Mendonca Chelsea Elizabeth, Andreae Doerthe A
Department of Family and Community Medicine, Baylor College of Medicine, 1100 West 34th Street, Houston, TX 77018, USA.
Division of Allergy and Immunology, Department of Dermatology, University of Utah, 30 North 1900 East, 4A330, Salt Lake City, UT 84132, USA.
Prim Care. 2023 Jun;50(2):205-220. doi: 10.1016/j.pop.2023.01.002. Epub 2023 Mar 27.
Food allergy is a growing health problem affecting both pediatric and adult patients. Food allergies are often immunoglobulin E (IgE) mediated but other food-induced non-IgE-mediated diseases exist. Diagnosis of food allergy relies on the combination of clinical and reaction history, skin and IgE testing as well as oral food challenges. Although oral immunotherapy has been able to achieve sustained unresponsiveness in some patients, no cure for food allergies has been found to date. Avoidance of the inciting food as well as availability of epinephrine autoinjectors remains the mainstay of treatment.
食物过敏是一个日益严重的健康问题,影响着儿科和成年患者。食物过敏通常由免疫球蛋白E(IgE)介导,但也存在其他食物诱发的非IgE介导的疾病。食物过敏的诊断依赖于临床和反应史、皮肤和IgE检测以及口服食物激发试验的综合判断。尽管口服免疫疗法已使一些患者能够实现持续无反应,但迄今为止尚未找到治愈食物过敏的方法。避免食用诱发过敏的食物以及准备肾上腺素自动注射器仍然是主要的治疗手段。