ABSTRACT

Various ‘high-risk’ situations must be avoided, such as eating at buffets, receptions, some restaurants, friends’ homes, school cafeterias and ice-cream shops. In certain situations, airborne food particles may induce allergic reactions

(which are occasionally fatal) in highly sensitive patients (e.g. patients allergic to fish or shellfish in seafood restaurants, patients allergic to eggs standing next to cooking scrambled eggs and patients allergic to peanuts in aeroplanes where passengers are opening peanut packs). Certain foods may contain aspirin or yeast, and patients with a history of allergy to these should avoid specific items (see Appendices I and II). The complexity of the therapeutic elimination diet for the patient increases with each additional food allergy, leading to increased frustration or lack of compliance (or both).