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March 1984

Handbook of Clinical Allergy: A Practical Guide to Patient Management

Arch Otolaryngol. 1984;110(3):209. doi:10.1001/archotol.1984.00800290073019

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An exceptional understanding of the nature of allergy to foods is shown by the various authors. Chapters discussing the etiology and the survey and management of these hypersensitivities present a logical, lucid approach to a prevalent, but generally unrecognized, aspect of the allergic diathesis. Skin tests for detecting offending food allergens are accurately described as "occasionally valuable." They express a strong preference for testing with elimination diets and challenge feeding tests. Several elimination diets are detailed and stress the necessity for complete avoidance of all products of the foods under consideration. A precise description of the technique of oral challenge testing would have furnished a practical addition to this otherwise excellent examination of allergy to ingestants.

An example of their perception of allergy to foods is found in their recognition and emphasis of the role corn sugar may play in an allergic response. This is in contrast to the general

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