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虾过敏的诊断与处理

Diagnosis and management of shrimp allergy.

作者信息

Su Bin Brenda, Blackmon Warren, Xu Chun, Holt Christopher, Boateng Nathaniel, Wang Darren, Szafron Vibha, Anagnostou Aikaterini, Anvari Sara, Davis Carla M

机构信息

Immunology, Allergy, and Retrovirology Division of the Department of Pediatrics at Baylor College of Medicine, William T. Shearer Center for Human Immunobiology, Texas Children's Hospital, Houston, TX, United States.

Department of Health and Biomedical Sciences at the University of Texas Rio Grande Valley, One West University Blvd, Brownsville, TX, United States.

出版信息

Front Allergy. 2024 Oct 18;5:1456999. doi: 10.3389/falgy.2024.1456999. eCollection 2024.

DOI:10.3389/falgy.2024.1456999
PMID:39493746
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11527777/
Abstract

Shrimp allergy, the most common food allergy in the United States, affects up to 2% of the population. Its etiology is multi-factorial with the combination of genetic predisposition and environmental exposures. This review summarizes the latest diagnosis and management strategies for shrimp allergy. Currently, the double-blind, placebo-controlled food challenge is the gold standard for diagnosis. Moreover, mainstream and experimental management strategies include food allergen avoidance, the FDA-approved omalizumab, and oral immunotherapy. Herein, we emphasize the urgent need to develop more effective diagnostic tools and therapies for shrimp allergy.

摘要

虾过敏是美国最常见的食物过敏,影响着多达2%的人口。其病因是多因素的,由遗传易感性和环境暴露共同作用所致。本综述总结了虾过敏的最新诊断和管理策略。目前,双盲、安慰剂对照食物激发试验是诊断的金标准。此外,主流和试验性管理策略包括避免食物过敏原、美国食品药品监督管理局批准的奥马珠单抗以及口服免疫疗法。在此,我们强调迫切需要开发更有效的虾过敏诊断工具和治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26a6/11527777/21a613048f9e/falgy-05-1456999-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26a6/11527777/21a613048f9e/falgy-05-1456999-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26a6/11527777/21a613048f9e/falgy-05-1456999-g001.jpg

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本文引用的文献

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Sublingual immunotherapy for allergy to shrimp: the nine-year clinical experience of a Midwest Allergy-Immunology practice.舌下免疫疗法治疗虾过敏:中西部过敏与免疫学诊所的九年临床经验
Allergy Asthma Clin Immunol. 2024 May 11;20(1):33. doi: 10.1186/s13223-024-00895-7.
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Bypassing the build-up phase for oral immunotherapy in shrimp-allergic children.绕过虾过敏儿童口服免疫疗法的诱导期。
World Allergy Organ J. 2024 Feb 3;17(2):100865. doi: 10.1016/j.waojou.2023.100865. eCollection 2024 Feb.
3
Serologic measurements for peanut allergy: Predicting clinical severity is complex.
花生过敏的血清学检测:预测临床严重程度很复杂。
Ann Allergy Asthma Immunol. 2024 Jun;132(6):686-693. doi: 10.1016/j.anai.2024.01.018. Epub 2024 Jan 24.
4
A Positive Causal Effect of Shrimp Allergy on Major Depressive Disorder Mediated by Allergy- and Immune-Related Pathways in the East Asian Population.虾过敏对东亚人群中过敏和免疫相关途径介导的重度抑郁症的正向因果关系。
Nutrients. 2023 Dec 26;16(1):79. doi: 10.3390/nu16010079.
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Genomics of Shrimp Allergens and Beyond.虾过敏原的基因组学及其他。
Genes (Basel). 2023 Nov 27;14(12):2145. doi: 10.3390/genes14122145.
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Evaluation of toll-like receptors 2 and 4 polymorphism and intestinal microbiota in children with food allergies.评价食物过敏儿童 Toll 样受体 2 和 4 多态性与肠道微生物群的关系。
Turk J Pediatr. 2023;65(5):758-768. doi: 10.24953/turkjped.2023.389.
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EAACI guidelines on the diagnosis of IgE-mediated food allergy.EAACI 指南:IgE 介导的食物过敏诊断。
Allergy. 2023 Dec;78(12):3057-3076. doi: 10.1111/all.15902. Epub 2023 Oct 10.
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A Mouse Model of Shrimp Allergy with Cross-Reactivity to Crab and Lobster.一种具有对虾、蟹和龙虾交叉反应性的虾过敏小鼠模型。
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