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牛奶蛋白过敏时的替代乳类配方奶粉

Alternative milk formulas in allergies to proteins in cow's milk.

作者信息

Botey J, Eseverri J L, Dordal M T, Andreu J, Marín A

机构信息

Department of Allergy and Clinical Immunology, Vall d'Hebron Maternity and Children's Hospital, Barcelona, Spain.

出版信息

J Investig Allergol Clin Immunol. 1993 Mar-Apr;3(2):100-2.

PMID:8281334
Abstract

A variety of "hypoallergenic" formulas have appeared on the market over the last few years for feeding lactating infants prone to a high atopic risk of allergy to cow's milk. These formulas consist of soya preparations, hydrolyzed proteins and so-called basic formulas. This paper describes the main characteristics of such formulas, with particular emphasis on their tolerance, indications, related immunological aspects and antigenic capabilities. Notifications of anaphylactoid reactions with hydrolyzed proteins and the possibility of interactions with the IgE antibodies in cow's milk indicate such formulas in cases of non-IgE-mediated intolerance. Although soya preparations may be allergenic, they do not present interactions with the proteins in cow's milk; thus, they are particularly indicated in children with protein allergy to cow's milk with specific IgE antibodies.

摘要

在过去几年里,市场上出现了各种各样的“低敏”配方奶粉,用于喂养那些有对牛奶过敏的高特应性风险的哺乳期婴儿。这些配方奶粉包括大豆制品、水解蛋白和所谓的基础配方奶粉。本文描述了此类配方奶粉的主要特点,特别强调了它们的耐受性、适用症、相关免疫学方面以及抗原能力。关于水解蛋白类过敏样反应的报告以及与牛奶中IgE抗体相互作用的可能性表明,在非IgE介导的不耐受情况下可使用此类配方奶粉。尽管大豆制品可能具有致敏性,但它们不会与牛奶中的蛋白质发生相互作用;因此,它们特别适用于对牛奶蛋白过敏且有特异性IgE抗体的儿童。

相似文献

1
Alternative milk formulas in allergies to proteins in cow's milk.牛奶蛋白过敏时的替代乳类配方奶粉
J Investig Allergol Clin Immunol. 1993 Mar-Apr;3(2):100-2.
2
[Prevalence of soya allergy in children with cow's milk allergy].[牛奶过敏儿童中大豆过敏的患病率]
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[The role of specific IgE to evolution and prognosis of cow's milk protein allergies in children].[特异性IgE在儿童牛奶蛋白过敏的演变及预后中的作用]
Rev Med Chir Soc Med Nat Iasi. 2011 Oct-Dec;115(4):1012-7.
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Allergy to soy formula and to extensively hydrolyzed whey formula in infants with cow's milk allergy: a prospective, randomized study with a follow-up to the age of 2 years.牛奶过敏婴儿对大豆配方奶粉和深度水解乳清蛋白配方奶粉的过敏情况:一项随访至2岁的前瞻性随机研究。
J Pediatr. 2002 Feb;140(2):219-24. doi: 10.1067/mpd.2002.121935.
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Cow's milk protein allergy and intolerance in infancy. Some clinical, epidemiological and immunological aspects.婴儿期牛奶蛋白过敏和不耐受。一些临床、流行病学和免疫学方面的情况。
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6
Cow's milk allergy: therapeutic options and immunological aspects.牛奶过敏:治疗选择与免疫学方面
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7
Hypoallergenic formulas--when, to whom and how long: after more than 15 years we know the right indication!低敏配方奶粉——何时使用、适用人群及使用时长:历经15年多,我们已明确正确的适用指征!
Allergy. 2004 Aug;59 Suppl 78:45-52. doi: 10.1111/j.1398-9995.2004.00574.x.
8
Immunogenicity of hydrolysate formulas in children (part 1). Analysis of 202 reactions.水解配方奶粉在儿童中的免疫原性(第1部分)。对202例反应的分析。
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Hypersensitivity to hydrolyzed cow's milk protein formula in infants and young children with atopic eczema/dermatitis syndrome with cow's milk protein allergy.患有特应性湿疹/皮炎综合征且对牛奶蛋白过敏的婴幼儿对水解牛奶蛋白配方奶粉的超敏反应。
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The natural history of cow's milk protein allergy/intolerance.牛奶蛋白过敏/不耐受的自然病史。
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