Canadian food ladders for dietary advancement in children with IgE-mediated allergy to milk and/or egg

被引:41
作者
Chomyn, Alanna [1 ]
Chan, Edmond S. [1 ]
Yeung, Joanne [1 ]
Vander Leek, Timothy K. [2 ]
Williams, Brock A. [1 ,3 ]
Soller, Lianne [1 ]
Abrams, Elissa M. [1 ,4 ]
Mak, Raymond [1 ]
Wong, Tiffany [1 ]
机构
[1] Univ British Columbia, BC Childrens Hosp, Dept Pediat, Div Clin Immunol & Allergy, Room 1C31B,4480 Oak St, Vancouver, BC V5Z 4H4, Canada
[2] Univ Alberta, Dept Pediat, Pediat Allergy & Asthma, Edmonton, AB, Canada
[3] Univ British Columbia, Fac Land & Food Syst, Food Nutr & Hlth, Vancouver, BC, Canada
[4] Univ Manitoba, Dept Pediat & Child Hlth, Sect Allergy & Immunol, Winnipeg, MB, Canada
关键词
Food ladders; Food allergy; Cow's milk allergy; Egg allergy; Oral immunotherapy; QUALITY-OF-LIFE; NATURAL-HISTORY; CHALLENGES; RESOLUTION;
D O I
10.1186/s13223-021-00583-w
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Food ladders are clinical tools already widely used in Europe for food reintroduction in milk- and egg-allergic children. Previously developed milk and egg ladders have limited applicability to Canadian children due to dietary differences and product availability. Herein we propose a Canadian version of cow's milk and egg food ladders and discuss the potential role that food ladders may have in the care of children with IgE-mediated allergies to cow's milk and/or egg, as either a method of accelerating the acquisition of tolerance in those who would outgrow on their own, or as a form of modified oral immunotherapy in those with otherwise persistent allergy.
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页数:6
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