Food allergy stuffs

Question 1

what are risk factors for food allrergies

Answer 1

comorbid atopy
asthma
allergic rhinitis
eczema
other allergic disorder

“CARE”

Question 2

what is the diference in timing for allergies v food intolerance

Answer 2

allergies happen quickly after eating food, intolerance can take hours

Question 3

what are common symptoms of IgE food allergy

Answer 3

pruritus, urticaria, anioedema
conjuctival injection
sense of choking/laryngeal edema
wheezing, cough
arrythmias, hypotension
NVD
panic

Question 4

How to treat IgE food allergy

Answer 4

epinephrine immediatly

later can giev:
steroids
antihistamines
beta agonists
supportive care

Question 5

what is a pertinent history when considering oral allergy syndrome

Answer 5

hx of seasonal allergies or pollen sensitivity

Question 6

at what age do lactase levels naturally decrease

Answer 6

5 yo

Question 7

what are the signs/symptoms of lactose intolerance

Answer 7

abdominal pain, bloating, flatulence, borborygmi, nausea, diarrhea.

Question 8

what would a stool study show in a lactose intolerant person

Answer 8

increased osmotic gap and decreased pH

Question 9

diarrhea that is bulky, foul-smelling, and floats

Answer 9

celiac disease or gluten intolerance

Question 10

presents w extraintestinal anifestations

Answer 10

gluten intolerance/celiac disease
* HA
* Seizures
* Depression/anxiety
* Iron deficiency anemia
* Osteomalacia, osteoppenia
* dermatitis herpetiformis (itchy papules)
* neuropathy
angular cheilitis and atrophic glossitis

Question 11

dermatitis herpetiformis (itchy papules)

Answer 11

celiac and gluten intolerance

Question 12

diagnosed w exclusion and no serum or biopsy test needed

Answer 12

gluten intolerance

Question 13

diagnosed w serum antibody assay or small bowel biopsy

Answer 13

celiac disease