Management of childhood food allergies

: Food allergy reduces the quality of allergic children life because of a lethal risk. Current recommendations are favouring introduction of potentially allergenic foods according to usual, non-delayed, practices. In allergic children, intramuscular epinephrine is the key treatment of anaphylaxis. A self-injectable device must be prescribed in the presence of a severe reaction risk. Allergen avoidance is currently best to avoid an allergic reaction. Specific immunotherapy, essentially oral, is the only treatment for tolerance induction in allergic patients, and may be discussed to prevent severe reactions in the case of accidental ingestion.