Review Article

Food allergy and asthma

  • Primary Care Respiratory Journal (2009) 18, 258265
  • doi:10.4104/pcrj.2009.00036
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Food allergy and asthma commonly co-exist in the same patient with approximately one-third of children with food allergy having asthma. When both atopic conditions are present a food allergic patient is placed at greater risk of having a fatal reaction from food allergen exposure. For this reason asthma should be diligently managed in a food allergic patient and these patients should be carefully instructed on allergen avoidance and the proper use of self-injectable epinephrine. This review summarises the available literature regarding patients with both food allergy and asthma specifically looking at disease prevalence, IgE-mediated effects on the lower respiratory tract secondary to foods, the interplay of food additives and asthma, and food allergy as a risk factor for asthma morbidity with practical applications for clinicians.

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Author information


  1. Department of Pediatrics, Duke University Medical Center, North Carolina, USA

    • J Andrew Bird
    •  & A Wesley Burks


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Competing interests

JA Bird has no conlicts of interest.

Corresponding author

Correspondence to J Andrew Bird.