食物过敏诊断过程中存在问题及对策
Problems and countermeasures in the diagnosis of food allergy
Received date: 2024-01-29
Online published: 2024-04-09
黎海芪 . 食物过敏诊断过程中存在问题及对策[J]. 临床儿科杂志, 2024 , 42(4) : 277 -281 . DOI: 10.12372/jcp.2024.24e0084
Food allergy is very difficult to diagnose due to their complex pathophysiology, wide range of clinical symptoms, and lack of precise biomarkers. Oral food challenge test is the gold standard for confirming food allergy. The standardized diagnosis and treatment of food allergy requires the clinician to understand the basic knowledge related to allergy, so as to facilitate the correct selection of diagnostic methods and reasonable interpretation of test results.
Key words： food allergy; oral food challenge test; diagnosis
| [1] | Kowalski ML, Ansotegui I, Aberer W, et al. Risk and safety requirements for diagnostic and therapeutic procedures in allergology: World Allergy Organization Statement[J]. World Allergy Organ J, 2016, 9(1): 33. |
| [2] | Vandenplas Y, Broekaert I, Domell?f M, et al. An ESPGHAN position paper on the diagnosis, management, and prevention of cow's milk allergy[J]. J Pediatr Gastroenterol Nutr, 2024, 78(2): 386-413. |
| [3] | Fiocchi A, Brozek J, Schünemann H, et al. World allergy organization (WAO) diagnosis and rationale for action against cow's milk allergy (DRACMA) guidelines[J]. Pediatr Allergy Immunol, 2010, 21 Suppl 21: 1-125. |
| [4] | Ortiz RA, Barnes KC. Genetics of allergic diseases[J]. Immunol Allergy Clin North Am, 2015, 35(1): 19-44. |
| [5] | Przybilla B, Ring J, Enders F, et al. Stigmata of atopic constitution in patients with atopic eczema or atopic respiratory disease[J]. Acta Derm Venereol, 1991, 71(5): 407-410. |
| [6] | Kruse TA. The hereditary basis of allergic disease[J]. Am J Hum Genet, 2004, 75(2): 349-350. |
| [7] | Exl BM, Fritsché R. Cow's milk protein allergy and possible means for its prevention[J]. Nutrition, 2001, 17(7-8): 642-651. |
| [8] | Abrams EM, Hildebrand KJ, Chan ES. Non-IgE-mediated food allergy: evaluation and management[J]. Paediatr Child Health, 2021, 26(3): 173-181. |
| [9] | Gocki J, Bartuzi Z. Role of immunoglobulin G antibodies in diagnosis of food allergy[J]. Postepy Dermatol Alergol, 2016, 33(4): 253-256. |
| [10] | Fuc E, Z?otkowska D, Wróblewska B. Milk and meat allergens from Bos taurus β-lactoglobulin, α-casein, and bovine serum albumin: an in-vivo study of the immune response in mice[J]. Nutrients, 2019, 11(9): 2095. |
| [11] | Wang J. Management of the patient with multiple food allergies[J]. Curr Allergy Asthma Rep, 2010, 10(4): 271-277. |
| [12] | El-Hodhod MA, El-Shabrawi MHF, AlBadi A, et al. Consensus statement on the epidemiology, diagnosis, prevention, and management of cow's milk protein allergy in the Middle East: a modified Delphi-based study[J]. World J Pediatr, 2021, 17(6): 576-589. |
| [13] | Venter C, Brown T, Meyer R, et al. Better recognition, diagnosis and management of non-IgE-mediated cow's milk allergy in infancy: iMAP-an international interpretation of the MAP (Milk Allergy in Primary Care) guideline[J]. Clin Transl Allergy, 2017, 7: 26. |
| [14] | Abbas M, Moussa M, Akel H. Type I hypersensitivity reaction[M]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing, 2024. |
| [15] | Burris D, Rosenberg CE, Schwartz JT, et al. Pediatric hypereosinophilia: characteristics, clinical manifestations, and diagnoses[J]. J Allergy Clin Immunol Pract, 2019, 7(8): 2750-2758. |
| [16] | Fagerberg UL, L??f L, Merzoug RD, et al. Fecal calprotectin levels in healthy children studied with an improved assay[J]. J Pediatr Gastroenterol Nutr, 2003, 37(4): 468-472. |
| [17] | Be?er OF, Sancak S, Erkan T, et al. Can fecal calprotectin level be used as a markers of inflammation in the diagnosis and follow-up of cow's milk protein allergy?[J]. Allergy Asthma Immunol Res, 2014, 6(1): 33-38. |
| [18] | Qiu L, Wang J, Ren F, et al. Can fecal calprotectin levels be used to monitor infant milk protein allergies?[J]. Allergy Asthma Clin Immunol, 2021, 17(1): 132. |
| [19] | Miyake K, Ito J, Karasuyama H. Role of basophils in a broad spectrum of disorders[J]. Front Immunol, 2022, 13: 902494. |
| [20] | Eberlein B. Basophil activation as marker of clinically relevant allergy and therapy outcome[J]. Front Immunol, 2020, 11: 1815. |
| [21] | Hoffmann HJ, Santos AF, Mayorga C, et al. The clinical utility of basophil activation testing in diagnosis and monitoring of allergic disease[J]. Allergy, 2015, 70(11): 1393-1405. |
| [22] | Song Y, Wang J, Leung N, et al. Correlations between basophil activation, allergen-specific IgE with outcome and severity of oral food challenges[J]. Ann Allergy Asthma Immunol, 2015, 114(4): 319-326. |
| [23] | Casta?o N, Kim S, Martin AM, et al. Exponential magnetophoretic gradient for the direct isolation of basophils from whole blood in a microfluidic system[J]. Lab Chip, 2022, 22(9): 1690-1701. |
/
| 〈 |
|
〉 |
沪公网安备 31011002000392号
