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  Food allergy is a group of disorders distinguished by the way the body’s immune system responds to specific food
  proteins. People who have allergic reactions to inhaled substances, such as dust, mold or pollen, are more likely
  to develop food allergies. About 35% of children with moderate to severe eczema (atopic dermatitis) also have
  food allergies. These can range from mild skin reactions to severe and life-threatening reactions.

  These foods cause over 90% of food allergy reactions:

  • Milk (Cow’s milk)
  • Egg
  • Peanuts (a legume related to peas)
  • Wheat
  • Soy
  • Tree nuts (such as pecans and walnuts)
  • Fish
  • Shellfish

  Children will frequently outgrow an allergy to eggs, milk and soy. However, allergies to peanuts, tree nuts, fish
  and shellfish usually continue into adulthood. Not eating the foods a person is sensitive to is the only proven
  therapy for food allergies.

  A severe allergic reaction to a food can involve many body organs and may develop rapidly. This reaction is
  called anaphylaxis. Food is the leading cause of anaphylaxis in children. Anaphylaxis symptoms usually happen
  immediately after the offending food is eaten. Sometimes, however, the symptoms subside, then return hours later.
  In unusual cases, adverse food reactions might take hours to become evident. People who, when eating, show
  hoarseness, difficulty talking,  drooling, tongue swelling, choking, throat tightness, or changes in their level of
  awareness need emergency medical treatment immediately.

  Signs and symptoms of adverse food reactions may include any or several of the following:

  • Chest tightness, shortness of breath or wheezing (a whistling sound when breathing).
  • Skin reactions such as hives, skin rashes, itching or flushing.
  • Nasal congestion or itchiness, a runny nose or sneezing.
  • Itchy or teary eyes.
  • Intestinal symptoms such as nausea, vomiting, colic, abdominal cramps, or diarrhea.
  • Itching/tingling/swelling of the lips, palate, tongue, or throat.

  In the event of a severe reaction, self-injectable epinephrine should be given immediately. Then the person
  should be transported to an emergency medical facility for further treatment.

  People who are allergic to milk should avoid the following foods and ingredients:

  • Artificial butter flavor, butter, butter fat, butter oil, buttermilk
  • Casein, caseinates, rennet casein
  • Cheese, cream, cottage cheese, curds, whey
  • Custard, pudding, yogurt
  • Ghee
  • Half & Half
  • Lactalbumin, lactalbumin phosphate, lactoglobulin, lactulose
  • All forms of milk: condensed, dry, evaporated, milk from goats or other animals, low-fat,malted, milkfat,
    non-fat, powder, protein, skimmed, solids and wholes
  • Sour cream, sour cream solids, sour milk solids

  People who are allergic to eggs should avoid the following foods and ingredients:

  • Egg
  • Eggnog
  • Albumin (albumen)
  • Lysozyme (used in Europe)
  • Mayonnaise
  • Meringue or meringue powder
  • Surimi
  • These items also may include egg protein: flavoring; lecithin; macaroni; marzipan; marshmallows;
      nougat and pasta.

  People who are allergic to peanuts should avoid the following foods and ingredients which are either related to
  peanut or are manufactured or packaged in areas along with peanuts:

  • Artificial nuts, beer nuts, ground nuts, mixed nuts, monkey nuts, nut pieces
  • Cold pressed, expelled or extruded peanut oil or arachis oil
  • Goobers, Nu-Nuts flavored nuts or Mandelonas (peanuts bleached, cut and flavored to taste like tree nuts 
       such as almond,  walnut or hazelnuts)
  • Peanuts, peanut butter, peanut flour
  • These items may also include peanut protein: African, Chinese, Indonesian, Mexican, Thai and
        Vietnamese dishes; baked goods; candy; chili; egg rolls; enchilada sauce; flavoring; marzipan;
        nougat, and sunflower seeds .


  • Teach children with food allergies not to accept food from classmates or friends. Make sure parents and
        teachers know this as well.
  • Wear a medical alert identification at all times.
  • Read food labels to understand what ingredients are in a commercial food.
  • Recognize the symptoms of an allergic reaction, particularly symptoms of anaphylaxis.
  • Keep epinephrine and antihistamines readily available. All immediate  family members and teacher
       should know how to self-administer epinephrine.


  • There is a failure to respond to medical treatments or elimination diets.
  • There is a history of anaphylaxis or a new anaphylactic reaction.
  • Hospitalization has been required for severe food allergy reactions.
  • Food allergy significantly worsens the symptoms of asthma, allergic rhinitis, allergic conjunctivitis
       or eczema.
  • There is uncertainty regarding the diagnosis and management of the food allergy.
  • A child and/or parents need further education about food allergy.

        Adapted from the website. Food Allergy Patient Education

Allergy Associates Medical Group and Research Center has been serving the San Diego community since 1986
6386 Alvarado Court, Suite 210, San Diego, California 92120
619.286.6687 voice     -     619.286.6695 fax
 Dedicated to Excellence in Respiratory and Allergy Related Disorders.

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