[Food allergy and asthma in children].
The links between food allergy and asthma are becoming more clear. The association of food allergy and asthma in the same child is unusual (less than 10% in atopic subjects). This association is however a sign of gravity leading to more severe manifestations of food allergy in asthmatic children. Compared with the non-asthmatic child, the asthmatic child has a 14-fold higher risk of developing a severe allergic reaction to the ingestion of food. The most commonly cited foods are fruits with a rind, cow's milk and, of course, nuts. Epidemiological data established from methodologically sound studies should enable a definition of the current allergic environment. Formal diagnosis is established with standardized tests. Treatment is oriented towards prevention associating a restricted diet, asthma control, patient education, and prescription of an emergency first aid kit with epinephrine. Supplementary inquiries are needed to determine the outcome in children with food allergy and respiratory symptoms.
Rancé
F
F
Service de Pneumologie-Allergologie, Hôpital des Enfants, 330, avenue de Grande-Bretagne, 31026 Toulouse Cedex. rance.f@chu-toulouse.fr
Micheau
P
P
Marchac
V
V
Scheinmann
P
P
D000485:Allergens / Q000009:adverse effects; D000818:Animals; D001249:Asthma / Q000209:etiology* / Q000276:immunology*; D002648:Child; D002669:Child Welfare; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004032:Diet; D005512:Food Hypersensitivity / Q000150:complications*; D005638:Fruit / Q000276:immunology; D006801:Humans; D008892:Milk / Q000276:immunology; D009754:Nuts / Q000276:immunology; D012307:Risk Factors; D012720:Severity of Illness Index
D000485:Allergens