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食物过敏的变应原免疫疗法:证据与展望。

Allergen immunotherapy for food allergy: Evidence and outlook.

作者信息

Muraro Antonella, Tropeano Angelo, Giovannini Mattia

机构信息

Food Allergy Referral Centre Department of Mother and Child Health, University of Padua, Padua.

Department of Human Pathology of Childhood and Adulthood, University of Messina, Messina, and.

出版信息

Allergol Select. 2022 Nov 21;6:285-292. doi: 10.5414/ALX02319E. eCollection 2022.

Abstract

Food allergy represents a significant health issue characterized by a sizeable epidemiological burden, involving up to 5% of adults and up to 8% of children in the Western world. The elimination diet of the trigger food is the cornerstone of food allergy management. However, novel treatment options are most wanted to provide alternative strategies for this potentially fatal medical condition. Allergen immunotherapy for food allergy (FA-AIT) is considered an immunomodulatory intervention where regular exposure to increasing doses of food is performed in the context of an allergist's supervised protocol. The main objective is to decrease reactivity, attenuate life-threatening allergic episodes and reduce frequent access to the emergency department. Achieving food tolerance off-treatment is, however, the ultimate aim. In this review, we aim to summarize FA-AIT evidence and outlook.

摘要

食物过敏是一个重大的健康问题,具有相当大的流行病学负担,在西方世界,高达5%的成年人和8%的儿童受其影响。避免食用引发过敏的食物是食物过敏管理的基石。然而,人们迫切需要新的治疗选择,为这种可能致命的疾病提供替代策略。食物过敏的变应原免疫疗法(FA-AIT)被认为是一种免疫调节干预措施,即在过敏症专科医生的监督方案下,定期接触剂量逐渐增加的食物。其主要目标是降低反应性、减轻危及生命的过敏发作,并减少频繁前往急诊科就诊的情况。然而,实现停止治疗后的食物耐受才是最终目标。在本综述中,我们旨在总结FA-AIT的证据和前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/547e/9707367/0ae90a9b9490/allergologieselect-6-285-01.jpg

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