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Classification of food allergies

Medical expert of the article

Pediatric immunologist
, medical expert
Last reviewed: 06.07.2025

I. M. Vorontsov proposes the following classification of food allergies.

By genesis:

  1. Primary forms:
    • family-hereditary:
    • paraallergic (in young children with exudative-catarrhal abnormal constitution);
  2. secondary forms:
    • gastrointestinal tract pathology;
    • intestinal infections, dysbacteriosis;
    • liver and pancreas diseases;
    • helminthiasis, giardiasis;
    • hypovitaminosis, microelement deficiency;
    • hereditary diseases
    • cystic fibrosis, celiac disease, etc.

According to the leading immunopathological mechanism:

  1. with a predominance of immediate type reactions;
  2. with a predominance of immune complex vascular reactions;
  3. with a predominance of delayed-type hypersensitivity;
  4. in combined immunopathological reactions.

By the breadth of the sensitization spectrum:

  1. mono- and oligovalent (1-3 food products);
  2. polyvalent;
  3. combined (with non-food sensitization).

By clinical manifestations - syndromes and diseases are listed (for example, eczema, bronchial asthma, etc.).

By phase of clinical manifestations:

  1. exacerbation;
  2. incomplete clinical remission;
  3. complete clinical remission.

By the period of elimination measures:

  1. strict elimination;
  2. fractional introduction of the allergen;
  3. quantitative limitation;
  4. free food.

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