Allergy Unit, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.
Department of Health Sciences, University of Florence, 50139 Florence, Italy.
Nutrients. 2023 Mar 13;15(6):1386. doi: 10.3390/nu15061386.
In food allergy management, the avoidance of the allergen that caused the reaction plays a fundamental role. Nevertheless, that can be thwarted in case of accidental exposure to a rare or hidden allergen, causing the adoption of a monotonous diet and a consequent reduction in the quality of life of the patient and their family. The identification of a rare and hidden allergen is an important diagnostic challenge, taking into account that a significant proportion of all food reactions is in reality due to them. The aim of the present review is to provide the pediatric allergist an overview of the possible sources of rare and hidden food allergens, taking into consideration the routes of exposure to these potential allergens with the main examples published in the scientific literature and the distinction between types of direct or cross-contamination. The identification of the allergen responsible for the reaction and the provision of a dietary advice customized for the specific individual's dietary habits is essential to improve quality of life of the familiar nucleus and to reduce the risk of further allergic reactions.
在食物过敏管理中，避免引起反应的过敏原起着至关重要的作用。然而，在意外接触到罕见或隐藏的过敏原时，这种方法可能会受阻，导致患者及其家人采用单调的饮食，从而降低生活质量。识别罕见和隐藏的过敏原是一个重要的诊断挑战，因为考虑到实际上所有食物反应的很大一部分都是由于它们引起的。本综述的目的是为儿科过敏专家提供罕见和隐藏食物过敏原的可能来源的概述，同时考虑到这些潜在过敏原的暴露途径，并以科学文献中主要发表的例子和直接或交叉污染的类型进行区分。确定引起反应的过敏原，并提供针对特定个体饮食习惯定制的饮食建议，对于改善家庭核心成员的生活质量和降低进一步过敏反应的风险至关重要。
