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Previous Volume 359:1252-1260 September 18, 2008 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 3-year-old boy with a recent history of hives and wheezing after eating chocolate mousse is evaluated. At 18 months of age, contact urticaria developed after he put his hand into a cake mix containing egg. He also has a history of chronic rhinitis, nocturnal cough, severe eczema, and a previous hospitalization for recurrent wheezing. How should this child be evaluated and . . . [Full Text of this Article]

The Clinical Problem

Clinical Presentation

Coexisting Conditions

Strategies and Evidence

Management

Short-Term Management

Long-Term Management

Immunization

Areas of Uncertainty

Prevention of Food Allergies

New Treatments for Food Allergies

Guidelines from Professional Societies

Conclusions and Recommendations

Source Information

From the Department of Paediatric Allergy, King's College London, and the Children's Allergy Service, Guy's and St. Thomas' National Health Service Foundation Trust — both in London.

An audio version of this article is available at www.nejm.org.

Address reprint requests to Dr. Lack at the Children's Allergy Service, 2nd Fl., South Wing, St. Thomas' Hospital, Westminster Bridge Rd., London SE1 7EH, United Kingdom, or at gideon.lack@kcl.ac.uk.

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