Kuźmiński Andrzej, Przybyszewski Michał, Graczyk Małgorzata, Żbikowska-Gotz Magdalena, Sokołowska-Ukleja Natalia, Tomaszewska Alina, Bartuzi Zbigniew
Department of Allergology, Clinical Immunology and Internal Diseases, Nicolaus Copernicus University in Torun, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Poland.
Dermatology Clinical Ward, 10th Military Research Hospital and Polyclinic, Bydgoszcz, Poland.
Prz Gastroenterol. 2020;15(3):194-199. doi: 10.5114/pg.2019.87681. Epub 2019 Sep 5.
Clinical symptoms of food allergy may affect not only the digestive tract, but also the respiratory system, skin, or cardiovascular system. They may manifest themselves as gastrointestinal problems, asthma attacks, hives, or anaphylactic shock. Allergic reactions of the gastrointestinal tract may be IgE-independent (oral anaphylaxis syndrome, acute gastrointestinal reactions), mixed (eosinophilic gastrointestinal disorders), or IgE-independent (food-induced enterocolitis, proctitis, or enteropathy). The most serious conditions in which allergic background plays or can play an important role are: oral anaphylaxis syndrome, aphthous stomatitis, reflux disease, acute and chronic allergic reactions of gastric mucosa, irritable bowel syndrome, and eosinophilic gastrointestinal disorders.
食物过敏的临床症状不仅可能影响消化道,还可能影响呼吸系统、皮肤或心血管系统。它们可能表现为胃肠道问题、哮喘发作、荨麻疹或过敏性休克。胃肠道的过敏反应可能是IgE非依赖型(口部过敏综合征、急性胃肠道反应)、混合型(嗜酸性胃肠道疾病)或IgE依赖型(食物诱导的小肠结肠炎、直肠炎或肠病)。过敏背景起重要作用或可能起重要作用的最严重情况有:口部过敏综合征、复发性口疮性口炎、反流病、胃黏膜的急慢性过敏反应、肠易激综合征和嗜酸性胃肠道疾病。