妞康特牛奶蛋白過(guò)敏診治(完整版)
【正文】 , Koletzko S, Isolauri E, ed al. Guidelines for the diagnosis and management of cow39。 CMPA/I, cow’s milk protein allergy/intolerance. Some 117/1749 (%) had symptoms suggestive of cow’s milk protein allergy/intolerance (CMPA/I) during the first year of life. Based on controlled milk eliminations and challenge procedure the diagnosis of CMPA/I was confirmed in 39/117, resulting in a 1year incidence of CMPA/I of % with 95% confidence interval of –%. Nine of 39 infants with CMPA/I were confirmed to react against cow’s milk protein in human milk, corresponding to % of the birth cohort (95% confidence interval of –%) Host A, et al. Clinical course of cow’s milk protein allergy/ intolerance and atopic diseases in childhood. Pediatr Allergy Immunol, 2022, 13(Suppl. 15): 23–28 過(guò)敏性鼻結(jié)膜炎 特應(yīng)性疾病的自然歷程（根據(jù) Grab和 Wahn1991年的研究結(jié)果） 早期阻斷過(guò)敏歷程非常重要！ 過(guò)敏歷程 食物過(guò)敏的 胃腸道癥狀 特應(yīng)性皮炎 支氣管哮喘 食物過(guò)敏的胃腸道癥狀和特應(yīng)性皮炎是過(guò)敏歷程的早期癥狀 CMPA/I的預(yù)后（ 1） Host A, et al. Clinical course of cow’s milk protein allergy/ intolerance and atopic diseases in childhood. Pediatr Allergy Immunol, 2022, 13(Suppl. 15): 23–28 CMPA/I的預(yù)后（ 2） Host A, et al. Clinical course of cow’s milk protein allergy/ intolerance and atopic diseases in childhood. Pediatr Allergy Immunol, 2022, 13(Suppl. 15): 23–28 CMPA/I的預(yù)后（ 3） Host A, et al. Clinical course of cow’s milk protein allergy/ intolerance and atopic diseases in childhood. Pediatr Allergy Immunol, 2022, 13(Suppl. 15): 23–28 Fig1 疑似食物過(guò)敏患兒的臨床評(píng)估 病史 發(fā)病年齡、臨床表現(xiàn)、喂養(yǎng)史、輔食添加時(shí)間、食物或其他因素所致的相關(guān)癥狀、家族或個(gè)體特應(yīng)性疾病史 體格檢查 檢查食物過(guò)敏的體征、與相關(guān)疾病鑒別 篩查試驗(yàn) 血清總 IgE、嗜酸細(xì)胞、血清特異性 IgE、 SPT、斑貼試驗(yàn)、膳食回避試驗(yàn) 診斷確定 對(duì)照的口服激發(fā)試驗(yàn) *必要行胃腸病學(xué)試驗(yàn) （內(nèi)窺鏡、組織學(xué)、炎性標(biāo)記、胃腸動(dòng)力） Canani RB,et al. The diagnosis of food allergy in children. Curr Opin Pediatr, 20: 584589 牛乳蛋白過(guò)敏的表現(xiàn) (CMPA) 大多數(shù)
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