国际儿科学杂志
國際兒科學雜誌
국제인과학잡지
INTERNATIONAL JOURNAL OF PEDIATRICS
2013年
1期
95-98
,共4页
食物过敏%非IgE介导%诊断%治疗
食物過敏%非IgE介導%診斷%治療
식물과민%비IgE개도%진단%치료
Food allergy%Non-IgE mediated%Diagnosis%Treatment
食物过敏是免疫机制介导的食物不良反应,近年报道其发病率呈现上升趋势.按发病机制将食物过敏粗略分为IgE介导型和非IgE介导型.目前非IgE介导型食物过敏的机制并不明确,临床上也缺乏特异性的诊断手段.非IgE介导型食物过敏多累及消化道,由于症状的非特异性和迟发型,常常导致临床医生的误诊误治.该文根据作者临床实践对非IgE介导型食物过敏的诊治作一介绍.
食物過敏是免疫機製介導的食物不良反應,近年報道其髮病率呈現上升趨勢.按髮病機製將食物過敏粗略分為IgE介導型和非IgE介導型.目前非IgE介導型食物過敏的機製併不明確,臨床上也缺乏特異性的診斷手段.非IgE介導型食物過敏多纍及消化道,由于癥狀的非特異性和遲髮型,常常導緻臨床醫生的誤診誤治.該文根據作者臨床實踐對非IgE介導型食物過敏的診治作一介紹.
식물과민시면역궤제개도적식물불량반응,근년보도기발병솔정현상승추세.안발병궤제장식물과민조략분위IgE개도형화비IgE개도형.목전비IgE개도형식물과민적궤제병불명학,림상상야결핍특이성적진단수단.비IgE개도형식물과민다루급소화도,유우증상적비특이성화지발형,상상도치림상의생적오진오치.해문근거작자림상실천대비IgE개도형식물과민적진치작일개소.
Food allergy(FA) seems to be increasing world wide which is roughly divided into IgE mediated or non-IgE mediated FA(NFA).NFA primarily affects the gastrointestinal mucosa which is far less understanding the immunological mechanisms than IgE-mediated FA.Clinicians sometimes experienced confusion due to delayed onset of symptoms and subsequent difficulty in making the clinical association between offending food and clinical symptoms.The lack of easily accessible diagnostic measures also contributes to the problem.The diagnosis of NFA usually is established in the eliminated of food allergen and food challenge test.In this paper,the diagnosis and treatment of NFA is introduced combined with our clinical practice experience.