[成人严重坚果过敏的处理]。

4区医学 Q3 Medicine

Hautarzt Pub Date : 2022-03-01 Epub Date: 2022-01-28 DOI:10.1007/s00105-022-04951-4

Aikaterina Alexiou, Veronika Höfer, Josefine Grünhagen, Sabine Dölle-Bierke, Margitta Worm

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引用次数: 0

摘要

我们提出一个病例核桃过敏在一个24岁的男子。过敏工作显示对核桃敏感，包括皮肤点刺试验阳性和核桃特异性IgEs的高值。患者在双盲安慰剂对照食物挑战期间出现过敏反应，累积剂量为3.723 g核桃蛋白。口腔食物的挑战导致了关于严格避免核桃和优化应急管理的咨询。在随访中，患者报告说，坚持推荐的饮食措施导致没有进一步的过敏反应。

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[Management of severe nut allergy in adults].

We present a case of walnut allergy in a 24-year-old man. The allergy work up revealed sensitization to walnut including a positive skin prick test and a high value of walnut-specific IgEs. The patient showed an anaphylactic reaction during the double blind placebo-controlled food challenge, to a cumulative dose of 3.723 g of walnut protein. The oral food challenge resulted in counseling regarding strict walnut avoidance and optimization of the emergency management. At follow-up the patient reported that having adhered to the recommended dietary measures resulted in no further allergic reactions.

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来源期刊

Hautarzt 医学-皮肤病学

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： Der Hautarzt is an internationally recognized journal informing all dermatologists working in practical or clinical environments about important developments in the field of dermatology including allergology, venereology and related areas. Comprehensive reviews on a specific topical issue focus on providing evidenced based information on diagnostics and therapy. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice.