Resources
BOOKS
Branen, A. Larry.Food Additives, 2nd edition. New York:
Marcel Dekker, 2002.
Clydesdale, Fergus M.Food Additives: Toxicology, Regula-
tion, and Properties. Boca Raton, FL: CRC Press, 1997.
Potter, Norman N., and Hotchkiss, Joseph H.Food Science,
5th edition. New York: Chapman & Hall, 1995.
M. Elizabeth Kunkel
Barbara H. D. Luccia
Food allergies
Definition
Food allergies are the body’s response to proteins
found in food. For more than 12 million Americans
alone, food allergy is a significant medical condition.
All food contains proteins that enter the body when
the food is eaten, or in some cases if it is touched.
Allergic reaction occurs when the body reacts to
these proteins as if they were harmful, and for individ-
uals with food allergy, the offending food is harmful.
Symptoms of food allergy vary and can range
from mildly annoying to dangerous and life threat-
ening. Symptoms of food allergy include:
tingling of the mouth
tingling or numbness in arms or legs
rash or hives
itching
abdominal cramps
vomiting
diarrhea
breathing difficulties
sudden drop in blood pressure (hypotension)
swelling of the tongue
swelling of the throat
loss of consciousness
death
The most serious symptom of food allergy is ana-
phylaxis. Anaphylaxis, also called anaphylactic shock,
is a sudden and potentially life threatening allergic
reaction in which the whole body reacts to an allergen.
During anaphylaxis the airway constricts making
breathing difficult. Vomiting and diarrhea may also
occur as the digestive tract constricts. The skin may
swell and become itchy with rash or hives especially in
the face. This swelling may block airways as well. The
heart may race and the heart beat may become irreg-
ular as blood vessels around the heart expand.
Anaphylaxis is caused when the body encounters a
substance it believes is toxic. This substance is an aller-
genandisalsocalledIgE.Whenthisoccurs,thebody
produces a substance called histamine. Histamine is a
protein that the body releases in reaction to a substance
in the blood that the body believes is toxic. Histamine
causes blood vessels to dilate or become larger and this
causes the symptoms of anaphylaxis. The treatment for
anaphylaxis is medication called antihistamine. The
most common antihistamine is diphenhydramine hydro-
chloride which is found over–the–counter drugs such as
Benadryl. If taken immediately, this antihistamine can
stop anaphylaxis before it becomes too serious.
In cases of severe allergy, an injection of a strong
antihistamine called epinephrine or adrenaline may be
needed. If allergy is suspected or if an individual has
had a previous allergic reaction, an injectable form of
epinephrine may be prescribed. An auto–injectable
form of epinephrine that looks similar to a large ball
point pen is kept on hand at all times. If a severe
Hives on the back of a young woman’s legs. The accompanying
inflammation develops as an allergic reaction which ranges in
size from small spots to patches measuring several inches
across.(ªCustom Medical Stock Photo, Inc. Reproduced by
permission.)
Food allergies