13. The Respiratory Tract and Food Hypersensitivity

  1. Dean D. Metcalfe MD2,
  2. Hugh A. Sampson MD3,
  3. Ronald A. Simon MD4,5 and
  4. Gideon Lack MBBCh (Oxon), MA (Oxon), FRCPCH6
  1. Graham Roberts

Published Online: 24 FEB 2014

DOI: 10.1002/9781118744185.ch13

Food Allergy: Adverse Reactions to Foods and Food Additives, Fifth Edition

Food Allergy: Adverse Reactions to Foods and Food Additives, Fifth Edition

How to Cite

Roberts, G. (2013) The Respiratory Tract and Food Hypersensitivity, in Food Allergy: Adverse Reactions to Foods and Food Additives, Fifth Edition (eds D. D. Metcalfe, H. A. Sampson, R. A. Simon and G. Lack), John Wiley & Sons Ltd, Chichester, UK. doi: 10.1002/9781118744185.ch13

Editor Information

  1. 2

    Chief, Laboratory of Allergic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA

  2. 3

    Kurt Hirschhorn Professor of Pediatrics, Dean for Translational Biomedical Sciences, Director, Jaffe Food Allergy Institute Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA

  3. 4

    Head, Division of Allergy, Asthma and Immunology, Scripps Clinic, San Diego, CA, USA

  4. 5

    Adjunct Professor, Department of Molecular and Experimental Medicine, Scripps Research Institute, La Jolla, CA, USA

  5. 6

    Professor of Paediatric Allergy, King's College London Clinical Lead for Allergy Service, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, London, UK

Author Information

  1. Department of Paediatric Allergy and Respiratory Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK

Publication History

  1. Published Online: 24 FEB 2014
  2. Published Print: 10 DEC 2013

ISBN Information

Print ISBN: 9780470672556

Online ISBN: 9781118744185



  • asthma;
  • food hypersensitivity;
  • food allergy;
  • occupational asthma


The food hypersensitivity reactions frequently manifest as respiratory tract symptoms and asthma and food hypersensitivity often coexist. Food allergens are known to be a cause of occupational asthma. The coexistence of asthma is associated with anaphylaxis while the coexistence of food hypersensitivity increases the risk of a life-threatening exacerbation of asthma. Clinicians, therefore, need to take a holistic approach to managing both the patient's asthma and food hypersensitivity.