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牛奶过敏的症状和治疗:感知和证据
E Robert1, H A Al-Hashmi2, A Al-Mehaidib3
1UZ Brussel, KidZ Health Castle, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Frontiers in allergy
|July 2, 2024
概括
专家小组就许多牛奶过敏 (CMA) 管理方面达成共识,同意某些症状本身并不表明CMA,而基于氨基酸的配方 (AAF) 适用于严重病例. 需要指导方针的区域差异.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 过敏管理 过敏管理
- 临床营养学 临床营养学
背景情况:
- 牛奶过敏 (CMA) 的诊断和管理仍然是有争议的话题.
- 专家意见在全球范围内有所不同,需要进行比较研究.
研究的目的:
- 为了比较中东专家组和欧洲儿科胃肠病学,肝病学和营养学会 (ESPGHAN) 关于CMA诊断和管理的意见.
- 在专家建议中确定共识和分歧的领域.
主要方法:
- 专家组 (中东,n=14;ESPGHAN,n=13) 对最近ESPGHAN立场文件中的陈述进行了投票.
- 投票结果进行了比较,以评估共识和差异.
主要成果:
- 在几点上达成共识:哭泣或结肠等单个症状并不表明CMA;基于氨基酸的配方 (AAF) 仅用于严重病例;缺乏足够的证据支持逐步降低方法.
- 对于广泛化配方 (eHF) 作为轻度/中度病例的首选诊断消除饮食,没有一致的共识.
- 关于大豆配方的作用出现了差异,受区域可用性影响,以及在消除饮食中使用益生菌,益生菌和共生菌.
结论:
- 地理,文化,经济和可用性因素影响CMA管理方面的专家意见.
- 需要针对特定地区的CMA诊断和管理指南,考虑到当地条件.
- 需要进一步的研究来解决现有的争议,并完善治疗策略.
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