ALERGIJE NA HRANU – NOVINE

Autori

  • Marija Radulović Služba hitne medicinske pomoći Beograd, Beograd, Srbija
  • Djordje Filipović Bolnica Sveti Sava, Beograd, Srbija
  • Ivana Filipović Univerzitetska dečja bolnica Tiršova, Beograd, Srbija

DOI:

https://doi.org/10.46793/PP190212005R

Ključne reči:

alergija na hranu, uricaria, skin prick test

Apstrakt

Alergija na hranu je definisana kao imunološki posredovana neželjena reakcija na nutritivne alergene.  Klinička slika alergije na hranu uključuje širok spektar simptoma u rasponu od kožnih promena kao što su urtikarija, angioedem, ekcem, dermatitis, zatim gastrointestinalnih (povraćanje, kolika, abdominalni bol, dijareja, konstipacija), respiratornih (rinoreja, kihanje, kašalj, dispneja). Prema nedavnom studija , prevalenca klinički dokazane  alergije na hranu je približno šest puta manja nego što je slučaj kada govorimo o alergiji na hranu na osnovu anamenstičkih podataka. Pravilna dijagnoza je neophodna za prevenciju ili eventualno lečenje. Osnovdijagnoze alergije treba da bude kombinacije anamnestičkih padataka, kliničke slike i dobro dijazajniranih dijagnostičkih testova. Najčešće korišćeni testovi za dijagnostiku alergija na hranu su: tskin prick testivi kože (SPT),  određivanje nivoa specifičnog IgE (sIgE) na nutritivne alergene , dijagnoza dijagnoze komponenti (CRD) i atopijski test (APT). Osim izbegavanja hrane, postoji sve veće interesovanje za efikasnost pristupa imunomodulatornog tretmana, uključujući sublingvalnu i oralnu imunoterapiju da bi se podstakla tolerancija, posebno kada je u pitanju alergiju na kikiriki.

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04/30/2019

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