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食物过敏:诊断,治疗和预防
Dellyse M Bright1, Holly Leigh Stegall1, David C Slawson1
1Atrium Health Carolinas Medical Center Family Medicine and Wake Forest School of Medicine, Charlotte, North Carolina.
American family physician
|August 17, 2023
概括
食物过敏影响数以百万计的人,引起从轻度到严重的反应. 早期预防和诊断是关键,尽管一些像花生和贝类等过敏症往往是终身的.
科学领域:
- 免疫学 免疫学 免疫学
- 过敏学 过敏学
- 儿科 儿科 儿科
背景情况:
- 食物过敏影响美国成年人的2-3%和儿童的8%,导致从轻微的到危及生命的过敏反应.
- 常见的食物过敏原包括花生,牛奶,贝类,树果,蛋,鱼,大豆和小麦,花生过敏是过敏最常见的原因.
- 患有喘或湿疹等先前存在的疾病的儿童患食物过敏的风险更高.
研究的目的:
- 总结食物过敏的流行,诊断,治疗和预防情况.
- 突出风险因素和与各种食物过敏相关的长期结果.
主要方法:
- 诊断包括详细的过敏病史,血清免疫球蛋白E (IgE) 测试和皮肤刺伤测试.
- 治疗主要集中在严格的饮食消除确定过敏原.
- 预防策略包括早期限制牛奶和及时引入过敏性食物.
主要成果:
- 花生过敏是最常见的,也是过敏反应的主要原因.
- 对牛奶,蛋,大豆和小麦的过敏往往在童年时代已经超越了.
- 对树木坚果,花生和贝类的过敏往往会持续到终身.
结论:
- 食物过敏是一个重要的公共卫生问题,需要准确的诊断和管理.
- 早期干预和具体的预防措施可以减少食物过敏的风险和影响.
- 了解不同食物过敏的持续性对于长期的患者护理和预后至关重要.
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