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. 1984 Oct;59(10):983–986. doi: 10.1136/adc.59.10.983

Anaphylactic shock during elimination diets for severe atopic eczema.

T J David
PMCID: PMC1628850  PMID: 6541895

Abstract

Eighty patients with atopic eczema were treated with various elimination diets. Some or all foods were withdrawn then later reintroduced singly to the diet. In four patients reintroduction of a single food (soya, chicken, corn, cows' milk) caused anaphylactic shock. In two patients spontaneous recovery occurred but in two resuscitation and intensive care were required. Anaphylaxis is a definite hazard of these elimination diets. Other than warning the parents, practical precautions are difficult because of the unpredictability of violent reactions and uncertainty about the life saving efficacy of injected adrenaline.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cotton J. B., Couturier P., Grenier J. L., Ladreyt J. P. Observation d'intolérance isolée au soja, à forme de chocs anaphylactiques, chez un nourrisson. Acta Allergol. 1977 Jun;32(3):217–218. [PubMed] [Google Scholar]
  2. GOLDMAN A. S., ANDERSON D. W., Jr, SELLERS W. A., SAPERSTEIN S., KNIKER W. T., HALPERN S. R. MILK ALLERGY. I. ORAL CHALLENGE WITH MILK AND ISOLATED MILK PROTEINS IN ALLERGIC CHILDREN. Pediatrics. 1963 Sep;32:425–443. [PubMed] [Google Scholar]
  3. Graham P., Hall-Smith S. P., Harris J. M., Price M. L. A study of hypoallergenic diets and oral sodium cromoglycate in the management of atopic eczema. Br J Dermatol. 1984 Apr;110(4):457–467. doi: 10.1111/j.1365-2133.1984.tb04661.x. [DOI] [PubMed] [Google Scholar]
  4. Halpin T. C., Byrne W. J., Ament M. E. Colitis, persistent diarrhea, and soy protein intolerance. J Pediatr. 1977 Sep;91(3):404–407. doi: 10.1016/s0022-3476(77)81308-5. [DOI] [PubMed] [Google Scholar]
  5. Hill D. J., Lynch B. C. Elemental diet in the management of severe eczema in childhood. Clin Allergy. 1982 May;12(3):313–315. doi: 10.1111/j.1365-2222.1982.tb02533.x. [DOI] [PubMed] [Google Scholar]
  6. JAMES L. P., Jr, AUSTEN K. F. FATAL SYSTEMIC ANAPHYLAXIS IN MAN. N Engl J Med. 1964 Mar 19;270:597–603. doi: 10.1056/NEJM196403192701202. [DOI] [PubMed] [Google Scholar]
  7. Juto P., Engberg S., Winberg J. Treatment of infantile atopic dermatitis with a strict elimination diet. Clin Allergy. 1978 Sep;8(5):493–500. doi: 10.1111/j.1365-2222.1978.tb01502.x. [DOI] [PubMed] [Google Scholar]
  8. MORTIMER E. Z. Anaphylaxis following ingestion of soybean. J Pediatr. 1961 Jan;58:90–92. doi: 10.1016/s0022-3476(61)80065-6. [DOI] [PubMed] [Google Scholar]
  9. Perkkiö M., Savilahti E., Kuitunen P. Morphometric and immunohistochemical study of jejunal biopsies from children with intestinal soy allergy. Eur J Pediatr. 1981 Sep;137(1):63–69. doi: 10.1007/BF00441172. [DOI] [PubMed] [Google Scholar]
  10. Powell G. K. Milk- and soy-induced enterocolitis of infancy. Clinical features and standardization of challenge. J Pediatr. 1978 Oct;93(4):553–560. doi: 10.1016/s0022-3476(78)80887-7. [DOI] [PubMed] [Google Scholar]
  11. Smith P. L., Kagey-Sobotka A., Bleecker E. R., Traystman R., Kaplan A. P., Gralnick H., Valentine M. D., Permutt S., Lichtenstein L. M. Physiologic manifestations of human anaphylaxis. J Clin Invest. 1980 Nov;66(5):1072–1080. doi: 10.1172/JCI109936. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Walker-Smith J. A. Gastrointestinal allergy. Practitioner. 1978 Apr;220(1318):562–573. [PubMed] [Google Scholar]

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