This article discusses the current understanding of the mechanisms of
food hypersensitivity and presents a practical approach to the conditi
on. Skin testing is a useful technique if properly applied and interpr
eted; however, double-blind placebo-controlled food challenge is the s
tandard for accurate diagnosis against which all other tests should be
compared. Treatment still consists of avoidance of the offending food
allergens; however, most children lose their reactivity, and thus reg
ular challenges are important.