Shek Lynette Pei-Chi, Lee Bee Wah
Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore.
Curr Opin Allergy Clin Immunol. 2006 Jun;6(3):197-201. doi: 10.1097/01.all.0000225160.52650.17.
Food allergy is increasing in prevalence in Western populations, but little is known about it in Asia. The perception is that the prevalence in this region is low, but is likely to increase with the global increase in allergy. Asia is unique because of the many different cultures and eating habits, with the resulting occurrence of unique food allergens. This review describes the epidemiology and clinical features of food allergy, and introduces some of the unusual food allergens in Asia.
Recent studies describing the pattern of anaphylaxis and the role of food triggers show that food is an important cause of severe allergic reactions in Asia. Progress has been made on the characterization of unique food allergens from the region. Peanut and tree nuts are rarely the cause of allergic reactions in Asia. The lack of availability of epinephrine auto-injectors in many countries is an important issue that needs to be addressed.
The pattern of food allergy in Asia is unique. Unfortunately, data from many parts of Asia are still lacking. Large, well-designed epidemiological studies are needed so that the scale of the problem can be understood, public awareness can be increased and important food allergens in the region can be identified.
食物过敏在西方人群中的患病率正在上升,但在亚洲,人们对其了解甚少。普遍认为该地区的患病率较低,但随着全球过敏率的上升,患病率可能会增加。亚洲具有独特性,因为存在许多不同的文化和饮食习惯,由此产生了独特的食物过敏原。本综述描述了食物过敏的流行病学和临床特征,并介绍了亚洲一些不常见的食物过敏原。
最近描述过敏反应模式以及食物触发因素作用的研究表明,食物是亚洲严重过敏反应的重要原因。该地区独特食物过敏原的特征研究取得了进展。花生和坚果在亚洲很少引发过敏反应。许多国家肾上腺素自动注射器供应不足是一个需要解决的重要问题。
亚洲食物过敏的模式具有独特性。不幸的是,亚洲许多地区的数据仍然缺乏。需要开展大规模、设计良好的流行病学研究,以便了解问题的规模,提高公众意识,并确定该地区重要的食物过敏原。