Bidat E
Service de pédiatrie-Hôpital Ambroise Paré-92104 Boulogne.
Allerg Immunol (Paris). 2002 Jun;34(6):218-20.
We report three observations of food allergy to Penicillium. A systematic approach has allowed the retention of the surprising diagnosis in the first observation that we met. For those following we were content with a diagnosis of strong suspicion, without making a provocation test. The indications of provocation tests are discussed. As in these observations, it is possible that certain food allergens which are considered as rare are in fact more frequent than those reported in the literature; when an allergy does not bother the patient, when exclusion of the food is easy, food allergy is "forgotten" and not reported to the physician.
我们报告了三例对青霉菌食物过敏的病例。系统的方法使我们在遇到的第一例病例中保留了这一惊人的诊断结果。对于后两例病例,我们满足于做出高度怀疑的诊断,未进行激发试验。文中讨论了激发试验的指征。正如在这些病例中一样,某些被认为罕见的食物过敏原实际上可能比文献报道的更为常见;当过敏未给患者带来困扰,且排除该食物容易做到时,食物过敏就会被“遗忘”,未报告给医生。