在具有挑战验证食物过敏的患者中自我报告的意外过敏反应
Sebastian Vigand Svendsen1, Annemarie Schaeffer Senders1, Athamaica Ruiz Oropeza1
1Department of Dermatology and Allergy Centre, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Clinical and translational allergy
|June 18, 2025
概括
意外的食物过敏很常见,但通过口服食物挑战 (OFC) 诊断减少了反应频率. 然而,住院病例比例增加,这表明诊断后的疾病管理更好.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 临床医学 临床医学
- 公共卫生 公共卫生
背景情况:
- 食物过敏影响了人口的很大一部分,由于意外反应,急诊室的访问量增加.
- 意外的食物过敏反应在医院以外的环境和随后的住院是越来越令人担忧的.
研究的目的:
- 评估被诊断为食物过敏的患者意外过敏反应的频率和严重程度.
- 通过口服食品挑战 (OFC) 通过口服食品挑战 (OFC) 通过口服食品挑战 (OFC) 进行正式诊断之前和之后的意外反应和住院住院的模式进行比较.
主要方法:
- 电子问卷分发给785名经过核实对花生,,牛奶和/或蛋过敏的患者.
- 该问卷收集了关于意外过敏反应及其管理的数据.
主要成果:
- 51%的患者有反应,大量患者报告了多次意外反应.
- 皮肤症状在儿童/青少年中更为常见,而成年人则在更多的器官系统中出现症状.
- 需要立即医疗护理的意外反应从OFC前的77.3%下降到OFC后的55%.
- 住院病例的比例上升,从诊断后的63.5%上升到72.7%.
结论:
- 意外的食物过敏反应很常见,并且可能是严重的.
- 通过OFC进行正式诊断导致患有反应的患者数量减少.
- 尽管反应较少,但其中更高的比例需要住院治疗,这表明诊断后疾病和医疗保健管理得到改善.
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