一个婴儿的弗雷综合征被误诊为食物过敏
Melanie Semaan1, Sheikha Alkhuder1, Samira Jeimy2
1Division of Clinical Immunology and Allergy, Department of Medicine, Western University, 268 Grosvenor Street, London, ON, N6A 4V2, Canada.
概括
弗雷综合症是一种导致面部发红和在养期间出汗的疾病,可以模仿婴儿食物过敏. 认识到它的单方面呈现可以防止误诊和不必要的饮食限制.
科学领域:
- 儿科 儿科 儿科
- 过敏和免疫学 过敏和免疫学
- 神经学 神经学
背景情况:
- 弗雷氏综合征 (耳时间综合征) 呈现出味觉冲和出汗.
- 在婴儿中越来越多地识别出先天性和异常形式,模仿IgE介导的食物过敏.
- 这种模仿可以导致不必要的饮食限制和父母的焦虑.
研究的目的:
- 为了突出弗雷综合征作为一个未被认可的模仿婴儿食物过敏.
- 强调诊断标准,将弗雷综合征与真正的食物过敏区分开来.
- 为了减少误诊,不必要的饮食限制和相关的家庭焦虑.
主要方法:
- 一个8个月大的男孩的病例报告,怀疑食物过敏.
- 详细重新评估与食相关的脸部发红,并注意到单方面发红和出汗.
- 阴性皮肤刺痛和血清特异性IgE测试;在监督的口服食品挑战中呈阳性反应.
主要成果:
- 婴儿在养过程中出现单边冲和出汗,而不是典型的过敏疹.
- 对食物过敏的诊断测试是负的.
- 一个监督的食物挑战证实了弗雷综合征,而不是食物过敏.
结论:
- 弗雷综合征是婴儿与食相关的脸部发红的关键差异诊断.
- 关注横向性,缺乏全身症状和可重复性有助于诊断.
- 准确的诊断可以防止不必要的食物避免,支持婴儿的营养和发育.
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