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儿童IgE介导的食物过敏
Giorgio Longo1, Irene Berti, A Wesley Burks
1Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy.
Lancet (London, England)
|July 13, 2013
概括
食物过敏会影响许多儿童,但早期接触食物可能会引起耐受性. 研究正在发展,以管理持续性过敏和未来的治疗策略.
科学领域:
- 儿科过敏和免疫学
- 免疫学 免疫学 免疫学
- 临床医学 临床医学
背景情况:
- 食物过敏影响大约4%的儿童,严重影响他们的生活质量.
- 虽然许多儿童长大后不再患常见的食物过敏,但持续的过敏会给长期的儿童带来很大的疾病负担.
- 对于牛奶,蛋和小麦过敏的高IgE水平表明潜在的长期影响.
研究的目的:
- 审查食品过敏的流行病学,自然史和当前管理.
- 讨论关于早期食物接触的新兴研究,以诱导耐受性和脱敏.
- 探索食品过敏研究和临床实践中存在争议的领域和未来方向.
主要方法:
- 对食品过敏患病率和趋势的流行病学数据的文献综述.
- 分析自然史研究,包括超越过敏和持久性疾病.
- 综合最近关于早期食物暴露及其在耐受性和脱敏性中的作用的研究结果.
主要成果:
- 大多数儿童的常见食物过敏都长大了,但持续的过敏 (例如,花生,树木坚果,鱼类) 有显著的长期影响.
- 最近的研究表明,早期接触食物抗原可以诱导耐受性和脱敏.
- 抗原回避仍然是主要策略,但新的方法正在出现.
结论:
- 食物过敏管理正在发展,通过早期暴露来理解耐受性诱导的转变.
- 需要进一步的研究来澄清预防和治疗持久性食物过敏的最佳策略.
- 未来的临床实践可能包括早期的饮食干预措施,以管理和潜在地预防食物过敏.
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