一种常见疾病的非典型表现
Mariana Oliveira Pereira1, Rita Lages Pereira1, Fábia Carvalho1
1Department of Paediatrics, Hospital de Braga, Braga, Portugal.
Journal of neonatal-perinatal medicine
|February 20, 2025
概括
牛奶蛋白过敏 (CMPA) 可能表现异常,即使没有肠道问题. 早期诊断使用临床病史和IgE测量等测试是患有非典型CMPA症状的婴儿的关键.
科学领域:
- 儿科 儿科 儿科
- 过敏 免疫学 免疫学
背景情况:
- 牛奶蛋白过敏 (CMPA) 呈现出不同的临床表现.
- 胃肠道症状很常见,但在CMPA中并不普遍存在.
- 非典型的表现可能会在婴儿中构成诊断挑战.
研究的目的:
- 为了突出CMPA表现的变化.
- 强调在非胃肠道症状的婴儿中考虑CMPA的重要性.
- 为了强调非典型的CMPA病例的诊断方法.
主要方法:
- 关于两名患有非典型CMPA的婴儿的案例报告.
- 引入广泛化配方 (eHF) 用于症状管理.
- 通过特定的IgE测量和口服挑测试来确认诊断.
主要成果:
- 这两名婴儿都出现了非胃肠道症状 (多关节炎,皮疹,四肢胀).
- 症状在切换到eHF后消失,支持CMPA诊断.
- 特定IgE和口腔挑测试在一个案例中证实了CMPA.
结论:
- 在胃肠道之外,CMPA可以表现出广泛的症状.
- 通过客观测试支持的临床诊断对于管理CMPA至关重要.
- 识别CMPA的各种表现有助于及时和准确的诊断.
相关概念视频
Classification of Illness
7.3K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.3K
Adrenal Gland Disorders
1.3K
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
1.3K
Generalized Anxiety Disorder
44
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
44
Other Pulmonary Disorders
797
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
797
Decreased pulse rate
530
Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
530
Disorders of the Autonomic Nervous System
519
The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
Raynaud's disease, also known as Raynaud's...
519


