Sabbah A
Laboratoire d'Immuno-allergologie, CHRU, Angers.
Allerg Immunol (Paris). 1990 Oct;22(8):325-31.
Food allergy is responsible for asthma in 6% of cases, all ages together, with the same etiology. As in a adults, the influence of atopy is indisputable and is proved by the presence of familial and personal antecedents and rise in total IgE. Proof of food allergy is based only on tests of exclusion and reintroduction and/or provocation tests, under control of spirometry and plasma histamine. Eggs, milk, wheat, fish, potato, pork meat are the foods most frequently associated. A comparative study of food allergy in adult asthma shows that cow milk and eggs are most frequently responsible, as in children. For diagnosis, specific IgE RAST is more often correlated (65%) with the clinical condition than skin tests (60%).
在所有年龄段中,食物过敏导致的哮喘病例占6%,病因相同。与成人一样,特应性的影响是无可争议的,家族史和个人史以及总IgE升高可证明这一点。食物过敏的诊断仅基于排除试验、重新引入试验和/或激发试验,并在肺活量测定和血浆组胺监测下进行。鸡蛋、牛奶、小麦、鱼、土豆、猪肉是最常涉及的食物。一项针对成人哮喘中食物过敏的比较研究表明,与儿童一样,牛奶和鸡蛋是最常见的病因。在诊断方面,特异性IgE RAST与临床状况的相关性(65%)比皮肤试验(60%)更高。