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FDA/NSTA Web Seminar:  Teach Science Concepts and Inquiry with Food LIVE INTERACTIVE LEARNING @ YOUR DESKTOP Thursday, November 15, 2007
Food  allergy Stefano Luccioli, MD Office of Food Additive Safety
Goals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
True or False : Lactose intolerance is due to milk protein and is a true food allergy. False True
What is a “Food allergy”? ,[object Object],[object Object],[object Object]
Adverse Reactions to Food http://www.cfsan.fda.gov/~dms/alrgn2.html#ii
Celiac disease (or sprue ): ,[object Object],[object Object],[object Object],[object Object],[object Object]
What differentiates a “Food allergy”? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
B cell T cell Food protein(1)/ pollen (2) IgE Antibody Specific to food or pollen IgE production ALLERGY – Step 1 (Sensitization)
IgE Antibody Mast cell/ Basophil Priming ALLERGY – Step 1 (Sensitization) Fc є R1 (IgE receptor)
Mast cell/ Basophil Receptor crosslinking ALLERGY – step 2 (Challenge) Food
Mast cell/ Basophil Mediator release ALLERGY – step 3 (Elicitation) Mediators : Histamine, leukotrienes, prostaglandins, cytokines, etc. Effects :   blood vessel leakage and   dilation, smooth muscle contraction, nerve irritation, etc.
Mast cell/ Basophil Symptoms ALLERGY – step 3 (Elicitation) Skin - itchiness, flushing, hives, swelling, eczema GI - nausea, vomiting, abdominal pain, diarrhea Lung - runny nose, wheezing, throat closing/swelling Circulation - dizziness, faintness, heart irregularities, “sense of impending doom”,   shock
Symptoms ALLERGY – step 3 (Elicitation) Skin - itchiness, flushing, hives, swelling, eczema GI - nausea, vomiting, abdominal pain, diarrhea Lung - runny nose, wheezing, throat closing/swelling Circulation - dizziness, faintness, heart irregularities, “sense of impending doom”,   shock Anaphylaxis !
Let’s Pause for Two Questions. Please type your questions on the chat
Sampson,  J Allergy Clin Immunol 2004; 113:805-819 No No No 20% 60-70% 80% Outgrown? 3.7% 6% Other 2.0% 0.1% Shellfish 0.4% 0.1% Fish 0.5% 0.2% Tree nut 0.6% 0.8% Peanut 0.2% 1.3% Egg 0.3% 2.5% Milk Adults Young children Food Food allergy prevalence ,[object Object],[object Object]
Food allergic reactions result in: ,[object Object],[object Object],[object Object],[object Object],Sampson, Pediatrics 2003; 111:1601-8
Disorders associated w/ food allergy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Disorders associated w/ food allergy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Disorders associated w/ food allergy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis and Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
True or False : Diagnostic tests do not predict the severity of future allergic reactions.
Sensitivity and severity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What do we know about severe food allergic reactions? ,[object Object],[object Object],[object Object],[object Object]
True or False : Effective treatments are available for preventing food allergic reactions.
Management – laws and labeling ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FALCPA  food label ,[object Object],[object Object],[object Object]
FALCPA  food label  examples: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Let’s Pause for Two Questions. Please type your questions on the chat
Management- Allergic reaction ,[object Object],[object Object],[object Object],[object Object],[object Object]
“ Anaphylaxis” can involve: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What medical term describes this boy’s lip? ,[object Object],[object Object],[object Object],[object Object]
 
Management- Treating anaphylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
True or False : Once the patient responds promptly to medications, the possibility for delayed allergic reactions (> 4 hrs) is still 10-20%. False True
Management -Prevention ,[object Object],[object Object],[object Object],[object Object]
Management -Prevention ,[object Object],[object Object],[object Object],[object Object]
Helpful educational material ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NASA logo Thank You FDA
Elluminate logo http://www.elluminate.com
NLC screenshot http://learningcenter.nsta.org
National Science Teachers Association Gerry Wheeler, Executive Director Frank Owens, Associate Executive Director Conferences and Programs Al Byers, Assistant Executive Director e-Learning LIVE INTERACTIVE LEARNING @ YOUR DESKTOP NSTA Web Seminars Flavio Mendez, Director Jeff Layman, Technical Coordinator

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Fda Ws1 11 15 07

  • 1. FDA/NSTA Web Seminar: Teach Science Concepts and Inquiry with Food LIVE INTERACTIVE LEARNING @ YOUR DESKTOP Thursday, November 15, 2007
  • 2. Food allergy Stefano Luccioli, MD Office of Food Additive Safety
  • 3.
  • 4. True or False : Lactose intolerance is due to milk protein and is a true food allergy. False True
  • 5.
  • 6. Adverse Reactions to Food http://www.cfsan.fda.gov/~dms/alrgn2.html#ii
  • 7.
  • 8.
  • 9. B cell T cell Food protein(1)/ pollen (2) IgE Antibody Specific to food or pollen IgE production ALLERGY – Step 1 (Sensitization)
  • 10. IgE Antibody Mast cell/ Basophil Priming ALLERGY – Step 1 (Sensitization) Fc є R1 (IgE receptor)
  • 11. Mast cell/ Basophil Receptor crosslinking ALLERGY – step 2 (Challenge) Food
  • 12. Mast cell/ Basophil Mediator release ALLERGY – step 3 (Elicitation) Mediators : Histamine, leukotrienes, prostaglandins, cytokines, etc. Effects : blood vessel leakage and dilation, smooth muscle contraction, nerve irritation, etc.
  • 13. Mast cell/ Basophil Symptoms ALLERGY – step 3 (Elicitation) Skin - itchiness, flushing, hives, swelling, eczema GI - nausea, vomiting, abdominal pain, diarrhea Lung - runny nose, wheezing, throat closing/swelling Circulation - dizziness, faintness, heart irregularities, “sense of impending doom”, shock
  • 14. Symptoms ALLERGY – step 3 (Elicitation) Skin - itchiness, flushing, hives, swelling, eczema GI - nausea, vomiting, abdominal pain, diarrhea Lung - runny nose, wheezing, throat closing/swelling Circulation - dizziness, faintness, heart irregularities, “sense of impending doom”, shock Anaphylaxis !
  • 15. Let’s Pause for Two Questions. Please type your questions on the chat
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22. True or False : Diagnostic tests do not predict the severity of future allergic reactions.
  • 23.
  • 24.
  • 25. True or False : Effective treatments are available for preventing food allergic reactions.
  • 26.
  • 27.
  • 28.
  • 29. Let’s Pause for Two Questions. Please type your questions on the chat
  • 30.
  • 31.
  • 32.
  • 33.  
  • 34.
  • 35. True or False : Once the patient responds promptly to medications, the possibility for delayed allergic reactions (> 4 hrs) is still 10-20%. False True
  • 36.
  • 37.
  • 38.
  • 39. NASA logo Thank You FDA
  • 42. National Science Teachers Association Gerry Wheeler, Executive Director Frank Owens, Associate Executive Director Conferences and Programs Al Byers, Assistant Executive Director e-Learning LIVE INTERACTIVE LEARNING @ YOUR DESKTOP NSTA Web Seminars Flavio Mendez, Director Jeff Layman, Technical Coordinator

Notas del editor

  1. While face, tongue, lips and eyelids are most commonly affected, it may involve the hands, feet, mucous membranes and genitalia.
  2. While face, tongue, lips and eyelids are most commonly affected, it may involve the hands, feet, mucous membranes and genitalia.