Urbanek R
Monatsschr Kinderheilkd. 1983 Mar;131(3):134-7.
One of the more frequent problems in medicine is the question of a possible association between ingestion of a particular food or drug, and symptoms experienced by a patient. Food allergens are mainly cow's milk, egg, fish, nuts and fruits. Ingested antigen/allergen may induce antibody production and thus sensitization. But the presence of specific antibodies or a positive skin test are not synonymous with allergic symptoms. The convincing diagnostic procedure in adverse reactions to foods or drugs is a controlled exposition. The thrombocytopenia test is a useful addition. Intestinal biopsy is helpful in excluding celiac disease. Younger children are more likely to lose food sensitivity than older ones. At present, the optimal therapy of food sensitivity is to avoid the offending food or drug.
医学中较为常见的问题之一是，特定食物或药物的摄入与患者所经历的症状之间是否可能存在关联。食物过敏原主要是牛奶、鸡蛋、鱼、坚果和水果。摄入的抗原/过敏原可能会诱导抗体产生，从而导致致敏。但特异性抗体的存在或皮肤试验呈阳性并不等同于出现过敏症状。对于食物或药物不良反应，令人信服的诊断程序是进行对照暴露试验。血小板减少试验是一项有用的补充检查。肠道活检有助于排除乳糜泻。年幼儿童比年长儿童更有可能消除食物敏感性。目前，食物敏感性的最佳治疗方法是避免食用引起问题的食物或药物。
