Allergic reactions to foods by inhalation in children

Salvatore Leonardi, Rossella Pecoraro, Martina Filippelli, Michele Miraglia Del Giudice, Gianluigi Marseglia, Carmelo Salpietro, Teresa Arrigo, Giovanna Stringari, Sonia Ricò, Mario La Rosa, Carlo Caffarelli

Research output: Contribution to journalArticlepeer-review


This article focuses on hypersensitivity reactions after inhalation of food particles as primary cause for food allergy. This is an increasingly recognized problem in children. Reactions are commonly diagnosed in children who develop symptoms when the food is ingested. Some children tolerate the food when it is eaten but they experience reactions to airborne food particles such as peanut, cow's milk, and fish. The exposure can be trivial, as in mere smelling or being in the vicinity of the food. Usually, respiratory manifestations include rhinoconjunctivitis, coughing, wheezing, and asthma, but in some cases even anaphylaxis has been observed. Practical approaches concerning diagnosing clinical reactivity including skin tests, serum IgE antibodies, specific provocation tests, and management have been identified. Studies are warranted to establish the accuracy of diagnostic tests as well as incidence, prevalence, and natural history of food allergy through inhalation route.

Original languageEnglish
Pages (from-to)288-294
Number of pages7
JournalAllergy and Asthma Proceedings
Issue number4
Publication statusPublished - 2014

ASJC Scopus subject areas

  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine
  • Medicine(all)


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