Besin Allerjisi

Öz

Besin allerjileri besinlere karşı istenmeyen immün yanıttır. Besin allerjileri ciddi ve hayatı tehdit eden reaksiyonlara yol açabilmektedir. Görülme sıklığı giderek artmaktadır. Besin alerjisi tanısında dikkatli öykü esastır. Basit tanı testlerinin rolü kısıtlıdır. Allerji veya toleransı göstermede besin yükleme testleri kullanılabilir. Tedavide allerjik reaksiyona neden olan besinden uzaklaşmak esastır. Gıda alımına bağlı allerjik bir reaksiyon geliştiğinde, tanı konulması, uygun tedavi ve yaklaşımda bulunulması önemlidir.

Anahtar Kelimeler

• Allerjen, Allerji, Anafilaksi, Besin, Çocuk

Food Allergy

Öz

Food allergy is an adverse immune response to food. It can cause severe and potentially life-threatening reactions. The prevalence of food allergy is increasing. A careful history is essential in the diagnosis of food allergy. The role of simple diagnostic tests is limited. An oral food challenge test can be used to confirm food allergy or tolerance. Treatment relies on avoidance of the food that triggers the allergic reaction. Early diagnosis, and an appropriate treatment and approach are very important when an allergic reaction develops due to food intake

Anahtar Kelimeler

• Allergen, Allergy, Anaphylaxis, Food, Children

Kaynakça

1. Sampson HA, Burks AW. Adverse reactions to food. In: Adkınson nF, Bochner BS, Busse WW, Holgate ST, lemanske RF, Simons FER (eds). Middleton’s Allergy Principles & Practice. 7th ed. uSA, China: Elsevier, 2009:1139-67.
2. Sicherer SH, Sampson HA. Food allergy. J Allergy Clin Immunol 2010;125:116-25.
3. Branum AM, lukacs Sl. Food allergy among u.S. children: Trends in prevelance and hospitalizations. nCHS Data Brief 2008;(10):1-8.
4. lack G. Clinical practice. Food allergy. n Engl J Med 2008;359: 1252-60.
5. Bone J, Claver A, Guallar I, Plaza AM. Allergic proctocolitis, food-induced enterocolitis: Immune mechanisms, diagnosis and treatment. Allergol et Immunopathol 2009;37:36-42.
6. Rothenberg ME. Eosinophilic gastroentestinal disorders (EGID). J Allergy Clin Immunol 2004;113:11-28.
7. Kondo Y, uriso A. Oral allergy syndrome.Allergol Int 2009;58(4): 485-91.
8. Wang J. Management of the patient with multiple food allergies. Curr Allergy Asthma Rep 2010;10:271-7.

9. Bindslev-Jensen C, Ballmer-Weber BK, Bengtsson u, Blanco C, Ebner C, Hourihane J, et al. Standardization of food challenges in patients with immediate reactions to foods-position paper from the European Academy of Allergology and Clinical Immunology. Allergy 2004;59:690-7.
10. Fisher HR, Toit GD, lack G. Specific oral tolerance induction in food allergic children: is oral desensitisation more effective than allergen avoidance?:A meta-analysis of published RCTs.Arch Dis Child 2010. (Epub ahead of print)
11. leung DYM, Sampson HA, Yunginger JW, Burks AW Jr, Schneider lC, Wortel CH, et al. Effect of anti-IgE therapy in patient with peanut allergy. n Engl J Med 2003;348:986-93.
12. Boyce JA, Assa’ad A, Burks WA et al. Guidelines for the diagnosis and management of food allergy in the united States: Report of the nIAID-Sponsored Expert Panel. J Allergy Clin Immunol 2010;126:1-58.