Initial Assessment Adverse Food Reaction Immune Mediated (food allergy and celiac disease)
IgE Mediated (eg, acute
urticaria, oral allergy syndrome)
Non-IgE Mediated (eg, food protein-
induced enteropathy, celiac disease)
Mixed IgE and
Non-IgE Mediated (eg, eosinophilic gastroenteritis )
Cell Mediated
(eg, allergic contact dermatitis)
Not Immune Mediated (primarily food intolerances)
Metabolic (eg, lactose intolerance)
Pharmacologic (eg, caffeine)
Toxic
(eg, scombroid fish toxin)
Other/Idiopathic/ Undefined (eg, sulfites)
The Severity of Subsequest Reactions to Peanuts 83 Patients with Peanut Allergy
61 with initial non-LTRs
43 had subsequent reactions 24 non-LTRs LTR, life-threatening reaction 3 19 LTRs 22 with initial LTRs 17 had subsequent reactions 5 non-LTRs 12 LTRs
