Franzese Christine B
Department of Otolaryngology-Head and Neck Surgery, University of Missouri Medical Center-Columbia, One Hospital Drive, MA314, Columbia, MO 65212, USA.
Otolaryngol Clin North Am. 2017 Dec;50(6):1167-1173. doi: 10.1016/j.otc.2017.08.008. Epub 2017 Sep 28.
Food allergy has been increasing in prevalence for the last few decades, and numerous studies have evaluated ways of improving the allergy practitioner's ability to accurately diagnose patients who are truly food allergic, rather than sensitive but able to tolerate food. Once diagnosed, the current standard treatment is food elimination and avoidance, but other potential treatment options like oral immunotherapy, sublingual immunotherapy, and epicutaneous immunotherapy are becoming promising alternatives. Due the health care costs and potential for life-threatening adverse reactions, much attention has been given to the prevention of food allergies, resulting a shift in recent guideline recommendations.
在过去几十年中,食物过敏的患病率一直在上升,许多研究评估了提高过敏症从业者准确诊断真正对食物过敏而非敏感但能耐受食物的患者的能力的方法。一旦确诊,目前的标准治疗方法是食物排除和避免,但其他潜在的治疗选择,如口服免疫疗法、舌下免疫疗法和经皮免疫疗法,正成为有前景的替代方案。由于医疗保健成本和危及生命的不良反应的可能性,人们对食物过敏的预防给予了很多关注,导致最近的指南建议发生了转变。