Hammond Catherine, Lieberman Jay A
Department of Pediatrics, The University of Tennessee Health Science Center, 51 North Dunlap, Suite 400, Memphis, TN 38105, USA.
Department of Pediatrics, The University of Tennessee Health Science Center, 51 North Dunlap, Suite 400, Memphis, TN 38105, USA.
Immunol Allergy Clin North Am. 2018 Feb;38(1):153-163. doi: 10.1016/j.iac.2017.09.011.
The gold standard for diagnosis of immunoglobulin E (IgE)-mediated food allergy remains the oral food challenge, with serum IgE testing and skin prick testing serving as acceptable alternatives. However, the increase in prevalence of food allergy (both physician diagnosed and patient suspected) has led patients to pursue a variety of other alternative diagnostic procedures for suspected food allergy, which are reviewed in this article. These procedures (IgG testing, electrodermal testing, cytotoxic testing, provocation/neutralization, and applied kinesiology) have largely been unproven and may lead to unnecessary elimination diets.
免疫球蛋白E(IgE)介导的食物过敏的诊断金标准仍然是口服食物激发试验,血清IgE检测和皮肤点刺试验是可接受的替代方法。然而,食物过敏(包括医生诊断和患者怀疑的)患病率的增加导致患者寻求各种其他替代诊断程序来诊断疑似食物过敏,本文对此进行了综述。这些程序(IgG检测、电皮检测、细胞毒性检测、激发/中和检测和应用运动机能学)在很大程度上未经证实,可能会导致不必要的饮食排除。