A new ASCIA Management Plan for Delayed Allergic Reactions to Foods has been developed by the ASCIA Dietitians committee, in response to requests from children's 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 ASCIA, the peak professional body for clinical immunology and allergy in Australia and New Zealand.