首页|儿童IgE介导食物过敏诊断和管理专家共识

儿童IgE介导食物过敏诊断和管理专家共识

扫码查看
儿童食物过敏患病率在我国逐年上升,严重影响患者及家庭生活质量.IgE介导食物过敏是儿童及青少年最常见的类型.目前食物过敏原检测方法如过敏原特异性IgE(specific IgE,sIgE)、皮肤点刺试验(skin prick test,SPT)已在临床广泛开展,过敏原组分诊断(component resolved diagnosis,CRD)也逐渐转为临床应用,推动了 IgE介导食物过敏的精准诊断,但临床实践中仍存在脱离病史对食物过敏原检测结果过度解读问题.回避明确过敏食物是IgE介导食物过敏最有效的治疗方法,但不合理避食有可能增加患者负担,影响生活质量.近10年来,国内外食物过敏管理策略已从被动回避向主动干预转变,尤其是对于轻中度食物过敏的管理.本共识基于国内外最新诊治指南和相关研究证据,结合我国临床实践,在广泛征求国内专家意见基础上制定,旨在指导临床医师对儿童IgE介导的食物过敏进行规范诊治和管理.
Expert consensus on the diagnosis and management of IgE mediated food allergy in children
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.

Food allergyImmunoglobulin EAnaphylaxisDiagnosisExpert consensusChildren

福棠儿童医学发展研究中心过敏(变态)反应学科规范化建设研究组、中华医学会变态反应学分会过敏原特异性诊断学组、中华预防医学会过敏病预防与控制专业委员会、北京慢性病防治与健康教育研究会变态反应学专业委员会、中国康复医学会变态反应性疾病康复专业委员会、向莉、关凯

展开 >

国家儿童医学中心首都医科大学附属北京儿童医院过敏反应科儿童重大疾病研究教育部重点实验室国家呼吸系统疾病临床医学研究中心,北京100045

中国医学科学院北京协和医学院北京协和医院变态(过敏)反应科过敏性疾病精准诊疗研究北京市重点实验室国家皮肤与免疫疾病临床医学研究中心,北京 100730

食物过敏 IgE 严重过敏反应 诊断 专家共识 儿童

2024

中华预防医学杂志
中华医学会

中华预防医学杂志

影响因子:1.652
ISSN:0253-9624
年,卷(期):2024.58(12)