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过敏性肠道炎:文献综述和诊断-治疗算法的建议
Simona Barni1, Francesca Mori1, Mattia Giovannini1,2
1Allergy Unit, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.
Life (Basel, Switzerland)
|September 28, 2023
概括
过敏性长肠炎 (AP),婴儿的非IgE介导的食物过敏,在便中呈现出血. 诊断涉及食物消除和重新引入,大多数婴儿在一年内超越过敏.
科学领域:
- 儿科过敏和免疫学
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
背景情况:
- 过敏性口腔炎 (AP) 是一种日益公认的婴儿非IgE介导的食物过敏.
- 临床症状包括其他健康,繁荣的婴儿的血,通常从婴儿时期开始.
- 牛奶蛋白是最常见的触发物,但其他过敏原如大豆和蛋也可能参与其中.
研究的目的:
- 为了提供对过敏性排骨炎的最新审查.
- 提供有关流行病学,诊断和治疗的当前建议.
- 帮助儿科医生,过敏科医生和胃肠科医生管理AP.
主要方法:
- 诊断依赖于临床病史和对饮食消除和挑战的反应.
- 症状通常在删除触发食物后72-96小时内消失.
- 该综述综合了当前的文献和临床指南.
主要成果:
- 过敏性口腔炎是一种良性和自我限制的疾病.
- 大多数儿童在一岁之前都能容忍有损的食物抗原.
- 受影响的婴儿的长期预后是优秀的.
结论:
- 有效的AP管理包括识别和消除触发性食物.
- 早期诊断和适当的饮食管理导致症状的消失.
- 患有AP的儿童通常有良好的预后,并克服了这种情况.
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