scholarly journals Follow-up of patients with uncertain symptoms during an oral food challenge is useful for diagnosis

2017 ◽  
Vol 29 (1) ◽  
pp. 66-71 ◽  
Author(s):  
Taro Miura ◽  
Noriyuki Yanagida ◽  
Sakura Sato ◽  
Kiyotake Ogura ◽  
Motohiro Ebisawa
2020 ◽  
Vol 2 (11) ◽  
pp. 2208-2213
Author(s):  
Benedicta Itotoh ◽  
Ingrid Roche ◽  
Catherine Power

AbstractWe studied the introduction rate after a negative challenge to mixed tree nut biscuit. This is a retrospective review of patients who underwent and passed mixed tree nut biscuit challenges performed at Princess Margaret Hospital (PMH) between 2016 and 2018. Follow-up phone calls were made to families to ascertain if the tree nuts included in the tree nut biscuit were still included in the child’s diet 1 to 3 years following negative oral food challenge (OFC). A total of 162 children underwent mixed tree nut biscuit challenge between 2016 and 2018 at Princess Margaret Hospital, Perth, Western Australia. A total of 141 (87%) passed mixed tree nut biscuit challenge. Of the 133 children that were contacted (8 children could not be contacted), 104 children still included some or all of the challenge nuts in the child’s diet; with 24 children completely eliminating the challenge nuts (18%), 5 children eliminated some of the challenge nuts (3.5%). We found a high introduction rate (82%); however, some families may require more support to maintain the tree nuts in the child’s diet following a negative OFC.


2008 ◽  
Vol 94 (6) ◽  
pp. 425-428 ◽  
Author(s):  
J-B Hwang ◽  
S M Sohn ◽  
A S Kim

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Jennifer Lisa Penner Protudjer ◽  
Lianne Soller ◽  
Elissa Michelle Abrams ◽  
Edmond S. Chan

Abstract Background The prevalence of food allergy in Canada is high and has increased over time. To date, there are no Canadian data on the healthcare costs of visits to allergists. Methods We sent an anonymous survey to allergist members of the Canadian Society of Allergy and Clinical Immunology (CSACI) between October and December 2019. Survey questions included demographic information and billing fees for various types of allergy visits and diagnostic testing. Results Of 200 allergists who are members of CSACI, 43 allergists responded (21.5% response rate). Billing fees varied widely. The greatest ranges were noted for oral immunotherapy (OIT; both initial consultation [mean $198.70; range $0 to $575] and follow up/build up visits [mean $125.74; range: $0 to $575]). There were significant provincial differences in billing fees, as well as significant billing fee differences between hospital versus community allergists (e.g. oral food challenge [OFC]: $256.38 vs. $134.94, p < 0.01). Billing fees were higher outside of Ontario, with the exception of specific Immunoglubulin E (sIgE) testing and OIT visits. Conclusions Greater standardization of billing fees across provinces and between hospital versus community allergy could result in more consistency of billing fees for OFC and OIT across Canada. Further knowledge of exact costs will help inform practice and policy in the diagnosis and management of food allergy.


PEDIATRICS ◽  
2009 ◽  
Vol 124 (Supplement 2) ◽  
pp. S126.1-S126
Author(s):  
Mary V. Lasley

Author(s):  
Masato Nihei ◽  
Taiki Sato ◽  
Satoshi Horino ◽  
Katsushi Miura

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