NHG-Standaard ‘Voedselovergevoeligheid’ kan stelliger
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Commentaar
14-04-2011
Paul L.P. Brand

Dutch College of General Practitioners’ practice guideline can be more firm - the food allergy test does not exist

The diagnosis of food allergy begins with a detailed history. Food allergy causes reproducible symptoms with every exposure. If this pattern cannot be elicited from the history, food allergy is unlikely. Measurement of specific immunoglobulin E in serum is not useful in the diagnosis of food allergy because asymptomatic sensitisation is common. Oral food challenges are the gold standard of food allergy diagnosis; they should preferably be performed in a double-blind fashion.

Conflict of interest: none declared. Financial support: none declared.