Our present: options for the management of food allergy are avoidance
and pharmacotherapy. There are, however, many promising perspectives f
or better future management such as the more extensive use of hydrolyz
ed and elemental formulas for therapy and prevention, or greater empha
sis on diagnosis and treatment of accompanying diseases linked with in
creased gut permeability. In selected situations, specific immunothera
py might be helpful. Rapid progress is expected in the search for the
conditions of induction of oral tolerance. The latest results in genet
ic engineering can give us very effective tools for mass production of
less allergenic foods with high nutritional Value - if all safety, st
ability, productivity, and antigenicity problems can be solved. (C) Mu
nksgaard 1998.