Department of Dermatology, Women's and Children's Hospital Discipline of Paediatrics, School of Paediatrics and Reproductive Health, University of Adelaide, South Australia, Australia.
Australas J Dermatol. 2013 May;54(2):79-84. doi: 10.1111/j.1440-0960.2012.00911.x. Epub 2012 Jun 12.
The complex relationship between food allergy and infantile eczema has prompted divergent approaches to investigating potential food triggers in eczematous patients. It is well recognised that a significant proportion of infants with eczema have immunoglobulin E-mediated food allergy, reported to range between 20-80%. Determining whether certain foods trigger an eczematous flare in individual infants with eczema is difficult. For all infants with eczema, good skin care is the mainstay of treatment but identifying and avoiding triggers (both allergic and non-allergic) is important in some infants. Given this, we have a developed an algorithm that can be used by dermatologists in the investigation and management of food allergies in infantile eczema. Issues such as patient selection, investigation and elimination diets are addressed, with reference to relevant evidence in the literature. Our aim is to provide dermatologists with a framework to manage food allergies in infantile eczema, allowing the problem to be addressed with confidence.
食物过敏与婴儿湿疹之间的复杂关系促使人们采取不同的方法来研究湿疹患者中潜在的食物诱因。众所周知，有相当一部分湿疹婴儿存在免疫球蛋白 E 介导的食物过敏，报告范围在 20-80%之间。确定湿疹婴儿中某些食物是否会引发湿疹发作是很困难的。对于所有患有湿疹的婴儿，良好的皮肤护理是治疗的基础，但在某些婴儿中，确定和避免诱因（包括过敏和非过敏）很重要。鉴于此，我们开发了一种算法，皮肤科医生可以在婴儿湿疹的食物过敏调查和管理中使用。本文讨论了患者选择、调查和排除饮食等问题，并参考了文献中的相关证据。我们的目的是为皮肤科医生提供一个管理婴儿湿疹食物过敏的框架，使他们能够自信地解决这个问题。
