1. Elimination, whereby the suspected allergen is removed from the child's environment and symptoms are monitored. If symptoms disappear, then reappear after re-introduction of the allergen, the diagnosis is made. There are three main disadvantages to this method:
2. Skin testing, where several potential allergens are injected into the skin, causing reactions if the patient is allergic. This is expensive, time consuming and uncomfortable for the patient.
3. Blood testing (RAST), which is very expensive and will often give equivocal or clinically non-significant results (often, patients will be labeled allergic to something which does not cause a clinical problem and avoidance will be difficult and unpleasant).
By David L. Fay, M.D.
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