食物引发的成人过敏性休克。

IF 3 4区 医学 Q2 ALLERGY
Tricia Chong, Bianca Olivieri, Isabel J Skypala
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引用次数: 0

摘要

审查目的:众所周知,成人食物过敏的发病率越来越高,有的是儿童时期未治愈的过敏,有的是成年后新发的过敏。虽然报告的成人过敏性休克大多是由药物反应引起的,但食物正成为越来越重要的诱发因素,影响着各个年龄段的成人,而且食物诱发因素差异很大,通常与儿童报告的过敏性休克有很大不同:最近的发现:众所周知,花生在某些成年人群中会引起过敏性休克,但其他豆科植物(如大豆)可能对其他人的影响更大。对纳豆(发酵大豆)的反应目前主要发生在日本,但饮食习惯的改变和植物性饮食的增加意味着纳豆、其他形式的大豆和其他豆类在西方国家越来越多地与过敏性休克联系在一起。红肉过敏性休克是由对半乳糖-α-1,3-半乳糖的过敏引起的,最初在北美有报道,现在已成为全世界关注的问题。共同因素诱发的过敏性休克越来越多地与小麦过敏和脂质转移蛋白过敏相关。应考虑不寻常的食物诱因和潜在的辅助因子,以便正确处理成人过敏性休克,而不仅仅是将其称为特发性过敏性休克。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Food-triggered anaphylaxis in adults.

Purpose of review: Adult food allergy, either unresolved from childhood, or new-onset in adult-life, is known to be increasingly prevalent. Although much of the reported anaphylaxis in adults is due to drug reactions, foods are becoming an increasingly important trigger, affecting adults of all ages, with a wide variation in food triggers which are often quite different to those reported in children.

Recent findings: Peanuts are well known to cause anaphylaxis in some adult populations, but other legumes such as soy may be more relevant in others. Reactions to natto, fermented soybeans, are currently mainly reported in Japan, but changing dietary practices and an increase in plant-based eating mean natto, other forms of soy and other legumes are increasingly linked to anaphylaxis in Western countries. Anaphylaxis to red meat, caused by sensitization to galactose-α-1,3-galactose and first reported in North America, is now a more world-wide concern. Co-factor induced anaphylaxis is increasingly associated with both wheat allergy and lipid transfer protein allergy.

Summary: More research is urgently needed to characterize adult food allergy, its triggers and symptom severity. Unusual food triggers and potential co-factors should be considered, so that anaphylaxis in adults can be correctly managed, not merely labelled as idiopathic.

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来源期刊
CiteScore
5.90
自引率
3.60%
发文量
109
审稿时长
6-12 weeks
期刊介绍: This reader-friendly, bimonthly resource provides a powerful, broad-based perspective on the most important advances from throughout the world literature. Featuring renowned guest editors and focusing exclusively on one to three topics, every issue of Current Opinion in Allergy and Clinical Immunology delivers unvarnished, expert assessments of developments from the previous year. Insightful editorials and on-the-mark invited reviews cover key subjects such as upper airway disease; mechanisms of allergy and adult asthma; paediatric asthma and development of atopy; food and drug allergies; and immunotherapy.
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