Clinical Presentations | DRACMA14,25 | ESPGHAN13 | AAP24 | |||
Option 1 | Option 2 | Option 1 | Option 2 | Option 1 | Option 2 | |
Anaphylaxis | AAF | EHF / RHFb | AAF | -- | EHFf/ SFa Documented reactions to SF have been extremely rare | AAF |
Immediate Gastrointestinal Allergy (IGA) | EHF/RHF b | AAF | EHFf | AAF in<6 mo of age SFd in > 6 mo of age RHFd |
EHFf/ SFa | AAF |
Atopic Dermatitis (atopic eczema) | EHF / RHFb | AAFc /SFa | EHFf |
AAF in<6 mo of age SFd in > 6 mo of age RHFd |
EHFf | AAF |
FPIES / severe enteropathy indicated by hypoproteinemia and failure to thrive | AAFe |
EHF
If infant/child refuses AAF |
AAFe | -- | EHFef | AAF |
Allergic eosinophilic esophagitis (EoE) | AAF | -- | AAF | -- | EHFf | AAF |
Respiratory Symptoms (e.g., Rhinitis and Asthma) | EHF / RHFb | AAFc /SFa | EHFf | AAF /RHFd | EHFf/ SF | AAF |
Skin Symptoms (e.g., Acute urticaria, Angioedema) | EHF / RHFb | AAFc /SFa | EHFf | AAF in<6 mo of age SFd in > 6 mo of age RHFd |
EHFf/ SF | AAF |
Gastrointestinal Symptoms (e.g., Constipation, GERD, Severe irritability (la) | EHF | AAF | EHFf | AAF in <6 mo of age SFd in > 6 mo of age RHFd |
EHFf | AAF |
Food protein-induced enteropathy (FPE) | EHF / RHFb | AAF | EHFf | AAF in<6 mo of age SFd in > 6 mo of age RHFd |
EHFf | AAF |