Food alergy treatment guidance based on oral food chalenge tests

Japanese Guideline for Food Alergy 2014 states that definitive diagnosis of food alergy should be based on the results of an oral food chalenge test(OFC). At the Department of Pediatrics,Nara Hospital,Kinki University Faculty of Medicine,OFCs were not conducted in a uniform manner until a standardized protocol was implemented in 2013.We retrospectively examined protocol-based OFCs by reviewing medical records.The number of OFCs increased during 2013,so did the number of patients for whom an elimination diet was discontinued.On the other hand,the number of patients with symptoms induced during the test also increased;some of these children developed anaphylaxis.Overal,food alergy treatment guided by OFCs may improve nutrition,contributing positively to children’s and their families’quality of life.