A new ASCIA Management Plan for Delayed Allergic Reactions to Foods has been developed by the ASCIA Dietitians committee, in response to demand from childrens' education/care services. This plan is to be used for delayed non-IgE mediated allergic reactions to foods:

• Food Protein Induced Allergic Proctocolitis (FPIAP) - a delayed non-IgE mediated food allergy, associated with blood and mucus in stool, and diarrhoea in an otherwise thriving infant.
• Food Protein Enterocolitis (FPE) - a delayed non-IgE mediated food allergy associated with diarrhoea, abdominal pain, vomiting, and sometimes faltering growth.

The plan is available on the ASCIA website https://www.allergy.org.au/patients/food-other-adverse-reactions/delayed-reactions-management-plan

ASCIA resources are living documents, and feedback on this plan is welcome, which will inform future updates.

The format of ASCIA Plans for Food Protein-Induced Enterocolitis Syndrome (FPIES) and Eosinophilic Oesophagitis (EoE) has been updated to be consistent with other ASCIA Plans, but the content is unchanged. 

To access these plans go to https://www.allergy.org.au/patients/food-other-adverse-reactions

This news item was issued on 13 September 2023 by Jill Smith, CEO of the Australasian Society of Clinical Immunology and Allergy (ASCIA). ASCIA is the peak professional body for clinical immunology and allergy in Australia and New Zealand.