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The Future of Food Allergy: Challenging Existing Paradigms of Clinical Practice.
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  • Katherine (Aikaterini) Anagnostou,
  • J.A. Lieberman,
  • Matthew Greenhawt,
  • Douglas Mack,
  • Alexandra Santos,
  • Carina Venter,
  • David Stukus,
  • Paul Turner,
  • Helen A. Brough
Katherine (Aikaterini) Anagnostou
Texas Children's Hospital Department of Allergy and Immunology

Corresponding Author:aikaterini.anagnostou@bcm.edu

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J.A. Lieberman
The University of Tennessee Health Science Center Department of Pediatrics
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Matthew Greenhawt
Children's Hospital Colorado
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Douglas Mack
McMaster University Department of Pediatrics
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Alexandra Santos
King's College London Faculty of Life Sciences and Medicine
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Carina Venter
Children's Hospital Colorado
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David Stukus
Baylor College of Medicine
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Paul Turner
Imperial College London National Heart and Lung Institute
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Helen A. Brough
King's College London Faculty of Life Sciences and Medicine
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Abstract

The field of food allergy has seen tremendous change over the past 5-10 years with seminal studies redefining our approach to prevention and management and novel testing modalities in the horizon. Early introduction of allergenic foods is now recommended, challenging the previous paradigm of restrictive avoidance. The management of food allergy has shifted from a passive avoidance approach to active interventions that aim to provide protection from accidental exposures, decrease allergic reaction severity and improve the quality of life of food-allergic patients and their families. Additionally, novel diagnostic tools are making their way into the clinical practice with the goal to reduce the need for food challenges and assist physicians in the -- often complex -- diagnostic process. With all the new developments and available choices for diagnosis, prevention and therapy, shared decision-making has become a key part of the medical consultation, enabling patients to make the right choice for them, based on their values and preferences. Communication with patients has also become more complex over time, as patients are seeking advice online and through social media, but the information found online may be outdated, incorrect, or lacking in context. The role of the allergist has evolved to embrace all the above exciting developments and provide patients with the optimal care that fits their needs. In this review, we discuss recent developments, as well as the evolution of the field of food allergy in the next decade.
04 Jan 2023Submitted to Allergy
05 Jan 2023Submission Checks Completed
05 Jan 2023Assigned to Editor
05 Jan 2023Review(s) Completed, Editorial Evaluation Pending
09 Jan 2023Reviewer(s) Assigned
04 Feb 2023Editorial Decision: Revise Minor
06 Apr 20231st Revision Received
06 Apr 2023Submission Checks Completed
06 Apr 2023Assigned to Editor
06 Apr 2023Review(s) Completed, Editorial Evaluation Pending
08 Apr 2023Reviewer(s) Assigned
26 Apr 2023Editorial Decision: Accept