[Expert consensus on the diagnosis and management of IgE mediated food allergy in children].

Q3 Medicine

中华预防医学杂志 Pub Date : 2024-10-31 DOI:10.3760/cma.j.cn112150-20240802-00622

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引用次数: 0

Abstract

The prevalence of food allergy in children is increasing, which seriously affects the quality of life of children and their families. Among children and adolescents, IgE-mediated food allergy is the most common type. In recent years, allergen specific IgE (sIgE) and skin prick testing (SPT) have been widely used in clinical practice, with component resolved diagnosis (CRD) also gaining traction for precise diagnosis of IgE-mediated food allergy. However, a challenge persists in clinical practice due to the tendency to over-interpret food allergen test results without considering the patient's clinical history. While food avoidance remains the most effective treatment for IgE-mediated food allergy, there are varying approaches to clinical management. Strict food avoidance for non-severe food allergies may increase the patient's burden and impact their quality of life. To address these challenges, a consensus on the diagnosis and management of IgE-mediated food allergy in children has been developed based on the latest guidelines and research evidence. This consensus aims to guide physicians in standardizing the management of IgE-mediated food allergy in children.

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[关于儿童 IgE 介导的食物过敏的诊断和管理的专家共识]。

儿童食物过敏的发病率越来越高，严重影响了儿童及其家庭的生活质量。在儿童和青少年中，IgE介导的食物过敏是最常见的类型。近年来，过敏原特异性 IgE（sIgE）和皮肤点刺试验（SPT）已广泛应用于临床实践，成分解析诊断（CRD）也逐渐被用于 IgE 介导的食物过敏的精确诊断。然而，临床实践中仍然存在一个难题，那就是人们倾向于过度解读食物过敏原检测结果，而不考虑患者的临床病史。虽然避免进食仍然是治疗 IgE 介导的食物过敏症最有效的方法，但临床治疗的方法多种多样。对于非严重的食物过敏，严格的食物回避可能会增加患者的负担，影响他们的生活质量。为了应对这些挑战，我们根据最新指南和研究证据，就儿童 IgE 媒介型食物过敏的诊断和管理达成了共识。该共识旨在指导医生对 IgE 介导的儿童食物过敏进行标准化管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

中华预防医学杂志 Medicine-Medicine (all)

CiteScore

1.20

自引率

0.00%

发文量

12678

期刊介绍： Chinese Journal of Preventive Medicine (CJPM), the successor to Chinese Health Journal , was initiated on October 1, 1953. In 1960, it was amalgamated with the Chinese Medical Journal and the Journal of Medical History and Health Care , and thereafter, was renamed as People’s Care . On November 25, 1978, the publication was denominated as Chinese Journal of Preventive Medicine . The contents of CJPM deal with a wide range of disciplines and technologies including epidemiology, environmental health, nutrition and food hygiene, occupational health, hygiene for children and adolescents, radiological health, toxicology, biostatistics, social medicine, pathogenic and epidemiological research in malignant tumor, surveillance and immunization.