Work Group report: Oral food challenge testing

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Presentation transcript:

Work Group report: Oral food challenge testing Anna Nowak-Węgrzyn, MD, Amal H. Assa'ad, MD, Sami L. Bahna, MD, DrPH, S. Allan Bock, MD, Scott H. Sicherer, MD, Suzanne S. Teuber, MD Journal of Allergy and Clinical Immunology Volume 123, Issue 6, Pages S365-S383 (June 2009) DOI: 10.1016/j.jaci.2009.03.042 Copyright © 2009 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 1 Decision process regarding selection of open vs blind OFCs. ∗Blinded portions of the OFC must always be followed by an open feeding with an age-appropriate serving of food in its natural form or the least cooked/baked/processed form of food that will be incorporated into the patient's diet at home. Journal of Allergy and Clinical Immunology 2009 123, S365-S383DOI: (10.1016/j.jaci.2009.03.042) Copyright © 2009 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 2 Template developed on the basis of Bock SA, Sampson HA, Atkins FM, et al. Double-blind, placebo-controlled food challenge (DBPCFC) as an office procedure: a manual. J Allergy Clin Immunol 1988;82:986-97;3 and forms for the National Institutes of Health–sponsored Consortium of Food Allergy Research (U19 AI066738). AD, atopic dermatitis; AR, allergic rhinitis; BP, blood pressure; FVC, forced vital capacity; HEENT, head, eyes, ears, nose, and throat; IM, intramuscular injection; IV, intravenous injection; sol, solution; URI, upper respiratory infection. For complete guidelines for treatment of anaphylaxis, see Lieberman et al.123 Journal of Allergy and Clinical Immunology 2009 123, S365-S383DOI: (10.1016/j.jaci.2009.03.042) Copyright © 2009 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 3 Template developed on the basis of Bock SA, Sampson HA, Atkins FM, et al. Double-blind, placebo-controlled food challenge (DBPCFC) as an office procedure: a manual. J Allergy Clin Immunol 1988;82:986-973; and forms for the National Institutes of Health–sponsored Consortium of Food Allergy Research (U19 AI066738). ED, Emergency department; GI, gastrointestinal; SBPCFC, single-blind, placebo-controlled food challenge. Journal of Allergy and Clinical Immunology 2009 123, S365-S383DOI: (10.1016/j.jaci.2009.03.042) Copyright © 2009 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 4 Example of an OFC symptom score sheet. Modified from Bock SA, Sampson HA, Atkins FM, et al. Double-blind, placebo-controlled food challenge (DBPCFC) as an office procedure: a manual. J Allergy Clin Immunol 1988;82:986-973; and forms for the National Institutes of Health–sponsored Consortium of Food Allergy Research (U19 AI066738). Journal of Allergy and Clinical Immunology 2009 123, S365-S383DOI: (10.1016/j.jaci.2009.03.042) Copyright © 2009 American Academy of Allergy, Asthma & Immunology Terms and Conditions