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食物蛋白诱导的小肠结肠炎综合征的营养管理

Nutritional management of food protein-induced enterocolitis syndrome.

作者信息

Venter Carina, Groetch Marion

机构信息

aUniversity of Portsmouth, Portsmouth, UK bThe David Hide Asthma and Allergy Research Centre, Isle of Wight cJaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

出版信息

Curr Opin Allergy Clin Immunol. 2014 Jun;14(3):255-62. doi: 10.1097/ACI.0000000000000054.

Abstract

PURPOSE OF REVIEW

To summarize the latest information on the nutritional management of food protein-induced enterocolitis syndrome (FPIES), focusing on the foods implicated and how to avoid these whilst maintaining a nutritionally sound diet.

RECENT FINDINGS

A number of foods are implicated in FPIES such as milk, soy and grains, particularly rice. The number of foods implicated in FPIES per individual differs, but the majority of reported cases have two or fewer food triggers involved.

SUMMARY

FPIES is a complex presentation of non-IgE-mediated food allergy. Dietary management is complicated as both common food allergens as well as atypical food allergens can trigger FPIES. Sound nutritional advice is required to ensure appropriate food avoidance, adequate consumption of other foods and sufficient nutritional intake to maintain and ensure growth and development.

摘要

综述目的

总结食物蛋白诱导的小肠结肠炎综合征(FPIES)营养管理的最新信息,重点关注与之相关的食物以及如何在保持营养均衡饮食的同时避免这些食物。

最新发现

多种食物与FPIES有关,如牛奶、大豆和谷物,尤其是大米。个体涉及的与FPIES相关的食物数量各不相同,但大多数报告病例涉及两种或更少的食物触发因素。

总结

FPIES是一种非IgE介导的食物过敏的复杂表现形式。饮食管理很复杂,因为常见食物过敏原和非典型食物过敏原都可能引发FPIES。需要合理的营养建议,以确保适当避免食物,充分食用其他食物,并保证足够的营养摄入以维持和确保生长发育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4160/4011627/6460212c319b/coaci-14-255-g001.jpg

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