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疑似IgE介导疾病患者对牛奶和鸡蛋的过敏率

2015/05/22

   摘要
   背景:
拉丁美洲几乎没有针对食物过敏和牛奶、鸡蛋过敏的流行病学数据。
   目的:旨在描述疑似IgE介导疾病患者对牛奶和鸡蛋过敏的发生频率。
   材料和方法:对来我们过敏科咨询的患者进行回顾性和描述性研究。这些患者被怀疑在食用特定食物后会加剧IgE介导的疾病。所有患者都接受可疑食物、牛奶和鸡蛋的皮肤针刺实验。所有患者病史均完整。
   结果:患者中至少一项食物过敏的发生率为29.7%。鸡蛋过敏的发生率为6.1%,5岁以下儿童鸡蛋过敏与哮喘、鼻炎和胃肠道嗜酸性粒细胞升高有关。牛奶过敏率为4.5%,与任何疾病都不相关。
   结论:在哥伦比亚,牛奶和鸡蛋的过敏发生率相对低于其他研究报道的高过敏风险人群。由于鸡蛋过敏与呼吸道症状及胃肠道嗜酸性粒细胞升高有关,鸡蛋过敏可以作为过敏患者预后不良的早期标志。

 

(苏欣 审校)
Rev Alerg Mex. 2015 Jan-Mar;62(1):41-7.



 


Prevalence of sensitization to cow's milk and egg among patients with suspicion of IgE mediated diseases.
 

Mopan J1, Sánchez J, Chinchilla C, Cardona R.

Author information
 

Abstract
BACKGROUND:
In Latin America, there are very few epidemiological data on food allergy and sensitization to milk and egg.
OBJECTIVE:To describe the frequency of sensitization to milk and egg in a population with suspicion of IgE mediated diseases.
MATERIAL AND METHOD:A retrospective and descriptive study was made with patients who consulted to our service of Allergy, with suspicion of exacerbation of possible IgE mediated diseases when eat certain foods. All patients had skin prick test including the suspected foods and milk and egg. Each patient had a complete clinical history.
RESULTS:Sensitization to at less one food was present in 29.7% of patients. Egg sensitization occurred in 6.1% of patients and it was associated with asthma, rhinitis and gastrointestinal eosinophilia in children younger than five years. Milk sensitization was present in 4.5% and was not associated with any disease.
CONCLUSIONS:In Colombia, sensitization to milk and egg is relatively low compared to that reported in other studies with population with high risk of sensitization. Because of the association between sensitization of egg and the risk of having respiratory symptoms and gastrointestinal eosinophilia, an egg sensitization could be and early marker of poor prognosis in atopic patients.

 

Rev Alerg Mex. 2015 Jan-Mar;62(1):41-7.


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