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应对婴儿食物过敏。

Tackling Food Allergy in Infancy.

机构信息

Department of Pediatrics, Division of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2000, Cincinnati, OH 45229, USA.

Department of Pediatrics, Division of Allergy and Immunology, Children's National Hospital, Room 5225, 111 Michigan Avenue Northwest, Washington, DC 20010, USA.

出版信息

Immunol Allergy Clin North Am. 2021 May;41(2):205-219. doi: 10.1016/j.iac.2021.01.008. Epub 2021 Mar 24.

DOI:10.1016/j.iac.2021.01.008
PMID:33863480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8276160/
Abstract

Atopic dermatitis and food allergy are the most common allergic conditions affecting the infant population. Both immunoglobulin E (IgE)-mediated and non-IgE-mediated food allergy are seen in infancy. Early life feeding guidelines have changed dramatically over the past 30 years, more recently because of an improved understanding of IgE-mediated food allergy. This article focuses on identification, diagnosis, management, and prevention of food allergy in the infant population.

摘要

特应性皮炎和食物过敏是影响婴幼儿人群的最常见过敏情况。婴幼儿中既可见免疫球蛋白 E(IgE)介导的食物过敏,也可见非 IgE 介导的食物过敏。在过去的 30 年中,早期生命喂养指南发生了巨大变化,最近则是因为对 IgE 介导的食物过敏有了更好的理解。本文重点介绍婴幼儿人群中食物过敏的识别、诊断、管理和预防。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9734/8276160/14a2f932f68e/nihms-1715068-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9734/8276160/41067c968d6e/nihms-1715068-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9734/8276160/ef0566595cc5/nihms-1715068-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9734/8276160/14a2f932f68e/nihms-1715068-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9734/8276160/41067c968d6e/nihms-1715068-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9734/8276160/ef0566595cc5/nihms-1715068-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9734/8276160/14a2f932f68e/nihms-1715068-f0003.jpg

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本文引用的文献

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Randomized trial of early infant formula introduction to prevent cow's milk allergy.随机临床试验:早期婴儿配方奶引入以预防牛奶过敏。
J Allergy Clin Immunol. 2021 Jan;147(1):224-232.e8. doi: 10.1016/j.jaci.2020.08.021. Epub 2020 Sep 2.
2
Low-dose peanut challenges can facilitate infant peanut introduction regardless of skin prick test size.低剂量花生激发试验可促进婴儿引入花生,无论皮肤点刺试验结果如何。
Ann Allergy Asthma Immunol. 2020 Jul;125(1):97-99. doi: 10.1016/j.anai.2020.03.026. Epub 2020 Apr 4.
3
Epicutaneous sensitization in the development of food allergy: What is the evidence and how can this be prevented?
食物过敏发展过程中的经皮致敏:证据有哪些以及如何预防?
Allergy. 2020 Sep;75(9):2185-2205. doi: 10.1111/all.14304. Epub 2020 May 18.
4
Skin emollient and early complementary feeding to prevent infant atopic dermatitis (PreventADALL): a factorial, multicentre, cluster-randomised trial.皮肤保湿剂和早期补充喂养预防婴儿特应性皮炎(PreventADALL):一项基于因素、多中心、整群随机试验。
Lancet. 2020 Mar 21;395(10228):951-961. doi: 10.1016/S0140-6736(19)32983-6. Epub 2020 Feb 19.
5
Diagnosis and treatment of eosinophilic esophagitis.嗜酸粒细胞性食管炎的诊断与治疗。
J Allergy Clin Immunol. 2020 Jan;145(1):1-7. doi: 10.1016/j.jaci.2019.11.011.
6
Presentation and Management of Food Allergy in Breastfed Infants and Risks of Maternal Elimination Diets.母乳喂养婴儿食物过敏的表现与管理及母亲排除饮食的风险
J Allergy Clin Immunol Pract. 2020 Jan;8(1):52-67. doi: 10.1016/j.jaip.2019.11.007. Epub 2019 Nov 18.
7
Oral Food Challenges in Infants and Toddlers.婴幼儿口腔食物挑战。
Immunol Allergy Clin North Am. 2019 Nov;39(4):481-493. doi: 10.1016/j.iac.2019.07.003.
8
Reconciling breast-feeding and early food introduction guidelines in the prevention and management of food allergy.协调母乳喂养与早期引入食物指南以预防和管理食物过敏。
J Allergy Clin Immunol. 2019 Aug;144(2):397-400.e1. doi: 10.1016/j.jaci.2019.06.004. Epub 2019 Jun 18.
9
Celiac disease: a comprehensive current review.乳糜泻:全面的最新综述。
BMC Med. 2019 Jul 23;17(1):142. doi: 10.1186/s12916-019-1380-z.
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Maternal anxiety and internet-based food elimination in suspected food allergy.母亲焦虑与疑似食物过敏的基于互联网的食物排除
Pediatr Allergy Immunol. 2019 Nov;30(7):752-759. doi: 10.1111/pai.13100. Epub 2019 Jul 24.