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关注儿童食物过敏管理中的热点问题

  • 胡燕
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  • 国家儿童医学中心 首都医科大学附属北京儿童医院保健中心(北京 100045)

收稿日期: 2024-01-29

  网络出版日期: 2024-04-09

Following current challenges in the management of food allergies in pediatric patients

  • Yan HU
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  • National Center for Children's Health, The Department of Health Care of Beijing Children's Hospital Affiliated to Capital Medical University, Beijing 100045, China

Received date: 2024-01-29

  Online published: 2024-04-09

摘要

临床上食物过敏的管理主要包括回避过敏食物和多学科合作对症治疗。低敏配方是牛奶蛋白过敏婴幼儿重要的营养来源,医生应合理选择并规范使用低敏配方。食物阶梯疗法已应用于管理轻中度非IgE介导食物过敏儿童。开展食物过敏个体化治疗是未来的方向。

本文引用格式

胡燕 . 关注儿童食物过敏管理中的热点问题[J]. 临床儿科杂志, 2024 , 42(4) : 282 -284 . DOI: 10.12372/jcp.2024.24e0085

Abstract

The clinical management of food allergy primarily involves the avoidance of allergenic foods and symptomatic treatment through multidisciplinary collaboration. Hypoallergenic formula plays a crucial role in providing nutrition for infants with milk protein allergy. It is imperative for doctors to select and standardize hypoallergenic formulas judiciously. Food ladder therapy has been employed in managing mild to moderate non-IgE-mediated food allergies in children. Individualized treatment approaches are the future direction for managing food allergies.

参考文献

[1] Munblit D, Perkin MR, Palme D, et al. Assessment of evidence about common infant symptoms and cow’s milk allergy[J]. JAMA Pediatr, 2020, 174(6): 599-608.
[2] Li Z, Tian L, Liu H, et al. Factors associated with parental burden among parents of children with food allergies in China: a crosssectional study[J]. BMJ Open, 2022, 12(9): e065772.
[3] 临床营养项目专家工作组. 特殊医学用途配方食品临床管理专家共识(2021版)[J]. 中国医疗管理科学, 2021, 11(4): 91-96.
[4] Hong TS, Hu A, Fahim G, et al. Emerging therapies for peanut allergy[J]. J Pharm Pract, 2022, 35(2): 289-297.
[5] Peters RL, Dharmage SC, Gurrin LC, et al. HealthNuts study. The natural history and clinical predictors of egg allergy in the frst 2 years of life: a prospective, population-based cohort study[J]. J Allergy Clin Immunol, 2014, 133(2): 485-491.
[6] Leonard SA, Caubet JC, Kim JS, et al. Baked milkand egg-containing diet in the management of milk and egg allergy[J]. J Allergy Clin Immunol Pract, 2015, 3(1): 13-23.
[7] 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.
[8] Athanasopoulou P, Deligianni E, Dean T, et al. Use of baked milk challenges and milk ladders in clinical practice: a worldwide surveyof healthcare professionals[J]. Clin Exp Allergy, 2017, 47(3): 430-434.
[9] 陈同辛, 洪莉, 王华, 等. 中国婴儿轻中度非IgE介导的牛奶蛋白过敏诊断和营养干预指南[J]. 中华实用儿科临床杂志, 2022, 7(4): 241-250.
[10] Chomyn A, Chan E, Yeung J, et al. Canadian food ladders for dietary advancement in children with IgE-mediated allergy to milk and/or egg[J]. Allergy Asthma Clin Immunol, 2021, 17(1): 83.
[11] Mack DP, Greenhawt M, Anagnostou A, et al. Are there hidden dangers associated with milk and egg dietary advancement therapy?[J]. J Allergy Clin Immunol Pract, 2023, 11(4): 1056-1062.
[12] 张韦, 胡燕. 儿童食物过敏的精准诊疗研究进展[J]. 中华实用临床儿科杂志, 2024, 39(1): 73-76.
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