Nutritional Strategies for Severe Food Allergy: CMA, FPIES, and EoE

Experts in pediatric allergy and immunology share their insights reviewing clinical presentation and essential diagnosis criteria and histological features of severe food allergy, specifically cow’s milk allergy (CMA), Food Protein-Induced Enterocolitis Syndrome (FPIES), and Eosinophilic Esophagitis (EoE). Faculty discuss common food triggers and what distinguishes these disorders from other major IgE-mediated and non-IgE-mediated food allergies. They also review how to administer an oral food challenge for patients with suspected food allergies and how to apply long-term nutritional and medical strategies using current guidelines for pediatric patients with severe food reactions.

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Course Credit:

2.00 AANP Contact Hours
2.00 AMA PRA Category 1 CreditsTM
2.00 ANCC Contact Hours
2.00 CA-BRN Contact Hours
2.00 CDR Contact Hours

Dates:

Opens: 2019-03-29
Closes: 2021-03-29

Target Audience:

This activity was developed for pediatric physicians, nurses, nurse practitioners, dietitians, allergists and other health care providers who have an interest in newborns, infants and toddlers.

This activity is supported by an educational grant from Mead Johnson Nutrition.

Accreditation and Certification

The Annenberg Center for Health Sciences at Eisenhower is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Annenberg Center for Health Sciences at Eisenhower designates this enduring material for a maximum of 2.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Annenberg Center for Health Sciences is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 040207.
This program is designated for up to 2.00 contact hours. Program ID# 5670-EM.
The Annenberg Center for Health Sciences is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
A maximum of 2.00 contact hours may be earned for successful completion of this activity.
Provider is approved by the California Board of Registered Nursing, Provider #13664, for 2.00 contact hours.
To receive credit for education contact hours outside of the state of California, please check with your state board of registered nursing for reciprocity.
Annenberg Center for Health Sciences at Eisenhower is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 2.00 hours continuing professional education unit (CPEU) for completion of this program/material.
Provider Number AC857; Activity Number 147505.

Additional Content Planners

Erin Allen, MS, RD, LDN (RD Reviewer)
No significant relationships to disclose.

Victoria Anderson (Medical Writer)
No significant relationships to disclose.

Coy Flowers, MD (Peer Reviewer)
No significant relationships to disclose.

Heather Jimenez, FNP (Nurse Planner)
No significant relationships to disclose.

Annenberg Center for Health Sciences

Staff at the Annenberg Center for Health Sciences at Eisenhower have no relevant commercial relationships to disclose.

  • Mirna Chehade, MD, MPH

    Associate Professor of Pediatrics and Medicine
    Director, Mount Sinai Center for Eosinophilic Disorders
    Jaffe Food Allergy Institute
    Icahn School of Medicine at Mount Sinai
    New York, New York

  • David Fleischer, MD

    Director, Allergy and Immunology Center
    Associate Section Head
    Children's Hospital Colorado
    Aurora, Colorado

  • Anna Nowak-Wegrzyn, MD, PhD

    Professor of Pediatrics
    Director of Clinical Research
    Jaffe Food Allergy Institute
    Icahn School of Medicine at Mount Sinai
    New York, New York

  • Carina Venter, PhD, RD

    Assistant Professor, Pediatrics-Allergy
    Children's Hospital Colorado
    Aurora, Colorado

Learning Objectives

  • Specify clinical nutritional strategies to mitigate severe food allergy, specifically cow’s milk allergy, in infants
  • Recognize the clinical presentation of immunoglobulin E (IgE) and non-IgE-mediated food allergy, such as FPIES and EoE
  • Apply shared decision making with families managing children with severe food allergy

Faculty Disclosures

Mirna Chehade, MD, MPH

  • Research Support
    • Shire- clinical area: eosinophilic esophagitis
    • Regeneron- clinical area: eosinophilic esophagitis
    • Allakos- clinical area: eosinophilic gastritis
  • Consultant
    • Shire- clinical area: eosinophilic esophagitis
    • Regeneron- clinical area: eosinophilic esophagitis
    • Allakos- clinical area: eosinophilic gastritis
    • Adare- clinical area: eosinophilic esophagitis

David Fleischer, MD

  • Research Support
    • DBV Technologies- clinical area: Food allergy
    • Aimmune Therapeutics- clinical area: Food allergy
  • Consultant 
    • DBV- clinical area: Food allergy
    • Aimmune- clinical area: Food allergy
    • Kaleo- clinical area: Food allergy
    • INSYS- clinical area: Food allergy
    • Nestle- clinical area: Food allergy
  • Speakers Bureau 
    • Abbott- clinical area: Food allergy

Anna Nowak-Wegrzyn, MD, PhD

  • Research Support
    • ITN NIAID- clinical area of immunotherapy for food allergy
    • FARE- clinical area of immunotherapy for food allergy
    • DBV Technologies- clinical area of immunotherapy for food allergy
    • Astellas Pharma- clinical area of immunotherapy for food allergy
    • Nestle- clinical area of hypoallergenic infant formulas
      Nutricia- clinical area of hypoallergenic infant formulas
    • Thermo Fisher Scientific - clinical area of immunotherapy for food allergy
  • Consultant
    • Merck- clinical area of sublingual immunotherapy for dust mites
    • ALK-Abelló- clinical area of data monitoring committee - clinical area for sublingual immunotherapy for dust mites
  • Advisory Board
    • Gerber Nutritional Institute - clinical area of solid foods for prevention of food allergy

Carina Venter, PhD, RD

  • Speakers Bureau
    • Danone- clinical area: Allergy and Immunology
    • Abbott- clinical area: Allergy and Immunology