1例由辅食产品中的蛋白质诱发的儿童小肠结肠炎综合征的治疗经验

Q4 Medicine
M. Galitskaya, S. Makarova, O. Ereshko, Ayina M. Lebedeva
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引用次数: 0

摘要

由膳食蛋白质引起的小肠结肠炎综合征在一岁儿童过敏性疾病的结构中占有特殊的地位。这主要是由于诊断该综合征的困难,因为目前没有确认诊断的具体实验室检查,而且临床症状与其他胃肠道疾病的症状相似。大多数情况下,诊断是根据临床表现确定的,并由怀疑是食物诱发的阳性刺激试验证实。本文简要介绍了膳食蛋白质引起的小肠结肠炎综合征,并报道了一例11个月儿童的临床病例。在分析疾病的临床表现后,首次预约营养师-过敏症专家时怀疑该综合征,并在1个月后再次预约时确诊。通过挑衅性地引入具有因果意义的产品,在诊断中发挥了重要作用,同时也表明了处方消除饮食以实现疾病缓解的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experience in management of a child with enterocolitis syndrome induced by proteins from products of complementary foods
Enterocolitis syndrome induced by dietary proteins occupies a special place in the structure of allergic diseases in children of the first years of life. This is primarily due to the difficulties of diagnosing the syndrome, since there are currently no specific laboratory tests confirming the diagnosis, and the similarity of the clinical picture with the symptoms of other diseases of the gastrointestinal tract. Most often, the diagnosis is established according to the clinical picture and is confirmed by a positive provocative test with a suspected food trigger. The article briefly describes the enterocolitis syndrome induced by dietary proteins, and presents a clinical case of the syndrome in a child of 11 months. This syndrome was suspected at the first appointment of a nutritionist-allergist after analyzing the clinical picture of the disease and confirmed at a repeat appointment after 1 month. The significant role in the diagnosis by the provocative introduction of a causally significant product is shown, as well as the importance of prescribing an elimination diet to achieve remission of the disease.
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来源期刊
Russian Journal of Pediatric Hematology and Oncology
Russian Journal of Pediatric Hematology and Oncology Medicine-Pediatrics, Perinatology and Child Health
CiteScore
0.40
自引率
0.00%
发文量
36
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