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食物蛋白引起的肠球炎对真菌没有什么好玩的:一个病例报告
Idalis Cardona Ortiz1, Mehr Mathew1, Gary Soffer1
1From the Department of Pediatric Allergy & Immunology, Yale New Haven Children's Hospital, New Haven, CT.
Journal of food allergy
|December 8, 2025
概括
食物蛋白诱导肠球炎综合征 (FPIES) 可能由引发,这是一个罕见的原因. 这一案例强调了是儿童中新兴的FPIES触发因素,需要更多的临床关注.
科学领域:
- 儿科过敏和免疫学
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
背景情况:
- 食物蛋白诱导肠肠炎综合征 (FPIES) 是一种非IgE介导的胃肠过敏反应.
- 常见的触发因素包括牛奶,大豆,大米和蛋蛋白.
- 引起的FPIES非常罕见,只有有限的儿科病例报告.
研究的目的:
- 报告一名儿科患者的罕见FPIES病例,由摄入引发.
- 强调作为未被认可的FPIES过敏原的潜力.
- 提高对引起的FPIES的临床认识.
主要方法:
- 一个10岁男孩的案例介绍,在摄入后经常吐和昏迷.
- 通过口服食品挑战来确认诊断.
- 通过血清IgE和皮肤刺伤测试排除IgE介导机制.
主要成果:
- 患者在食用后出现了延迟的,严重的胃肠道症状和昏迷.
- 口服食物挑战证实了由引起的FPIES.
- 负的过敏测试排除了立即的过敏反应.
结论:
- 摄入可以在易受影响的儿童中导致急性FPIES.
- 包括在内的真菌代表了FPIES的新兴触发因素.
- 需要提高临床警,以确定作为潜在的FPIES过敏原.
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