ACG Clinical Guidelines: Diagnosis and Management of Celiac Disease

Highlights: The American College of Gastroenterology has developed clinical guidelines for the diagnosis and management of celiac disease. Forty-three recommendations are evaluated based on the GRADE system. Five recommendations pertain to the diagnosis among patients on a gluten-free diet. With


Experiencing a first food allergic reaction: a survey of parent and caregiver perspectives.

Highlights: Members of the Anaphylaxis Canada database were invited to participate in a survey and qualitative interviews about the education they received after the first reaction and along the continuum of care.  In brief summary, families often did not receive


Childhood food allergies: current diagnosis, treatment, and management strategies.

Highlights:  Several food allergy consensus documents have been recently published. This article applies these guidelines to everyday practice. Table 2 describes eight clinical scenarios that general practitioners commonly encounter and appropriate interventions. The scenarios are applicable to dietitians as well.


Misdiagnosed Food Allergy Resulting in Severe Malnutrition in an Infant

Highlights: This case study describes a 15 month old child that was admitted to the emergency department with significant malnutrition and infected skin lesions. The mother restricted the child’s diet due to perceived food allergies based on direction from the


Growth and nutritional concerns in children with food allergy

Highlights: Inadequate growth is common in children with diagnosed food allergy. Several factors may contribute, including: reduced nutrient intake, decreased absorption (intestinal inflammation) and increased requirements due to a variety of inflammatory comorbid diseases (eczema, asthma, etc.). Very close growth