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ALLERGY
INTOLERANCEFOOD
S.HARISH
WHAT IS FOOD ALLERGY
 Food allergies occur when your immune system reacts to a
harmless food protein, due to the creation of
Immunoglobulin E (IgE) antibodies which are specific for
that particular protein.
 When the protein is consumed, the antibodies recognise the
protein and link to it, causing the release of substances such
as histamine, which will result in allergic symptoms.
 An immediate reaction (within two hours of eating the
food), usually involves IgE antibodies, and the development
of classic symptoms such as an itchy rash, swelling and in
some cases vomiting and diarrhoea.
MAJOR FOOD ALLERGENS
 Milk
 Eggs
 Fish (e.g., bass, flounder, cod)
 Crustacean shellfish (e.g., crab, lobster)
 Tree nuts (e.g., almonds, walnuts, pecans)
 Peanuts
 Wheat
 Soybeans
FOR EXAMPLE
 Most people who are allergic to eggs react to the proteins
in egg whites, but some can't tolerate proteins in the yolk. Every
time the person eats an egg, the body thinks these proteins are
harmful invaders.
 People who are allergic to milk, react to one or more of the
proteins in it. Curd, the substance that forms chunks in sour milk,
including protein called caseins. Whey, the watery part of milk. A
person may be allergic to proteins in either or both parts of milk.
FOOD ALLERGY TESTING
 There are some useful diagnostic tests that can be used in
conjunction with clinical history including allergen
specific IgE blood tests and Skin Prick Tests.
 Unlike immediate food allergy, delayed type food
allergies do not involve the production of IgE antibodies,
and there are currently no diagnostic tests for this type of
food allergy. Dietary exclusion plays an important role in
the diagnosis of this kind of allergy.
 For any suspected food allergy, specialist input is
required for diagnosis and management.
WHAT IS FOOD INTOLERANCE
 Food intolerance, doesn’t involve the immune system.
 Food intolerance is an adverse reaction to a particular
food. The symptoms can be unpleasant and in
 Some cases severe but are generally not life-threatening.
FOODS THAT ARE INVOLVED
 lactose (found in milk and other lactose containing
products – NB many tablets have lactose added as a
filler)
 • vaso-active amines (found in red wine, strong and blue
cheeses, tuna, mackerel, pork products, sundry and other
foods)
 • chemical naturally occurring foods such as salicylate
and glutamate and some food additives, especially the
benzoate and sulphite preservatives and monosodium
gluatamate.
FOOD LABELING
 Since November 2005 European Union (EU) legislation has
decided that all pre-packaged foods sold within the EU must
be labelled with the eight food allergen as well as the less
common food allergens: sesame, mustard, celery, sulphites,
molluscs and lupin.
SUMMARY
 Food allergies occur when the body’s immune system
wrongly thinks that a food protein is harmful and acts against
it.
 Food-hypersensitivity reactions can either involve the
immune system in which case it’s called a ‘food allergy’ or it
does not involve the immune system and is called ‘food
intolerance’.
Thank you

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Food allergy & Intolerance

  • 2. WHAT IS FOOD ALLERGY  Food allergies occur when your immune system reacts to a harmless food protein, due to the creation of Immunoglobulin E (IgE) antibodies which are specific for that particular protein.  When the protein is consumed, the antibodies recognise the protein and link to it, causing the release of substances such as histamine, which will result in allergic symptoms.  An immediate reaction (within two hours of eating the food), usually involves IgE antibodies, and the development of classic symptoms such as an itchy rash, swelling and in some cases vomiting and diarrhoea.
  • 3. MAJOR FOOD ALLERGENS  Milk  Eggs  Fish (e.g., bass, flounder, cod)  Crustacean shellfish (e.g., crab, lobster)  Tree nuts (e.g., almonds, walnuts, pecans)  Peanuts  Wheat  Soybeans
  • 4. FOR EXAMPLE  Most people who are allergic to eggs react to the proteins in egg whites, but some can't tolerate proteins in the yolk. Every time the person eats an egg, the body thinks these proteins are harmful invaders.  People who are allergic to milk, react to one or more of the proteins in it. Curd, the substance that forms chunks in sour milk, including protein called caseins. Whey, the watery part of milk. A person may be allergic to proteins in either or both parts of milk.
  • 5. FOOD ALLERGY TESTING  There are some useful diagnostic tests that can be used in conjunction with clinical history including allergen specific IgE blood tests and Skin Prick Tests.  Unlike immediate food allergy, delayed type food allergies do not involve the production of IgE antibodies, and there are currently no diagnostic tests for this type of food allergy. Dietary exclusion plays an important role in the diagnosis of this kind of allergy.  For any suspected food allergy, specialist input is required for diagnosis and management.
  • 6. WHAT IS FOOD INTOLERANCE  Food intolerance, doesn’t involve the immune system.  Food intolerance is an adverse reaction to a particular food. The symptoms can be unpleasant and in  Some cases severe but are generally not life-threatening.
  • 7. FOODS THAT ARE INVOLVED  lactose (found in milk and other lactose containing products – NB many tablets have lactose added as a filler)  • vaso-active amines (found in red wine, strong and blue cheeses, tuna, mackerel, pork products, sundry and other foods)  • chemical naturally occurring foods such as salicylate and glutamate and some food additives, especially the benzoate and sulphite preservatives and monosodium gluatamate.
  • 8. FOOD LABELING  Since November 2005 European Union (EU) legislation has decided that all pre-packaged foods sold within the EU must be labelled with the eight food allergen as well as the less common food allergens: sesame, mustard, celery, sulphites, molluscs and lupin.
  • 9. SUMMARY  Food allergies occur when the body’s immune system wrongly thinks that a food protein is harmful and acts against it.  Food-hypersensitivity reactions can either involve the immune system in which case it’s called a ‘food allergy’ or it does not involve the immune system and is called ‘food intolerance’.