Managing Younger Siblings of Food Allergic Children

Neha T. Agnihotri, Dawn K. Lei, Ruchi S. Gupta*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review


Current guidelines state that there is insufficient evidence to recommend testing siblings of food allergic children before introduction of potential allergic foods, but the topic continues to remain controversial. Although the proportion of siblings who are sensitized to a food without clinical reactivity is high in comparison to those with a true food allergy, there is still a known increased risk amongst siblings of children with food allergies that has led to much apprehension about management. The appropriateness of testing and further steps for management of sensitization in the absence of history of clinical reactivity should be discussed with parents.

Original languageEnglish (US)
Pages (from-to)469-480
Number of pages12
JournalImmunology and Allergy Clinics of North America
Issue number4
StatePublished - Nov 2019


  • Children
  • Food allergy
  • Sibling

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

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