Management of food allergy includes recognition of anaphylaxis, availability of epinephrine, avoidance of food allergens, and education about safe foods. Early introduction of peanuts in the first year of life significantly reduces the risk of peanut allergy.
Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.
Dr. Jones reports receiving grant support from DBV Technologies and Aimmune Therapeutics and fees for serving on an advisory board from Aimmune Therapeutics; and Dr. Burks, being a shareholder in Allertein Therapeutics, receiving consulting fees from Adept Field Solutions, Aimmune Therapeutics, Astellas Pharma Global Development, Biomerica, Evelo Biosciences, Epiva Biosciences, First Manhattan, Genentech, Gerson Lehrman Group Research, Insys Therapeutics, Intrommune Therapeutics, PPD Development, Regeneron Pharmaceuticals, Sanofi US Services, Society of Research Administrators International, Stallergenes, UKKO, and Valeant Pharmaceuticals North America, fees for serving on an advisory board from Aimmune Therapeutics, holding an issued patent on a microbial delivery system (US8153414) with rights to Allertein Therapeutics, an issued patent on peanut allergens and methods (AU72433/96) with rights to Allertein Therapeutics, an issued patent on peanut allergens and methods (CA2241918 HS103 CIP) with rights to Allertein Therapeutics, an issued patent on an immunoassay for peanut allergen (US08/610424) with rights to Allertein Therapeutics, an issued patent on peanut allergens and methods (EP96933862.3 HS103 CAP) with rights to Allertein Therapeutics, and an issued patent on a microbial delivery system (US8815251) with rights to Allertein Therapeutics. No other potential conflict of interest relevant to this article was reported.
Source Information
From the Department of Pediatrics, University of Arkansas for Medical Sciences and Arkansas Children’s Hospital, Little Rock (S.M.J.); and the Department of Pediatrics, University of North Carolina, Chapel Hill (A.W.B.).
Address reprint requests to Dr. Burks at the University of North Carolina School of Medicine, Department of Pediatrics, 4032 Bondurant Hall, Campus Box 7000, Chapel Hill, NC 27599-7000, or at [email protected].