CHAPTER Ⅰ.FOOD ALLERGY:ITS OCCURRENCE AND CHARACTERISTICS 17
The Common Occurrence of Food Allergy 17
Reasons for Former Failure to Appreciate the Frequency of Food Allergy 20
Inheritance and Personal History 22
Acquisition and Duration of Food Allergy 24
The Varying Types of Reactions in Food Allergy 25
Varying Manifestations Due to Food Allergy 26
The Association of Food Allergy With Other Types of Sensitization 28
Localization and Changing Manifestations of Food Allergy 28
Cyclic Nature of Food Allergy 29
The Varying Degrees and Times of Onset and Duration of Food Reactions 30
The Ways of the Establishment of Manifestations by Foods 31
Reasons for the Difficulty in the Diagnosis and Control of Food Allergy 31
Experimental Establishment of Food Allergy in Animals 32
General Analysis of Three Hundred Food-sensitive Patients 32
Necessity of Accepting Food Allergy as a Clinical Fact 34
Food Allergy—A Clinical Study 35
CHAPTER Ⅱ.DIAGNOSIS OF FOOD ALLERGY 37
The Special Diagnosis of Food Allergy 37
Personal and Family History 38
Skin Testing 38
History Form for the Allergic Patient 43
Diet Trial 55
Other Diagnostic Possibilities 55
General Reactions From Testing 56
CHAPTER Ⅲ.TREATMENT BY ELIMINATION DIETS AND GENERAL MEASURES 57
Treatment Based on History and Skin Reactions 57
Diet Trial in the Treatment of Food Allergy Without Definite Skin Reactions 57
The Food Addition Method of Brown 59
The Suggestions of Alexander 59
The Method of Diet Trial of Eyermann 59
"Elimination Diet"in the Treatment of Food Allergy 60
Advantages of the"Elimination Diets" 61
"Elimination Diets"Preferable to Starvation 61
Relief from Starvation and Colonic Irrigations as Explained by Allergy 61
The"Elimination Diets" 62
Comments on Administration of"Elimination Diets" 63
Diet Sheets for the Patient 68
Supplemental"Elimination Diets" 69
The Choice of the Original"Elimination Diet" 69
The Development of the"Elimination Diet" 70
The Use of the"Elimination Diets"in Certain Adults and in Children 73
The Wheat-,Milk-and Egg-free Diet 75
Wheat-,Milk-and Egg-free Recipes 76
The Wheat-free Diet 86
Wheat-free Recipes 88
The Milk-free Diet 89
Milk-free Recipes 90
The Milk-free Diet in Infants 92
The Egg-free Diet 95
Egg-free Recipes 96
Wheat-and Milk-free Recipes 97
Wheat-and Egg-free Recipes 97
Milk-and Egg-free Recipes 100
Food Desensitization 100
General Therapy 101
CHAPTER Ⅳ.GASTRO-INTESTINAL FOOD ALLERGY 108
Literature 108
Statistics on 100 Cases of Gastro-intestinal Food Allergy 110
Canker Sores,Coated Tongue,Heavy Breath 112
Distention,Belching,Epigastric Heaviness,Sour Stomach,Burning,Nausea,Vomiting and Anorexia 114
Pain in the Upper Right Quadrant,Simulating Gall-bladder Disease 116
Ulcer Type of Pain and Distress 121
Gastro-intestinal Symptoms Associated With Headaches 123
Gastro-intestinal Symptoms Associated With Bronchial Asthma 124
Constipation,Cramping and Diarrhea 125
Appendiceal Type of Pain 127
Mucous Colitis and Colonic Pain 129
Mucous Colitis 129
Colonic Pain 132
Abdominal Pain 132
Proctitis and Pruritus Ani 134
Allergic Toxemia,Mental and Menstrual Disturbances,Due to Gastrointestinal Food Allergy 135
Anorexia and Food Dislikes 136
Gastro-intestinal Bleeding 136
The Origin of Gastro-intestinal Allergy 136
Roentgen-ray Findings 137
Food Allergy and Roentgen-ray Studies 138
Previous Diagnostic Studies and Operations 139
The Diagnosis of Gastro-intestinal Food Allergy 139
The Treatment of Gastro-intestinal Food Allergy 140
CHAPTER Ⅴ.BRONCHIAL ASTHMA 142
The Etiology of Bronchial Asthma 142
The Diagnosis of Bronchial Asthma 147
The History 147
Suggestions for the History-taking in Bronchial Asthma 148
Physical Examination and Laboratory Tests 150
Skin Testing 150
"Elimination Diets"and Environmental Control for Diagnosis 151
The Treatment of Bronchial Asthma 155
Pollen Sensitization 156
Food Sensitization 160
Animal Emanation Sensitizations 160
House-dust Sensitization 163
Miscellaneous Sensitizations 165
Bacterial Sensitization 167
Vaccine Therapy 168
General Therapeutic Measures 170
Food Allergy as a Cause of Bronchial Asthma 173
Literature 173
The History of Food Asthma 177
The Effect of Humidity on Food Allergy 178
The Diagnosis of Food Allergy 179
History 179
Skin Tests 179
"Elimination Diets" 180
Chronic Bronchitis and Cough 180
Summary of the Diagnosis and Treatment of Bronchial Asthma 182
Case Reports Illustrative of Bronchial Asthma Due to Food Allergy 184
CHAPTER Ⅵ.ECZEMA,URTICARIA,ANGIONEUROTIC EDEMA AND GENERALIZED EDEMA 196
Eczema 196
Literature 196
The Etiology of Eczema 203
The Diagnosis of Eczema 205
The Treatment of Eczema 206
Urticaria 210
Literature 210
The Characteristics of Urticaria 213
The Diagnosis and Treatment of Urticaria 215
Angioneurotic Edema 219
Literature 219
The Etiology of Angioneurotic Edema 219
The Diagnosis and Treatment of Angioneurotic Edema 224
Generalized Edema 226
CHAPTER Ⅶ.ALLERGIC MIGRAINE AND NEURALGIA 228
Allergic Migraine 228
Literature 228
Personal Studies 235
The Pathogenesis of Allergic Migraine 238
The Diagnosis of Allergic Migraine 239
The Treatment of Allergic Migraine 240
Dietary 240
Aids to Digestion 241
Peptone 241
General Treatment 241
Surgical Therapy 242
Migraine Equivalents 245
Neuralgia 247
CHAPTER Ⅷ.ALLERGIC TOXEMIA DUE TO FOOD ALLERGY 250
Symptoms 250
Statistics on Patients 251
The Diagnosis and Treatment of Allergic Toxemias Due to Food Allergy 252
Case Records 252
CHAPTER Ⅸ.PERENNIAL HAY FEVER 259
Literature 259
The Symptoms and Nasal Findings in Perennial Hay Fever 261
The Diagnosis and Treatment of Perennial Hay Fever 262
CHAPTER Ⅹ.ARTHRITIS,ARTHRALGIA,INTERMITTENT HYDRARTHROSIS,DYSMENORRHEA,CARDIOVASCULAR DISTURBANCES,HENOCH'S PURPURA 271
Arthritis 271
Intermittent Hydrarthrosis 276
Dysmenorrhea 277
Hypertension and Hypotension 278
Cardiac Irregularities 279
Henoch's Purpura and Allied Conditions 279
CHAPTER Ⅺ.BLADDER ALLERGY 282
Bladder Allergy as Described by Duke 282
Case Records of Bladder Allergy 282
Renal Pain 287
Enuresis 288
Vulval Irritation and Excoriation 288
CHAPTER Ⅻ.NERVOUS MANIFESTATIONS OF FOOD ALLERGY 290
Allergic Migraine and Neuralgia 290
Transient Paralysis and Nerve Dysfunction 291
Allergic Epilepsy 291
Itching 293
Ménière's Syndrome 294
Psychic Disturbances 295
CHAPTER ⅩⅢ.FOOD ALLERGY IN INFANCY AND CHILDHOOD 298
Outgrowing Food Allergy 298
Establishment of Food Allergy in Infancy and Childhood 299
Prophylaxis of Food Allergy in Childhood 300
Manifestations of Food Alle?cy and Childhood 301
Colic 302
Gastro-intestinal Disturbances 303
Eczema 308
Urticaria 309
Angioneurotic Edema 309
Bronchial Asthma 310
Chronic Cough,Bronchitis and Recurrent Head Colds 310
Nasal Congestion and Perennial Hay Fever 311
Nervous and Psychic Disturbances in Childhood Due to Allergy 311
Fever 312
General Symptoms and Toxemia Due to Food Allergy 312
Anorexia and Food Aversions 312
CHAPTER ⅩⅣ.GENERAL CONSIDERATIONS IN REGARD TO FOOD ALLERGY 314
Heart Disturbances 314
Fever 315
Constitutional Effects of Food Allergy 317
Blood Changes in Food Allergy 318
Reactions in Various Organs 319
Bleeding and Hemorrhages 320
Food Allergy in Relation to the Eye 320
Food Allergy in Relation to the Ear,Nose and Throat 322
Food Allergy Associated With Other Diseases 323
CHAPTER ⅩⅤ.INDIVIDUAL FOOD ALLERGIES AND THEIR CONTROL 327
Frequency of Various Food Allergies 327
Determined by Skin Reactions 327
Determined by History and Diet Trial 328
Statistics of Food Sensitization 329
Botanical Relationship of Foods and Its Influence on Skin Reactions 332
Wheat Allergy 336
Allergy to Other Cereals 340
Allergy to Egg 343
Milk Allergy 352
Personal Observations of Milk Allergy 359
Allergy to Fruits 363
Allergy to Vegetables 366
Allergy to Meats and Fowl 369
Allergy to Ductless Gland Products 371
Allergy to Fish 372
Allergy to Nuts and Cottonseed 374
Allergy to Beverages 375
Allergy to Spices and Condiments 376
Allergy to Sugars 377
Allergy to Drugs 378
CHAPTER ⅩⅥ.SUMMARY OF LITERATURE ON FOOD ALLERGY 380
Bibliography 413
Special References 425
Index of Authors 431
General Index 435