Park Ji Soo, Suh Dong In
Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.
Clin Exp Pediatr. 2020 Jun;63(6):203-210. doi: 10.3345/kjp.2019.00675. Epub 2019 Nov 12.
The drug allergy "label" may have a lifetime of consequences for a child. Many children with alleged drug allergies are proven to be tolerant to the culprit medication when challenged. The field of drug hypersensitivity is a recently evolving field of research, but studies on its epidemiology and diagnostic tools are lacking in children. Clinical history is significant in the diagnosis and classification of drug hypersensitivity in children. Diagnostic tools have been evaluated in a limited number of children; therefore, the guidelines are mainly in line with those for adults. Here, we review the clinical characteristics, main drugs, risk factors, and diagnosis of drug hypersensitivity to aid in its accurate diagnosis in children.
药物过敏“标签”可能会给儿童带来终生影响。许多声称有药物过敏的儿童在接受激发试验时被证明对致病药物具有耐受性。药物超敏反应领域是一个最近才发展起来的研究领域,但针对儿童的流行病学和诊断工具的研究却很缺乏。临床病史在儿童药物超敏反应的诊断和分类中具有重要意义。诊断工具仅在少数儿童中进行了评估;因此,相关指南主要与成人指南一致。在此,我们综述药物超敏反应的临床特征、主要药物、危险因素及诊断方法,以帮助准确诊断儿童药物超敏反应。