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食物过敏的免疫疗法:神话还是现实?

Immunotherapy for food allergies: a myth or a reality?

作者信息

Praticò Andrea D, Leonardi Salvatore

机构信息

Unit of Pediatric Pneumoallergology & Cystic Fibrosis, Department of Clinical & Experimental Medicine, University of Catania, Catania, Italy.

出版信息

Immunotherapy. 2015;7(2):147-61. doi: 10.2217/imt.14.115.

DOI:10.2217/imt.14.115
PMID:25713990
Abstract

Food allergy is a worldwide issue, with an estimated prevalence of 2-10%. An effective treatment is not available for people affected and the only management is the avoidance of the allergen. Oral immunotherapy and sublingual immunotherapy have been tested by several authors, in particular for milk, egg and peanuts allergy, with significant results in term of desensitization induction. The achievement of tolerance is by the contrary doubtful, with different results obtained. In this review, we reviewed protocols of oral and sublingual immunotherapy for food allergy published in literature, mainly against milk, egg and peanut. At present, immunotherapy does not represent the gold standard in the treatment of food allergy, even if it can desensitize patients.

摘要

食物过敏是一个全球性问题,估计患病率为2%-10%。对于受影响的人来说,目前尚无有效的治疗方法,唯一的应对措施是避免接触过敏原。多位作者对口服免疫疗法和舌下免疫疗法进行了测试,特别是针对牛奶、鸡蛋和花生过敏,在诱导脱敏方面取得了显著成果。然而,实现耐受性的情况却存在疑问,结果各异。在本综述中,我们回顾了文献中发表的针对食物过敏的口服和舌下免疫疗法方案,主要针对牛奶、鸡蛋和花生。目前,免疫疗法即便能使患者脱敏,但仍不代表食物过敏治疗的金标准。

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1
Immunotherapy for food allergies: a myth or a reality?食物过敏的免疫疗法:神话还是现实?
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Sublingual immunotherapy for food allergy and its future directions.舌下免疫疗法治疗食物过敏及其未来方向。
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New developments in immunotherapies for food allergy.食物过敏免疫疗法的新进展。
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Effect of Varying Doses of Epicutaneous Immunotherapy vs Placebo on Reaction to Peanut Protein Exposure Among Patients With Peanut Sensitivity: A Randomized Clinical Trial.不同剂量表皮免疫疗法与安慰剂对花生敏感患者花生蛋白暴露反应的影响:一项随机临床试验。
JAMA. 2017 Nov 14;318(18):1798-1809. doi: 10.1001/jama.2017.16591.