The Allergic (Atopic) March

  • The development of allergy with age has been described as an "allergic march". 

  • The 'march' implies a given sequence in the development of allergy. 

  • The manifestation of atopic disease varies considerably with the child's age, as do the allergens involved. In infancy, allergic children usually present with atopic eczema.

  • When weaning from breast milk takes place, food allergies may then present. The most typical food allergies in childhood include egg milk, peanut, soya, wheat, fish, shellfish, kiwi and sesame.

  • Of course, bottle-fed younger children may present even earlier with cow milk allergy.

  • After the age of 3 years, allergy to inhaled allergens becomes more dominant, with many allergic children developing asthma and rhinitis.

  • The development of pollen allergy then offers more opportunity to develop food Type II allergies if the Oral Allergy Syndrome develops.

  • We aim to facilitate early strategies in an attempt to interrupt the above sequence.