Bouman D E, Kneepkens C M
Academisch Ziekenhuis Vrije Universiteit, afd. Kindergeneeskunde, Postbus 7057, 1007 MB Amsterdam.
Ned Tijdschr Geneeskd. 2000 Nov 25;144(48):2314-7.
Two sisters, aged 5 and 6 years, were admitted to the hospital because of growth retardation accompanying supposed multiple food hypersensitivity. The older girl had asthma. Her symptoms had given cause for several non-regular practitioners to diagnose her and subsequently her sister as having 'food hypersensitivity'. The diet they were put on was further restricted by their parents when the symptoms did not subside. The diet was shown to be very monotonous and the energy supply was only half of the recommended daily allowances. Stepwise normalization of the diet was achieved and both girls showed catch-up growth in the following years. Food hypersensitivity has a considerably higher incidence when self reported than when diagnosed according to established criteria (elimination, provocation, re-elimination). Dietary changes in children should always take place under the supervision of a dietician, who can ensure that the diet is nutritionally adequate.
两名分别为5岁和6岁的姐妹因生长发育迟缓伴疑似多种食物过敏而入院。年长的女孩患有哮喘。她的症状导致几位非正规医生诊断她以及随后诊断她的妹妹患有“食物过敏”。当症状未消退时,她们的父母进一步限制了她们的饮食。结果显示饮食非常单调,能量供应仅为推荐每日摄入量的一半。逐步实现了饮食的正常化,两个女孩在随后几年都出现了追赶性生长。自我报告的食物过敏发生率比根据既定标准(排除、激发、再排除)诊断的要高得多。儿童的饮食变化应始终在营养师的监督下进行,营养师可以确保饮食营养充足。