Allergies: Symptoms, Causes, and Diagnosis
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Try for freeThis post was written with Consensus AI Academic Search Engine – please read our Disclaimer at the end of this article. Allergies present a wide range of symptoms and are caused by various allergens, with food and inhaled substances being the most common. Accurate diagnosis requires a combination of clinical history, skin and blood tests, and food challenges. Understanding the specific allergen and the individual’s response is crucial for effective management and treatment of allergies.
Symptoms of Allergies
Allergies manifest through a variety of symptoms depending on the allergen and the individual’s sensitivity. Common symptoms include atopic dermatitis, acute urticaria, gastrointestinal reactions, and systemic anaphylaxis2. Respiratory symptoms such as wheezing and asthma can also be triggered by food allergies, although this is less common2. In cases of allergic rhinitis, symptoms include nasal congestion, sneezing, and itching, often triggered by pollen or dust mites9.
Causes of Allergies
Allergies are caused by an overreaction of the immune system to typically harmless substances known as allergens. These allergens can be ingested, inhaled, or come into contact with the skin. Common food allergens include cow’s milk, hen’s egg, wheat, soya, citrus fruits, fish/shellfish, nuts, and chocolate1. Inhaled allergens such as pollen, dust mites, and animal dander are also significant triggers7. Genetic predisposition and environmental factors play crucial roles in the development of allergies8.
Diagnosis of Allergies
Diagnosing allergies involves a combination of clinical history, skin tests, blood tests, and food challenges. A detailed clinical history is essential to identify suspected allergens and the temporal association of symptoms3. Skin prick tests (SPTs) and serum-specific IgE tests are commonly used to detect sensitization to specific allergens5 7. However, these tests have limitations in specificity and predictive values, making them insufficient for a definitive diagnosis on their own4 5.
The gold standard for diagnosing food allergies is the double-blind, placebo-controlled food challenge (DBPCFC), which provides the most accurate results1 3 4 5. This method involves administering the suspected allergen and a placebo in a controlled setting to observe any allergic reactions. For respiratory allergies, nasal smear for eosinophils (NSE) can be a valuable diagnostic tool, especially in cases where skin tests are negative9.
Disclaimer
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