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The epidemiology of food allergy in adults
Affiliation:2. Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Evanston, Illinois;3. Division of Allergy and Immunology, Ann and Robert H. Lurie Children''s Hospital of Chicago, Chicago, Illinois;4. Ann and Robert H. Lurie Children''s Hospital of Chicago, Department of Pediatrics, Chicago, Illinois;2. Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota;3. Department of Medicine, Mayo Clinic, Phoenix, Arizona;4. Mayo Clinic Alix School of Medicine, Scottsdale, Arizona;5. Division of Allergy, Asthma, and Clinical Immunology, Mayo Clinic, Scottsdale, Arizona;2. Division of Pediatric Allergy and Immunology, NYU Grossman School of Medicine, Hassenfeld Children''s Hospital, New York, New York;3. Department of Pediatrics, Gastroenterology and Nutrition, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland
Abstract:The prevalence and awareness of food allergy (FA) among US adults is arguably at a historical high, both with respect to primary immunoglobulin E–mediated food hypersensitivity and other food-triggered conditions that operate through a variety of immunologic mechanisms (eg, pollen-FA syndrome, alpha-gal syndrome, food protein-induced enterocolitis syndrome, eosinophilic esophagitis). Worryingly, not only are many adults retaining childhood-onset food allergies as they age into adulthood, it seems that many adults are experiencing adult-onset allergies to previously tolerated foods, with correspondingly adverse physical, and psychological health impacts. Consequently, this review aims to summarize what is currently known about the epidemiology and population-level burden of FA among adult populations in North America and around the globe. This article also provides insights into the natural history of these conditions and what we need to know as we look to the future to support effective care and prevent FA.
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