The Big Eight Foods: Clinical and Epidemiological Overview

Suzanne S. Teuber; Kirsten Beyer; Sarah Comstock; Mikhael Wallowitz

doi:10.1128/9781555815721.ch3

Chapter 3 : The Big Eight Foods: Clinical and Epidemiological Overview

Authors: Suzanne S. Teuber¹, Kirsten Beyer², Sarah Comstock³, Mikhael Wallowitz⁴

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Affiliations: 1: Division of Rheumatology, Allergy & Clinical Immunology, University of California, Davis, School of Medicine, 451 E. Health Sciences Dr., Suite 6510, Davis, CA 95616; 2: Department of Pediatric Pneumology and Immunology, University Hospital Charité, Humboldt University, Augustenburger Platz 1, 13353 Berlin, Germany; 3: Division of Rheumatology, Allergy & Clinical Immunology, University of California, Davis, School of Medicine, 451 E. Health Sciences Dr., Suite 6510, Davis, CA 95616; 4: Division of Rheumatology, Allergy & Clinical Immunology, University of California, Davis, School of Medicine, 451 E. Health Sciences Dr., Suite 6510, Davis, CA 95616

Content Type: Monograph

Publication Year: 2006

Category: Immunology; Applied and Industrial Microbiology

Book DOI: 10.1128/9781555815721

Chapter DOI: 10.1128/9781555815721.ch3

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Abstract:

Peanuts, tree nuts, cow’s milk, soy, wheat, hen’s egg, fish, and crustaceans are considered the “Big Eight” foods in discussions of immunoglobulin E (IgE)-mediated or -associated food allergy both internationally and in the United States. These foods account for approximately 90% of food allergies in the best-studied group in the United States: children with atopic dermatitis. Although the Big Eight foods account for about 90% of clinical reactions in children with atopic dermatitis in referral centers, the pattern of foods causing reactions prompting emergency department visits is somewhat different in the United States. However, the Big Eight foods remain highly useful for labeling rules because the vast majority of individuals with food allergy will be helped, and specific fruits or vegetables are easier to avoid once the allergy is identified and the patient receives appropriate education on avoidance. The chapter reviews the eight dominant foods associated with food allergic reactions along with sesame. Cow's milk allergy is the most common food allergy in infants reported from developed Western nations. Most infants with IgE-mediated or IgE-associated allergy to cow’s milk protein will do well on isolated soy protein-based formula and that there is no need to spend money on more expensive, less-palatable formulas.

Citation: Teuber S, Beyer K, Comstock S, Wallowitz M. 2006. The Big Eight Foods: Clinical and Epidemiological Overview, p 49-79. In Maleki S, Burks A, Helm R (ed), Food Allergy. ASM Press, Washington, DC. doi: 10.1128/9781555815721.ch3

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Fruits and Vegetables: 0.7347259
Food and Beverages: 0.58631307
Yellow Fever Vaccine: 0.47920313
Peanut Butter: 0.4755466
Atopic Dermatitis: 0.43813297

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Tables

The Big Eight Foods: Clinical and Epidemiological Overview

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Table 1.

The big eight foods plus sesame

Table 1.

The big eight foods plus sesame