Division of Pediatric Allergy and Immunology, Pediatrics Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1198, New York City, NY 10029, USA.
Pediatr Clin North Am. 2011 Apr;58(2):427-43, xi. doi: 10.1016/j.pcl.2011.02.014.
Egg is one of the most important allergens in childhood feeding, and egg allergy can pose quality-of-life concerns. A clear clinical history and the detection of egg white-specific immunoglobulin E (IgE) will confirm the diagnosis of IgE-mediated reactions. Non-IgE-mediated symptoms, such as those of eosinophilic diseases of the gut, might also be observed. Egg avoidance and education regarding the treatment of allergic reactions are the cornerstones of management of egg allergy. This article discusses epidemiology, risk factors, diagnosis, treatment, and natural history of egg allergy.
鸡蛋是儿童喂养过程中最重要的过敏原之一,鸡蛋过敏会影响生活质量。明确的临床病史和蛋清特异性免疫球蛋白 E(IgE)的检测将确认 IgE 介导反应的诊断。也可能观察到非 IgE 介导的症状,如胃肠道嗜酸性疾病。避免食用鸡蛋和针对过敏反应的治疗教育是鸡蛋过敏管理的基石。本文讨论了鸡蛋过敏的流行病学、危险因素、诊断、治疗和自然史。