We analyzed the patients with food allergy in our division to understand the recent facts in the onset and the development of oral tolerance. Chicken egg and cow's milk were the most popular food antigens in our analysis. It was obvious that any kind of food became food antigens during childhood.
In general, it seems that patients develop oral tolerance firstly against soy bean followed by wheat, cow's milk and chicken egg.
Currently, the treatment of food allergy is the accurate diagnosis, which results in the minimum elimination of food antigen. Therefore, it is very important to diagnose food allergy based on the results of food elimination and provocation tests, but not on the results of IgE CAP RAST nor skin prick tests. Once food elimination is introduced, every certain period such as 6 month, the diagnosis should be re-evaluated to minimize the food elimination for the better quality of life.
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