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儿童食物过敏:尝试使用免疫调节剂(胸腺调节素)改善排除饮食的效果。一项双盲临床试验

"Food allergy in children: an attempt to improve the effects of the elimination diet with an immunomodulating agent (thymomodulin). A double-blind clinical trial".

作者信息

Cavagni G, Piscopo E, Rigoli E, Iuliano P, Bertolini P, Cazzola P

机构信息

Clinica Pediatrica-Università degli Studi di Parma, Italy.

出版信息

Immunopharmacol Immunotoxicol. 1989;11(1):131-42. doi: 10.3109/08923978909082147.

Abstract

During 90 days of elimination diet nineteen children with food allergy manifesting atopic dermatitis were treated with either 120 mg/day of thymomodulin (10 subjects) or placebo (9 subjects) in a double blind design. After this period an improvement in skin lesions was observed in both groups. Subsequently a food challenge was performed for two weeks: in the group treated with thymomodulin skin lesions did not modify while they worsened in the placebo group and the comparison was statistically significant (p less than 0.01). Before the beginning of the trial laboratory assessments evidenced an increase in total and specific IgE serum levels, which decreased by the end of the study only in the group receiving the thymic derivative (p less than 0.05).

摘要

在为期90天的排除饮食期间,采用双盲设计,对19名患有食物过敏且表现为特应性皮炎的儿童进行治疗,其中10名儿童每天服用120毫克胸腺调节素,9名儿童服用安慰剂。在此期间后,两组的皮肤损伤均有改善。随后进行了为期两周的食物激发试验:服用胸腺调节素的组皮肤损伤未改变,而安慰剂组的皮肤损伤恶化,且差异具有统计学意义(p小于0.01)。在试验开始前,实验室评估显示总IgE和特异性IgE血清水平升高,仅在接受胸腺衍生物治疗的组中,这些水平在研究结束时有所下降(p小于0.05)。

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