Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.
allergies are often misunderstood, even though
societal recognition of, and education about, the condition is increasing. See if you have heard - or
believed - any of the following myths about food allergies:
"You're "allergic" to any food that gives you problems." This statement is
false, since there are several problems that can arise after eating specific
foods, the majority of which are unrelated to allergy. True allergies to foods
are immunologic reactions involving the class of immunoglobulins (proteins that
assist in the body's immune response) known as immunoglobulin (Ig)
E. Other kinds of reactions to foods that are not food allergies include food
intolerances (such as lactose
or milk intolerance
), food poisoning, and toxic reactions. The prevalence of food allergy in the population is much lower than
the prevalence of adverse reactions to foods. It is estimated that true food
allergies occur in 2% to 5% of the population.
"All food allergies in children resolve as they get older." As they grow older, some children may
tolerate foods that previously caused allergic reactions. This is more likely
to happen in the case of allergies to milk, eggs, and wheat, in which the
severity of reactions (or symptoms) may decrease by late childhood. It is not
clear in all cases, however, if the improved symptoms are an indication that
has disappeared. Peanut allergy is the least likely to go away. To determine if
a food allergy has gone away after an appropriate strict elimination period
(typically greater than a year) an oral challenge should be undertaken by an
allergist skilled in conducting these challenges.
"Peanut allergy is the most common food allergy."
Peanut allergy is the
food allergy most likely to result in
anaphylactic reactions (severe, potentially fatal allergic reactions), but only about
0.6% of the population is affected by peanut allergy. The most common food
allergies reported by adults are allergies to fruits and vegetables.
"Food allergies always begin in childhood." Allergies to fruits and
vegetables may develop later in life because of similarities in fruit and
vegetable proteins with airborne allergens such as pollens. The airborne
allergens cause the body to produce Ig E, and the Ig E then reacts with the
similar proteins in fruits and vegetables.
"Allergy shots are an effective treatment for food allergies."
Desensitization to certain allergens by injecting small quantities of extracts
of the allergen over a long
time has been an effective therapy for certain
allergies (such as allergies to pollens). However, there is no scientific
evidence that these shots can prevent allergic reactions to food.
Medically reviewed by Michael Manning, MD; American Board of Allergy & Immunology
Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.
"Clinical manifestations of food allergy: An overview"
Medically Reviewed by a Doctor on 3/7/2017
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