Pétrus M, Bonaz S, Causse E, Micheau P, Rhabbour M, Netter J C, Bildstein G
Service de Pédiatrie, Centre Hospitalier, Tarbes.
Allerg Immunol (Paris). 1997 Feb;29(2):36-8.
The authors report a sery of 16 cases of intolerance to the benzoates in children. Sixteen children (9 boys and 7 girls) were directed to the Hospital of Tarbes from June 1995 to July 1995, for recurring urticaria (7/16) combined with asthma (1/16), atopic eczema (2/16), dermorespiratory syndrome (2/16) and asthma (1/16). All were subject to an immunological examination comprising alimentation inquiry, prick test, IgE determination, RAST, oral provocation test to benzoates, which establishes the diagnosis, whose confirmation is certified by the benefit of the food eviction. To conclusion, the authors underline several points: the presumable underestimation of the intolerance, the often mentioned atopic familial context, the observed pathology (urticaria, asthma, eczema), the importance of the provocation test. Finally, besides food such as grey shrimps, sodas and antibiotic syrups, one finds benzoates in the antiallergic syrups initially prescribed as a preventive measure.
作者报告了一系列16例儿童对苯甲酸盐不耐受的病例。1995年6月至1995年7月期间,16名儿童(9名男孩和7名女孩)因反复出现荨麻疹(7/16)并伴有哮喘(1/16)、特应性皮炎(2/16)、皮肤呼吸综合征(2/16)和哮喘(1/16)而被送往塔布医院。所有患儿均接受了免疫学检查,包括饮食询问、点刺试验、IgE测定、放射性变应原吸附试验、苯甲酸盐口服激发试验,这些检查确立了诊断,通过食物排除法得到证实。作者强调了几点:对不耐受情况可能存在低估、常提及的特应性家族背景、观察到的病理情况(荨麻疹、哮喘、湿疹)、激发试验的重要性。最后,除了灰虾、汽水和抗生素糖浆等食物外,最初作为预防措施开具的抗过敏糖浆中也含有苯甲酸盐。