Bock S A, Sampson H A
Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Pediatr Clin North Am. 1994 Oct;41(5):1047-67. doi: 10.1016/s0031-3955(16)38845-9.
This article discusses the current understanding of the mechanisms of food hypersensitivity and presents a practical approach to the condition. Skin testing is a useful technique if properly applied and interpreted; however, double-blind placebo-controlled food challenge is the standard for accurate diagnosis against which all other tests should be compared. Treatment still consists of avoidance of the offending food allergens; however, most children lose their reactivity, and thus regular challenges are important.
本文讨论了目前对食物过敏机制的理解，并提出了针对该病症的实用方法。如果正确应用和解读，皮肤试验是一项有用的技术；然而，双盲安慰剂对照食物激发试验是准确诊断的标准，所有其他测试都应与之比较。治疗仍然包括避免接触引发过敏的食物过敏原；然而，大多数儿童会失去过敏反应，因此定期激发试验很重要。
