Medline ® Abstract for Reference 27

of 'Oral food challenges for diagnosis and management of food allergies'

Anaphylactic shock during elimination diets for severe atopic eczema.
David TJ
Arch Dis Child. 1984;59(10):983.
Eighty patients with atopic eczema were treated with various elimination diets. Some or all foods were withdrawn then later reintroduced singly to the diet. In four patients reintroduction of a single food (soya, chicken, corn, cows' milk) caused anaphylactic shock. In two patients spontaneous recovery occurred but in two resuscitation and intensive care were required. Anaphylaxis is a definite hazard of these elimination diets. Other than warning the parents, practical precautions are difficult because of the unpredictability of violent reactions and uncertainty about the life saving efficacy of injected adrenaline.