du Toit1,
  5. Gideon Lack1,
  6. Adam T Fox1
  1. 1Department of Paediatric Allergy, Guy's and St Thomas’ Hospitals NHS Foundation Trust, London, UK
  2. 2Department of Paediatric Allergy, University Hospitals of Leicester NHS Trust, Leicester, UK
  1. Correspondence to Dr Adam T Fox, Department of Paediatric Allergy, St Thomas’ Hospital, London SE1 7EH, UK;{at}


IgE-mediated food allergies are common and currently there is no cure. Traditionally, management has relied upon patient education, food avoidance and the provision of an emergency medication plan. Despite this, food allergy can significantly impact on quality of life. Therefore, in recent years, evolving research has explored alternative management strategies. A more active approach to management is being adopted, which includes early introduction of potentially allergenic foods, anticipatory testing, active monitoring, desensitisation to food allergens and active risk management. This review will discuss these areas in turn.

  • Allergy
  • General Paediatrics

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