食品アレルギーとして誤診された乳児のフリー症候群
Melanie Semaan1, Sheikha Alkhuder1, Samira Jeimy2
1Division of Clinical Immunology and Allergy, Department of Medicine, Western University, 268 Grosvenor Street, London, ON, N6A 4V2, Canada.
まとめ
フレイ症候群 (Frey's syndrome) は,授乳中に顔が赤くなり,汗をかく状態であり,乳児の食物アレルギーを模倣することができます. その一方的なプレゼンテーションを認識することで,誤診と不必要な食事制限を防ぐことができます.
科学分野:
- 小児科は小児科です.
- アレルギーと免疫学
- 神経学 神経学とは
背景:
- フレイ症候群 (耳側側側頭症候群) は,味覚の赤みがみ,汗をかいた状態で表れます.
- 生まれながらの形態とイディオパシー形態は,乳児においてますます認識され,IgE媒介の食物アレルギーを模倣しています.
- この模倣は,不必要な食事制限と親の不安につながる可能性があります.
研究 の 目的:
- 乳幼児の食物アレルギーの認識されていない模倣としてフリー症候群を強調するために.
- フレイ症候群と真の食物アレルギーを区別する診断基準を強調する.
- 誤診,不必要な食事制限,それに伴う家族の不安を減らすために.
主な方法:
- 食物アレルギーの疑いのある8ヶ月の男の子の症例報告.
- 食事に関連した顔の赤みを詳細に再評価し,一方的な赤みがみと汗をかくことに注意してください.
- ネガティブな皮膚刺さりと血清特異性IgE検査; 監督された口服食品チャレンジで陽性反応.
主要な成果:
- 授乳中に赤ん坊は片面の赤血と汗をかいており,典型的なアレルギー性出疹ではありませんでした.
- 食物アレルギーの診断検査は陰性でした.
- 監督された食品チャレンジでは,食物アレルギーではなくフリー症候群が確認されました.
結論:
- フレイ症候群は,乳幼児の食事に関連した顔の赤みが決定的な差異診断である.
- 横行性,全身的な症状の欠如,および再現性に対する注意は,診断に役立ちます.
- 正確な診断は,不必要な食物回避を防止し,幼児の栄養と発達をサポートします.
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