Department of Pediatrics, University of Turin, Regina Margherita Children's Hospital, Italy.
Acta Paediatr. 2011 Nov;100(11):e236-8. doi: 10.1111/j.1651-2227.2011.02325.x. Epub 2011 May 11.
White potato is a very common ingredient in the diet of infants in Mediterranean countries, and in its cooked form, it is one of the first solid foods introduced, usually around the age of 4-6 months. Allergy to potato is uncommon, and allergic reactions to cooked potato have been reported only in children. We report a case of severe potato-induced allergic reaction in an 8-month-old infant with atopic dermatitis and multiple food allergies that raises questions about differential diagnosis between anaphylaxis and food protein-induced enterocolitis syndrome (FPIES).
Allergy to cooked potatoes could be a cause of severe although rare allergic reactions; it could be very difficult, in some cases, to make a differential diagnosis between anaphylaxis and FPIES. Moreover, the diagnosis appears to be very important for the choice of therapy and long-term allergologic management.
白土豆是地中海国家婴儿饮食中非常常见的一种成分,在煮熟的形式下,它是最早引入的固体食物之一,通常在 4-6 个月大时引入。对土豆过敏并不常见,只有在儿童中才报告过对熟土豆的过敏反应。我们报告了一例患有特应性皮炎和多种食物过敏的 8 个月大婴儿严重的土豆诱导的过敏反应,这引发了对过敏反应和食物蛋白诱导的肠病综合征(FPIES)之间鉴别诊断的疑问。
对熟土豆的过敏可能是严重但罕见的过敏反应的原因;在某些情况下,很难对过敏反应和 FPIES 进行鉴别诊断。此外,对于治疗方案的选择和长期过敏管理,诊断似乎非常重要。