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Abstract

Food allergy is a frequent and continuously growing problem of modern humanity. It is present in all periods of life, most
often in the first years after birth, and especially in genetically predisposed infants to artificial feeding. The tendency to an
allergic reaction is non-selective, and food allergy is often multiple and to a high degree associated with respiratory and/
or skin hypersensitivity. Due to the antigenic similarity of some types of food, such as legumes and nuts or cow's milk and
other animal milk, the allergy can be cross-related. The most common allergens in children, responsible for over 80-90%
of nutritional allergies, are proteins from cow's milk, eggs, peanuts, nuts, soy, wheat flour, and foods from water (fish,
shellfish, squid, crabs). The disorder is characterized by a very wide spectrum of clinical manifestations. Extremely severe
systemic reactions, sometimes fatal, are also possible. The diagnosis of food allergy is based on the analysis of personal
and family history, a complete physical examination and laboratory and other procedures by the type of reaction and type
of manifestations, and treatment on a strict elimination diet. Although nutritional allergy in children is most often transient,
to some foods, such as peanuts, nuts, and animal food from water, it is in a high percentage lifelong.

Keywords: food allergy, children, clinical manifestations, diagnosis, prevention, therapy, prognosis

Literatura 15. Matsumoto N, Yorifuji T, Nakamura K, Ikeda M, Tsukahara H, Doi H.
Breastfeeding and risk of food allergy: A nationwide birth cohort in
Japan. Allergol Int. 2020 Jan;69(1):91-7.
1. Loh W, Tang MLK. The Epidemiology of Food Allergy in the Global 16. Taraghikhah N, Ashtari S, Asri N, Shahbazkhani B, Al-Dulaimi D,
Context. Int J Environ Res Public Health. 2018 Sep 18;15(9):2043. Rostami-Nejad M, et al. An updated overview of spectrum of gluten-
2. Sicherer SH, Sampson HA. Food allergy: A review and update on related disorders: clinical and diagnostic aspects. BMC Gastroenterol.
epidemiology, pathogenesis, diagnosis, prevention, and management. J 2020 Aug 6;20(1):258.
Allergy Clin Immunol. 2018 Jan;141(1):41-58. 17. Dhar A, Haboubi HN, Attwood SE, Auth MKH, Dunn JM, Sweis R, et
3. Ricci G, Andreozzi L, Cipriani F, Giannetti A, Gallucci M, Caffarelli al. British Society of Gastroenterology (BSG) and British Society of
C. Wheat Allergy in Children: A Comprehensive Update. Medicina Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN)
(Kaunas). 2019 Jul 23;55(7):400. joint consensus guidelines on the diagnosis and management
of eosinophilic oesophagitis in children and adults. Gut. 2022
4. Elghoudi A, Narchi H. Food allergy in children-the current status and Aug;71(8):1459-87.
the way forward. World J Clin Pediatr. 2022 May 9;11(3):253-69.
18. Luyt D, Ball H, Makwana N, Green MR, Bravin K, Nasser SM, et al.
5. Mansueto P, Montalto G, Pacor ML, Esposito-Pellitteri M, Ditta V, Lo Standards of Care Committee (SOCC) of the British Society for Allergy
Bianco C, et al. Food allergy in gastroenterologic diseases: Review of and Clinical Immunology (BSACI). BSACI guideline for the diagnosis and
literature. World J Gastroenterol. 2006 Dec 28;12(48):7744-52. management of cow's milk allergy. Clin Exp Allergy. 2014;44(5):642-72.
6. Ribes-Koninckx C, Amil-Dias J, Espin B, Molina M, Segarra O, Diaz-Martin 19. Giovannini M, Beken B, Buyuktiryaki B, Barni S, Liccioli G, Sarti L, et
JJ. The use of amino acid formulas in pediatric patients with allergy to al. IgE-Mediated Shellfish Allergy in Children. Nutrients. 2023 Jun
cow's milk proteins: Recommendations from a group of experts. Front 11;15(12):2714.
Pediatr. 2023 Mar 22;11:1110380.
20. Giannetti A, Pession A, Bettini I, Ricci G, Giannì G, Caffarelli C. IgE
7. Giannetti A, Toschi Vespasiani G, Ricci G, Miniaci A, di Palmo E, Pession Mediated Shellfish Allergy in Children-A Review. Nutrients. 2023 Jul
A. Cow's Milk Protein Allergy as a Model of Food Allergies. Nutrients. 12;15(14):3112.
2021 Apr 30;13(5):1525.
21. Restani P, Ballabio C, Tripodi S, Fiocchi A. Meat allergy. Curr Opin Allergy
8. Mehaudy R, Jáuregui MB, Vinderola G, Guzmán L, Martínez J, Orsi M, et Clin Immunol. 2009 Jun;9(3):265-9.
al. Cow's milk protein allergy; new knowledge from a multidisciplinary
perspective. Arch Argent Pediatr. 2022 Jun;120(3):200-6. 22. Cox AL, Eigenmann PA, Sicherer SH. Clinical Relevance of Cross-
Reactivity in Food Allergy. J Allergy Clin Immunol Pract. 2021 Jan;9(1):82-
9. Cinicola BL, Pulvirenti F, Capponi M, Bonetti M, Brindisi G, Gori A, et 99.
al. Selective IgA Deficiency and Allergy: A Fresh Look to an Old Story.
Medicina (Kaunas). 2022 Jan 15;58(1):129. 23. Sicherer SH, Warren CM, Dant C, Gupta RS, Nadeau KC. Food Allergy
from Infancy Through Adulthood. J Allergy Clin Immunol Pract. 2020
10. Yang H, Qu Y, Gao Y, Sun S, Ding R, Cang W, et al. Role of the dietary Jun;8(6):1854-64.
components in food allergy: A comprehensive review. Food Chem. 2022
Aug 30;386:132762. 24. Sicherer SH, Sampson HA. Food allergy: Epidemiology, pathogenesis,
diagnosis, and treatment. J Allergy Clin Immunol. 2014 Feb;133(2):291-
11. Zhang Q, Zhang C, Zhang Y, Liu Y, Wang J, Gao Z, et al. Early-life risk 307; quiz 308.
factors for food allergy: Dietary and environmental factors revisited.
Compr Rev Food Sci Food Saf. 2023 Nov;22(6):4355-77. 25. Choi Y, Ju S, Chang H. Food allergy knowledge, perception of food
allergy labeling, and level of dietary practice: A comparison between
12. Warner JO, Warner JA. The Foetal Origins of Allergy and Potential children with and without food allergy experience. Nutr Res Pract. 2015
Nutritional Interventions to Prevent Disease. Nutrients. 2022 Apr Feb;9(1):92-8.
12;14(8):1590.
26. Lifschitz C, Szajewska H. Cow's milk allergy: evidence-based
13. Koletzko S, Niggemann B, Arato A, Dias JA, Heuschkel R, Husby S, et diagnosis and management for the practitioner. Eur J Pediatr. 2015
al. European Society of Pediatric Gastroenterology, Hepatology, and Feb;174(2):141-50.
Nutrition. Diagnostic approach and management of cow's-milk protein
allergy in infants and children: ESPGHAN GI Committee practical 27. Boyce JA, Assa'ad A, Burks AW, Jones SM, Sampson HA, Wood RA,
guidelines. J Pediatr Gastroenterol Nutr. 2012 Aug;55(2):221-9. et al. NIAID-Sponsored Expert Panel; Guidelines for the diagnosis
and management of food allergy in the United States: report of the
14. Crivellaro MA, Ottaviano G, Maculan P, Pendolino AL, Vianello L, Mason NIAID-sponsored expert panel. J Allergy Clin Immunol. 2010 Dec;126(6
P, et al. Upper and Lower Respiratory Signs and Symptoms in Workers Suppl):S1-58.
Occupationally Exposed to Flour Dust. Int J Environ Res Public Health.
2020 Sep 27;17(19):7075. 28. Grabenhenrich LB, Dölle S, Moneret-Vautrin A, Köhli A, Lange L,
Spindler T, et al. Anaphylaxis in children and adolescents: The European
Anaphylaxis Registry. J Allergy Clin Immunol. 2016 Apr;137(4):1128-
1137.e1.
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