Sulfites

Abstract

Key Concepts Sulfites are frequently used food and drug additives. Ingestion of sulfite residues has been documented to trigger asthmatic reactions in sensitive individuals. Sulfite-induced asthma occurs in less than 5% of asthmatic individuals, and those with severe, persistent asthma are at greatest risk. The diagnosis of sulfite-induced asthma is best made by blinded oral challenge with assessment of lung function. Labeling regulations in the United States alert sulfite-sensitive individuals to the presence of sulfites in foods, which must then be avoided

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