Incriminated Foods

Despite the above, the limitations of dietary manipulation in the practical care of patients with established disease must be appreciated. Eczema is rarely a fatal disease. The most commonly incriminated foods are important sources of vital nutrients (particularly in early childhood), and in 75% of children, eczema can be controlled by simple topical therapy (Atherton, 1983). Even with quite severe eczema, many older children and adults prefer the discomfort of their disease to the rigors of the diet which may be required to control it (Warner, 1983). 

There is very little objective evidence to incriminate food hypersensitivity in the symptoms of patients presenting with joint pains or other physical syndromes unaccompanied by conditions known to have an allergic etiology. Spontaneous variations in the activity of rheumatoid arthritis are notoriously misleading. There are occasional case reports of individual cases of arthritis responding to diet (Parke and Hughes, 1981). However, controlled studies have not yielded any evidence that specific foods provoke rheumatoid disease (Denman et al, 1983). 

Result of quantitative microscopic examination. Average of 10 widely separated fields of O Olml/lcm of a 10 dilution of the incriminated food... 

Don t eat the food to which you are allergic] This is the principal of management and is termed avoidance. Food-allergic individuals need to carefully read all labels of commercially prepared foods and be aware of the ingredients in which food allergens may be hidden. Examples include the presence of whey (milk proteins) in breads and the use of peanut butter in Chinese egg rolls and chili. It is up to the individual or parent to alert school personnel, doctors, nurses, and dieticians of the incriminating food so that avoidance can be a part of the daily routine. 

Because ARMS is a form of passive surveillance that is based on spontaneous reports, it has a number of limitations. Most importantly, it cannot establish a definitive, causal relationship between the ingestion of an incriminated substance and the occurrence of symptoms. Since people are exposed daily to a myriad of food ingredients, it is inherently difficult to attribute an adverse event to a specific food substance. Moreover, symptoms reported are often vague or general in nature. Other confounders, which were discussed by Bradstock et al. (1986), include ... 

USDHEW 1980 USDHEW 1979 Vital and Health Statistics 1979 National Institutes of Health 1985 Simopoulos 1985). Dairy foods such as whole milk and cheese have been incriminated as contributing to the development of this condition (Jones 1973). However, there is no evidence that any specific food, food component, or combination of foods, when consumed in recommended amounts, leads to obesity per se (American Academy of Pediatrics 1974). 

DOT CLASSIFICATION 6.1 Label KEEP AWAY FROM FOOD SAFETY PROFILE Confirmed carcinogen with experimental tumorigenic data. Along with p-naphthylamine and benzidine, it has been incriminated as a cause of urinary bladder cancer. Poison by subcutaneous and intraperitoneal routes. Moderately toxic by ingestion. Mutation data reported. Combustible when exposed to heat or flame. Incompatible with nitrous acid. To fight fire, use dry chemical, CO2, mist, spray. When heated to decomposition it emits toxic fumes of NOx. See also 2-NAPHTHYLAMINE and AROMATIC AMINES. 

Candida paronychia is often difficult to treat. Topical treatment is insufficient the best therapeutic approach is intermittent (pulsed) itraconazole or fluconazole, following the schedules indicated in the treatment of dermatophyte onychomycosis. Prevention of candidosis is straightforward. It includes the avoidance of maceration at work. Chronic paronychia is best prevented by the use of appropriate gloves. The avoidance of contact with foods incriminated in the initiating protein contact dermatitis (assessed by positive prick tests) is mandatory. 

MacKarness (1976) and Randolph and Moss (1981) have stated that various other apparently neurotic and psychotic states are commonly due to food allergy. The only objective studies which have provided any support for such claims (Finn and Cohen, 1978 Brown et al., 1981) have involved patients in whom the psychological distress was probably secondary to food-related physical symptomatology or in whom the physical and psychological symptoms could be attributable to the central nervous system effects of the pharmaco-active agents in the coffee or tea incriminated. 

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