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Food allergy can be a major hidden cause of chronic asthma which can be uncovered or excluded by introducing a few foods diet

Food allergy can be a major hidden cause of chronic asthma which can be uncovered or excluded by... Brown Clinical and Translational Allergy 2013, 3(Suppl 1):O10 http://www.ctajournal.com/content/3/S1/O10 ORAL PRESENTATION Open Access Food allergy can be a major hidden cause of chronic asthma which can be uncovered or excluded by introducing a few foods diet Harry Morrow Brown From EAACI International Severe Asthma Forum (ISAF 2012) Gothenburg, Sweden. 11-13 October 2012 Case-histories of three severe chronic asthmatics are pre- severe asthmatics could define the true incidence of hid- sented to draw attention to the possibility that even when den food allergy in chronic asthma. there seems to be convincing evidence from history, skin tests, and immunology that dust mite is the major causa- Published: 3 May 2013 tive allergen, it is possible that food or foods can be the major cause. Difficulties in controlling their asthma over years in these cases suggested that the causative factors doi:10.1186/2045-7022-3-S1-O10 had still not been defined. A “few foods diet”,containing Cite this article as: Brown: Food allergy can be a major hidden cause of only the foods which very rarely cause allergy, was intro- chronic asthma which can be uncovered or excluded by introducing a few foods diet. Clinical and Translational Allergy 2013 3(Suppl 1):O10. duced in addition to their usual regimen to be taken for two or three weeks to find out if foods were causing the asthma. Obvious subjective and objective improvement occurred within days, control of the asthma became easier than for years, Peak flow rates increased considerably, and quality of life improved greatly. Improvements were sus- tained while on the diet and while the causative food or foods were avoided. Blind provocation was not practical, but three exacerbations after re-introduction of specific foods, with continued well-being on avoidance, was accepted as proof. This experience suggests that a hidden allergy or intolerance to a common daily food can cause of chronic asthma, even when there is strong evidence that inhalant allergens are responsible. Enquiry regarding reflux, dyspepsia, or other gut disorders may have been Submit your next manuscript to BioMed Central omitted at the first consultation or at follow-up, and and take full advantage of: patients are most unlikely to associate gut symptoms with their asthma. These cases are presented because food • Convenient online submission allergy as a hidden cause of chronic asthma is rarely con- • Thorough peer review sidered, the incidence is unknown, and skin tests and • No space constraints or color figure charges immunology unreliable. A trial of a few foods diet for two • Immediate publication on acceptance or three weeks can be very rewarding, and there is nothing • Inclusion in PubMed, CAS, Scopus and Google Scholar to lose except some weight. A trial in a large group of • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit Independent allergist, UK © 2013 Brown; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical and Translational Allergy Springer Journals

Food allergy can be a major hidden cause of chronic asthma which can be uncovered or excluded by introducing a few foods diet

Brown, Harry
Clinical and Translational Allergy , Volume 3 (1) – May 3, 2013
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Publisher
Springer Journals
Copyright
Copyright © 2013 by Brown; licensee BioMed Central Ltd.
Subject
Medicine & Public Health; Allergology; Immunology
eISSN
2045-7022
DOI
10.1186/2045-7022-3-S1-O10
Publisher site
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Abstract

Brown Clinical and Translational Allergy 2013, 3(Suppl 1):O10 http://www.ctajournal.com/content/3/S1/O10 ORAL PRESENTATION Open Access Food allergy can be a major hidden cause of chronic asthma which can be uncovered or excluded by introducing a few foods diet Harry Morrow Brown From EAACI International Severe Asthma Forum (ISAF 2012) Gothenburg, Sweden. 11-13 October 2012 Case-histories of three severe chronic asthmatics are pre- severe asthmatics could define the true incidence of hid- sented to draw attention to the possibility that even when den food allergy in chronic asthma. there seems to be convincing evidence from history, skin tests, and immunology that dust mite is the major causa- Published: 3 May 2013 tive allergen, it is possible that food or foods can be the major cause. Difficulties in controlling their asthma over years in these cases suggested that the causative factors doi:10.1186/2045-7022-3-S1-O10 had still not been defined. A “few foods diet”,containing Cite this article as: Brown: Food allergy can be a major hidden cause of only the foods which very rarely cause allergy, was intro- chronic asthma which can be uncovered or excluded by introducing a few foods diet. Clinical and Translational Allergy 2013 3(Suppl 1):O10. duced in addition to their usual regimen to be taken for two or three weeks to find out if foods were causing the asthma. Obvious subjective and objective improvement occurred within days, control of the asthma became easier than for years, Peak flow rates increased considerably, and quality of life improved greatly. Improvements were sus- tained while on the diet and while the causative food or foods were avoided. Blind provocation was not practical, but three exacerbations after re-introduction of specific foods, with continued well-being on avoidance, was accepted as proof. This experience suggests that a hidden allergy or intolerance to a common daily food can cause of chronic asthma, even when there is strong evidence that inhalant allergens are responsible. Enquiry regarding reflux, dyspepsia, or other gut disorders may have been Submit your next manuscript to BioMed Central omitted at the first consultation or at follow-up, and and take full advantage of: patients are most unlikely to associate gut symptoms with their asthma. These cases are presented because food • Convenient online submission allergy as a hidden cause of chronic asthma is rarely con- • Thorough peer review sidered, the incidence is unknown, and skin tests and • No space constraints or color figure charges immunology unreliable. A trial of a few foods diet for two • Immediate publication on acceptance or three weeks can be very rewarding, and there is nothing • Inclusion in PubMed, CAS, Scopus and Google Scholar to lose except some weight. A trial in a large group of • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit Independent allergist, UK © 2013 Brown; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Journal

Clinical and Translational Allergy – Springer Journals

Published: May 3, 2013

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