Overview
Food allergy arises from an adverse immunological reaction to food which may result in a life-threatening
condition known as anaphylaxis. With its increasing prevalence, prevention and prompt diagnosis of this
condition has become a public health issue. Many patients are first diagnosed with an immune response to
food in the primary care setting. The presentation of patients suffering from food allergens can vary
widely. Therefore, it is essential for primary care physicians (PCPs) to appropriately assess patients with
food allergies.
Crucial in the diagnosis of food allergies is a detailed history and review of
symptoms. In some cases, obtaining a good clinical history and physical examination will suffice. However,
there are circumstances which would warrant further evaluation and testing. PCPs should be aware of the
available tests or procedures that aid in diagnosing food allergies. This is to ensure that a proper and
timely referral to a specialist is initiated.
Avoidance of food that triggers allergic reactions
remains the primary management strategy in addressing food allergies. Nevertheless, it is important for
caregivers and patients to have emergency action plans during accidental exposures to suspected allergens.
PCPs should educate caregivers and patients on what to expect and how to manage such instances.
Food allergen immunotherapy is a novel approach which desensitizes patients to specific food
allergens, leading to long-term tolerance. The available food allergen immunotherapies are administered by
specialists. The PCPs’ role in these treatment advances is to appropriately explain its mechanism to
caregivers and patients for referral.
This e-learning module provides an overview and practical
approach to food allergies. The module will focus on its appropriate diagnosis and management in the primary
care setting.
Upon completion of this module, learners will be able to:
Dr Gilbert T Chua
MBBS, MRCPCH, PDipID, FHKAM(Paed), FHKCPaed
Specialist in Paediatric Immunology Allergy and Infectious Diseases
Deputy Director
Allergy Center, Union Hospital
Hong Kong SAR, China
Honorary Clinical Assistant Professor
Department of Paediatrics and Adolescent Medicine, School of Clinical Medicine, The University of
Hong Kong, Hong Kong SAR, China
Clinical Assistant Professor (Honorary)
Department of Paediatrics, The Chinese University of Hong Kong, Hong Kong SAR, China
Keywords: food allergy, anaphylaxis, food allergen immunotherapy, dietary advancement therapies