When should a clinician send a referral for an allergy consultation for suspected penicillin allergy? In other words should a clinician refer only in cases of severe immediate or delayed reaction, or in ambiguous situations and should all the other cases (mild or moderate) be managed in office for example by going through a 'test de provocation' ?
Food allergies are a frequently difficult diagnosis for patients and families. In 2023 there are management strategies available for these patient but understanding the protocols used ofr oral immunotherapy, the risks and the commitment needed is essential before embarking on this management course.
Understanding the principles and limitations as well as prognosis is key in helping families in the shared decision making for their children.
•To discuss recognition of food allergies in children
•To understand management options including oral immunotherapy
•To enumerate the advantages and limitations of oral immunotherapy
•To discuss managing patient/family expectations