非IgE介导的食物过敏：评估与管理
Non-IgE-mediated food allergy: Evaluation and management.
作者信息
Abrams Elissa M, Hildebrand Kyla J, Chan Edmond S
机构信息
Canadian Paediatric Society, Allergy Section, Ottawa, Ontario.
出版信息
Paediatr Child Health. 2021 Apr 27;26(3):173-181. doi: 10.1093/pch/pxaa131. eCollection 2021 Jun.
Abstract
The most common types of non-IgE-mediated food allergy are food protein-induced enterocolitis syndrome (FPIES) and food protein-induced allergic proctocolitis (FPIAP). FPIES presents with delayed refractory emesis, while FPIAP presents with hematochezia in otherwise healthy infants. Acute management of FPIES includes rehydration or ondansetron, or both. No acute management is required for FPIAP. Long-term management of both disorders includes avoidance of the trigger food. The prognosis for both conditions is a high rate of resolution within a few years' time.
摘要
非IgE介导的食物过敏最常见的类型是食物蛋白诱导的小肠结肠炎综合征（FPIES）和食物蛋白诱导的过敏性直肠结肠炎（FPIAP）。FPIES表现为延迟性难治性呕吐，而FPIAP在其他方面健康的婴儿中表现为便血。FPIES的急性处理包括补液或使用昂丹司琼，或两者兼用。FPIAP则无需急性处理。这两种疾病的长期管理都包括避免食用引发过敏的食物。这两种病症的预后都是在几年内有很高的痊愈率。
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本文引用的文献
1
Food protein-induced enterocolitis syndrome in the US population-based study.美国基于人群的研究中的食物蛋白诱导性肠炎综合征。
J Allergy Clin Immunol. 2019 Oct;144(4):1128-1130. doi: 10.1016/j.jaci.2019.06.032. Epub 2019 Jul 6.
2
Timing of introduction of allergenic solids for infants at high risk.高危婴儿引入过敏性固体食物的时机。
Paediatr Child Health. 2019 Feb;24(1):56-57. doi: 10.1093/pch/pxy195. Epub 2019 Feb 15.
3
Food Protein-Induced Enterocolitis Syndrome.食物蛋白诱导的小肠结肠炎综合征
Immunol Allergy Clin North Am. 2018 Feb;38(1):141-152. doi: 10.1016/j.iac.2017.09.009. Epub 2017 Oct 26.
4
The role of intravenous access during oral food challenges in food protein-induced enterocolitis syndrome.静脉通路在食物蛋白诱导的小肠结肠炎综合征口服食物激发试验中的作用
Allergy Asthma Proc. 2017 Nov 1;38(6):467-473. doi: 10.2500/aap.2017.38.4079.
5
Better recognition, diagnosis and management of non-IgE-mediated cow's milk allergy in infancy: iMAP-an international interpretation of the MAP (Milk Allergy in Primary Care) guideline.婴儿期非IgE介导的牛奶过敏的更好识别、诊断与管理：iMAP——《初级保健中的牛奶过敏》（MAP）指南的国际解读
Clin Transl Allergy. 2017 Aug 23;7:26. doi: 10.1186/s13601-017-0162-y. eCollection 2017.
6
International consensus guidelines for the diagnosis and management of food protein-induced enterocolitis syndrome: Executive summary-Workgroup Report of the Adverse Reactions to Foods Committee, American Academy of Allergy, Asthma & Immunology.国际食物蛋白诱导性肠病综合征诊断与管理共识指南：执行摘要-美国过敏、哮喘与免疫学会食物不良反应委员会工作组报告
J Allergy Clin Immunol. 2017 Apr;139(4):1111-1126.e4. doi: 10.1016/j.jaci.2016.12.966. Epub 2017 Feb 4.
7
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