ABSTRACT

Conclusion 340 Acknowledgements 340 References 340 Further reading 341

LEARNING OUTCOMES

Upon completion of this chapter, the reader should be able to accomplish the following: 1 Define allergy

2 Describe the basic immunology of allergic disease

3 Define its spectrum of problems: the atopic march

4 Define food allergy and identify IgE-mediated food allergy

5 Describe how food allergy is diagnosed, with specific reference to the role and responsibilities of the nurse, including taking an allergy history and allergy testing: skin prick testing; blood sample for specific IgE; food challenge

6 Explore teaching a family about food allergy: avoidance of the allergen; rescue medicines; food allergy in schools; how to treat an allergic reaction; the use of an adrenaline (epinephrine) autoinjector

Allergy is a major health concern in the developed world. The prevalence of allergic disease has risen substantially in recent years.1 Atopy includes four allergic diseases: eczema, food allergy, asthma and rhinitis (hay fever).