Ideally asthma attacks will be prevented by exclusion of a food causing a food allergy from the diet. Sometimes this goal is not achieved and the cause needs to be determined.
Failure of food elimination to prevent an exacerbation of asthma associated with food allergy:
(1) presence of another eliciting agent
(2) poor compliance with food elimination (implicated allergen in diet)
(3) incorrect diagnosis (implicated food not an asthma trigger, etc)
(4) inhalation of a cooking fumes from a food that contains the allergen
(5) undocumented presence of the allergen in a food (for example, peanuts in Oriental cooking)
Great patience and persistence is often needed to troubleshoot this problem.
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