University of Maryland School of Medicine, Baltimore, Maryland.
University of California San Diego, La Jolla, California.
Clin Gastroenterol Hepatol. 2021 Nov;19(11):2230-2240.e1. doi: 10.1016/j.cgh.2021.01.025. Epub 2021 Jan 22.
Food allergy is an aberrant immunological response to food antigen, which can result in potentially life-threatening reactions. It is often challenging to differentiate food allergy from other adverse reactions to food because their presentations can be indistinguishable. The purpose of this article is to give an overview of the classification, evaluation, and management of adverse food reactions, key differentiating features of food allergy, roles and limitations of various food allergy testing, and promising areas of emerging research. Case studies are used to highlight some of the clinical pearls in diagnosing and managing food-related diseases.
食物过敏是一种针对食物抗原的异常免疫反应，可导致潜在的危及生命的反应。由于它们的表现可能无法区分，因此通常难以将食物过敏与其他食物不良反应区分开来。本文的目的是概述食物不良反应的分类、评估和管理、食物过敏的关键鉴别特征、各种食物过敏测试的作用和局限性以及新兴研究的有前途的领域。案例研究用于突出诊断和管理与食物相关的疾病的一些临床要点。
