Patrick M K, Gall D G
Department of Pediatrics, University of Calgary, Alberta, Canada.
Pediatr Clin North Am. 1988 Feb;35(1):17-34. doi: 10.1016/s0031-3955(16)36397-0.
Food allergy is an untoward immunologic reaction to food. The number of conditions that need to be considered in the differential diagnosis is large and includes adverse reactions to foods that do not have an immunologic basis. Intestinal immune elements are an integral feature of the intestinal mucosa and, besides modulating gastrointestinal function, represent a significant part of the host's overall immune system. Despite increasing knowledge, the precise disturbances in immune function that lead to the appearance of food allergy are still unclear. Food allergy will remain primarily a clinical diagnosis, relying on history and response to dietary elimination and rechallenge until more specific tests become available.
食物过敏是对食物产生的不良免疫反应。鉴别诊断中需要考虑的病症数量众多,包括对无免疫基础的食物产生的不良反应。肠道免疫成分是肠黏膜的一个重要特征,除了调节胃肠功能外,还是宿主整体免疫系统的重要组成部分。尽管认识不断增加,但导致食物过敏出现的确切免疫功能紊乱仍不清楚。在有更特异的检测方法之前,食物过敏仍将主要是一种临床诊断,依赖病史以及饮食回避和激发试验的反应来诊断。