Oral immunotherapy for food allergy can prevent anaphylaxis after accidental encounters with an allergen, but the treatment rarely cures the allergy. Desensitization instead of strict avoidance is a big step in the evolution of food allergy treatment.
Pre-emptively provide dietitians, child life specialists, or both.Discuss reaction risk and patient and parent concerns.Coach on how to self-inject or practice on injecting an expired epinephrine autoinjector into an object.Rita Kachru, MD, a specialist in allergy and immunology and a co-director of the food allergy program at UCLA Health in Los Angeles, California, called this"an excellent report about a wonderful, individualized option in food allergy management.
"It's important to periodically summarize the evidence, as well as the consensus expert opinion about the evidence, so we may better inform our colleagues and patients," said Kahwash, who was not involved in developing the report."The authors are well-known experts in our field who have experience with OIT and with reviewing the evidence of food allergy.
"OIT can be a fantastic option for some patients, especially those who are very highly motivated and understand the process from start to finish. But OIT is not the best option for every child, and it's not much of an option for adults," he explained."Patients need to be chosen carefully and understand the level of motivation required to safely follow through with the treatment.
"The report will hopefully affect patient care positively and allow patients to understand the limitations around OIT when they consider their candidacy for it," he added."In most cases, OIT patients will still need to avoid the allergen, but if a small amount accidentally gets into their food, they probably won't have a very severe reaction to it.""Clearly, some patients benefit from OIT.
"Regardless of OIT's limitations, the potential for desensitization rather than strict avoidance represents a big step in the evolution of food allergy treatment," Kahwash noted.Mack and three co-authors report financial relationships with Aimmune.is the manufacturer of Palforzia OIT . Most co-authors also report financial relationships with other pharmaceutical companies. The full list can be found with the original article.
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Strategies to Treat Food Allergy With Oral ImmunotherapyOral immunotherapy for food allergy can prevent anaphylaxis after accidental encounters with an allergen, but the treatment rarely cures the allergy. Desensitization instead of strict avoidance is a big step in the evolution of food allergy treatment.
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