Prognosis

Natural course

Living with food allergies can be challenging, and no therapies are available to alter their natural course. The outlook will depend on the success of immunotherapy, allergen avoidance, and compliance with carrying both epinephrine auto-injectors at all times.[86]

Co-existing atopic illness

Patients with asthma, lack of readily accessible epinephrine, or peanut, tree nut, or shellfish allergy, and adolescents or young adults are at increased risk of having a fatal allergic reaction.[38] Particular attention should be paid to these patients.

Spontaneous desensitization

Allergies to milk, egg, soy, and wheat will resolve by school age in approximately 60% of young children.[1]​ Peanut, tree nut, and seafood allergies are more likely to persist.

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