Bidat E
Service de Pédiatrie, Hôpital Ambroise-Paré, 9, avenue du Général-de-Gaulle, 92104 Boulogne cedex, France.
Arch Pediatr. 2006 Oct;13(10):1349-53. doi: 10.1016/j.arcped.2006.07.015. Epub 2006 Sep 7.
Food allergy is an adverse reaction to food protein by an immunological mechanism (IgE or non IgE-mediated). Signs can involve all organs, but atopic dermatitis remains the main manifestation. In children, only few allergens are involved. In France, it is cow milk, hen eggs, kiwi, peanut, fish, nuts, shrimp. Diagnosis is based on clinical history, skin tests, specific IgE and, sometimes, food challenge. Treatment is based on specific eviction. Regime can be total or sometimes limited to large among of the specific food, or only raw food. Food allergy disappears sometimes. Tolerance or food desensitization is in progress.
食物过敏是由免疫机制（IgE或非IgE介导）引起的对食物蛋白的不良反应。症状可能累及所有器官，但特应性皮炎仍是主要表现。在儿童中，涉及的过敏原较少。在法国，主要是牛奶、鸡蛋、猕猴桃、花生、鱼、坚果、虾。诊断基于临床病史、皮肤试验、特异性IgE，有时还需要食物激发试验。治疗基于特定的回避措施。饮食调整可以是完全回避，有时也可仅限于大量的特定食物，或仅回避生食。食物过敏有时会消失。耐受性或食物脱敏正在进行中。
