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食物过敏症:法国过敏监测网络强调了没有强制标签的八种食物过敏原
Dominique Sabouraud-Leclerc1,2, Delphine Mariotte2,3, Elena Bradatan2,4
1Department of Paediatrics, AMH, CHU Reims, Reims, France.
概括
八种食物,包括山羊奶,大麦,大豆和松子,经常与严重的食物诱导过敏症 (FIA) 相关,可能需要更新过敏原标签法规. 这些新出现的食物过敏原 (EFA) 带来了欧洲法律尚未解决的重大风险.
科学领域:
- 食物过敏研究
- 临床免疫学
- 公共卫生法规
背景情况:
- 欧洲的食品法规要求对14种过敏原进行标签.
- 其他食物经常引起食物诱导的过敏反应 (FIA).
研究的目的:
- 确定涉及FIA的新出现的食物过敏原 (EFA).
- 评估EFA的频率,严重程度,复发和隐藏存在.
- 确定哪些EFA需要列入强制性过敏原清单.
主要方法:
- 分析了向过敏警网络报告的2999起FIA病例 (2002-2023年).
- 已识别的过敏原涉及≥1%的病例,并不在当前的欧盟清单中.
- 评估反应严重程度 (环分类),复发和隐藏暴露.
主要成果:
- 确定了八个EFA组:山羊/绵羊奶,白麦,豆/豆,阿尔法,松子,,蜂巢产品和果.
- 羊/羊奶,白麦,豆/豆和阿尔法的严重反应发生率很高 (指环等级3-4).
- 有关山羊/绵羊奶和麦的复发和隐藏暴露显著.
结论:
- 八种食物经常涉及到FIA,而不是目前的欧盟强制性标签清单.
- 由于频率,严重程度和复发情况,建议包括山羊/绵羊奶,白麦,豆/豆和松子.
- 更新过敏原标签对于控制食物诱导的过敏症风险至关重要.
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