Άρθρα ανασκόπησης: Τροφική αλλεργία στα παιδιά: σύγχρονες διαγνωστικές και θεραπευτικές στρατηγικές, Mάιος 2013.

 

 

Gupta RS, Dyer AA, Jain N, Greenhawt MJ.

Childhood food allergies: current diagnosis, treatment, and management strategies. 

Mayo Clin Proc. 2013 May;88(5):512-26.

Abstract

Food allergy is a growing public health concern in the United States that affects an estimated 8% of children. Food allergy is defined as an adverse health effect arising from a specific immune response that occurs reproducibly on exposure to a specific food. Nearly 40% of children with food allergy have a history of severe reactions that if not treated immediately with proper medication can lead to hospitalization or even death. The National Institute of Allergy and Infectious Diseases (NIAID) convened an expert panel in 2010 to develop guidelines outlining evidence-based practices in diagnosing and managing food allergy. The purpose of this review is to aid clinicians in translating the NIAID guidelines into primary care practice and includes the following content domains: (1) the definition and mechanism of childhood food allergy, (2) differences between food allergy and food intolerance, (3) the epidemiology of childhood food allergy in the United States, (4) best practices derived from the NIAID guidelines focused on primary care clinicians’ management of childhood food allergy, (5) emerging food allergy treatments, and (6) future directions in food allergy research and practice. Articles focused on childhood food allergy were considered for inclusion in this review. Studies were restricted to the English language and to those published within the past 40 years. A cross-listed combination of the following words, phrases, and MeSH terms was searched in PubMed and Google Scholar to identify relevant articles: food allergy, food hypersensitivity, child, pediatric, prevalence, and epidemiology. Additional sources were identified through the bibliographies of the retrieved articles.

Η πρόσβαση στο άρθρο είναι ελεύθερη από την ιστοσελίδα του εκδότη:

HTML:

http://www.mayoclinicproceedings.org/article/S0025-6196%2813%2900195-X/fulltext

PDF:

http://download.journals.elsevierhealth.com/pdfs/journals/0025-6196/PIIS002561961300195X.pdf

 

Turner PJ, Campbell DE.

What’s new in the diagnosis and management of food allergy in children?

Asia Pac Allergy. 2013 Apr;3(2):88-95.

Abstract

This article reviews the recent advances in the diagnosis and management of IgE mediated food allergy in children. It will encompass the emerging technology of component testing; moves to standardization of the allergy food challenge; permissive diets which allow for inclusion of extensively heated food allergens with allergen avoidance; and strategies for accelerating tolerance and food desensitization including the use of adjuvants for specific tolerance induction.

Η πρόσβαση στο άρθρο είναι ελεύθερη από την ιστοσελίδα του εκδότη:

HTML:  

http://apallergy.org/DOIx.php?id=10.5415/apallergy.2013.3.2.88

PDF:

http://apallergy.org/Synapse/Data/PDFData/9996APA/apa-3-88.pdf

 

Δύο συνοπτικές ανασκοπήσεις με θέμα τις τρέχουσες εξελίξεις στην τροφική αλλεργία της παιδικής ηλικίας: Οι Gupta RS και συν. «μεταγλωτίζουν» την τελευταία κατευθυντήρια οδηγία για την τροφική αλλεργία του Εθνικού Ινστιτούτου Αλλεργίας και Λοιμώξεων των Η.Π.Α όχι μόνον για τον ειδικό, αλλά και για τον γενικό γιατρό, ενώ οι Turner PJ και Campbell DE παρουσιάζουν τις αναδυόμενες διαγνωστικές και θεραπευτικές στρατηγικές για την αντιμετώπιση της τροφικής αλλεργίας στα παιδιά: στοιχειακή μοριακή διάγνωση, τυποποίηση των τροφικών προκλήσεων, επιτρεπτικές δίαιτες με κατανάλωση θερμικά επεξεργασμένων αλλεργιογόνων , απευαισθητοποίηση.