Vermont Physician Ebook Continuing Education

Asthma: Diagnosis and Management ____________________________________________________________

• Sesame: May also appear as furikake, gomashio, halva, hummus or houmus, or tahini • Soy: Is present in such foods as miso, soy protein, soy protein isolate, soy sauce, textured vegetable protein, tofu, and vegetable protein • Wheat: Often listed as bran, flour, graham flour, hard flour, strong flour, or whole-wheat flour. There are non-wheat brans and flours, but the word “bran” or “flour” without any qualification usually means wheat. • Yeast: Leavening for many products • Latex: Certain individuals with latex allergy may react to very small traces of it in food, particularly packaged food or restaurant food that has been prepared by workers wearing latex gloves. There are also reports of certain individuals with latex allergy reacting, usually very mildly, to cold-seal adhesives in food wrappers, such as those used for ice cream. The reaction only occurs if the wrapper actually touches the lips or mouth.

APPENDIX

COMMON FOOD SENSITIVITIES FOR PATIENTS WITH ALLERGY AND/OR ASTHMA The following items could, even unexpectedly, contain problem food ingredients for individuals with food-allergies. Though it is not an exhaustive list, the most commonly encountered sensitivities are addressed [8; 9]. • Corn: May appear in an ingredient list as cornmeal, cornstarch, dextrose, or polenta • Eggs: Known to cause anaphylactic shock in sensitive patients • Fish and shellfish: Fish meal is used in some Asian sauces and other foods as a usual flavoring or condiment • Milk: Also appears as casein, caseinate, lactalbumin, and whey • Tree nuts: Be very cautious about nut oils. Also, almond essence may be produced chemically, in which case it is safe, but it may also be manufactured from true almonds. It may also be listed as frangipane, marzipan, or praline. • Peanuts: Are highly allergenic and may have cross-reaction with soy and/or lupin (a novel food ingredient), but reactions with other legumes are rare. Cross-reactions with tree nuts are quite common. If a patient is highly allergic to peanuts or any nuts, they should be instructed to carefully read labels on all prepared foods and on sweets, including jelly beans, ice cream, and milkshakes. Also, caregivers should be advised to be wary of homemade playdough and some animal foods, such as mixes for birds or gerbils or the pellets used at petting farms, if a child reacts to skin-contact with peanuts.

WORKS CITED https://qr2.mobi/AsthmaDiagnosisMgmt

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