Scientific article
Open access

Latest Developments in the Management of Nut Allergies

Published inCurrent treatment options in allergy, vol. 8, no. 2, p. 97-110
Publication date2021-06
First online date2021-06-15

Purpose of review: In this review, we sought to describe the most recent advances in the dietary and medical management of peanut and tree nut allergy, including selective introduction and immunotherapy.

Recent findings: Dietary updates include changes to labeling laws, improved information sources, and new apps for buying foods in shops and overseas to better protect individuals with nut allergies. There are still issues in the management of nut allergies in schools, such as parents having to resort to packed lunches instead of school meals and patients experiencing bullying. Air travel also poses concern, but additional resources are now available to travelers, and recent evidence suggest limited airborne exposure to nuts. The medical management of anaphylaxis is use of epinephrine; however, this remains underutilized. Needle length and administration devices have been recently debated considering the risk of bone penetration vs subcutaneous administration, and autoinjectors seem to deliver higher peak concentrations than syringes. Selective nut introduction has gained momentum in the last 5 years, demonstrating improved quality of life but with the need for motivated parents for continued consumption and available resources for challenges. Immunotherapy to nuts is also a rapidly developing field, with the balance of efficacy and safety being important considerations in the differing modes of administration.

Summary: The management of nut allergies is a rapidly developing field, and dietary and medical management have progressed significantly in the last 5 years. Future research directions include improving safety and efficacy of food immunotherapy and examining patients' goals for therapy and treatment outcomes.

  • Dietary management
  • Epinephrine
  • Food immunotherapy
  • Nut allergy
Citation (ISO format)
BROUGH, H A et al. Latest Developments in the Management of Nut Allergies. In: Current treatment options in allergy, 2021, vol. 8, n° 2, p. 97–110. doi: 10.1007/s40521-021-00290-2
Main files (1)
Article (Published version)
ISSN of the journal2196-3053

Technical informations

Creation11/11/2022 10:47:17 AM
First validation06/30/2023 2:48:32 PM
Update time06/30/2023 2:48:32 PM
Status update06/30/2023 2:48:32 PM
Last indexation05/06/2024 4:39:37 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack