Anaphylaxis: a history with emphasis on food allergy

被引:41
作者
Boden, Stephen R. [1 ]
Burks, A. Wesley [1 ]
机构
[1] Duke Univ, Med Ctr, Div Allergy & Immunol, Dept Pediat, Durham, NC 27710 USA
关键词
anaphylaxis; food allergy; immunotherapy; EMERGENCY-DEPARTMENT VISITS; ORAL TOLERANCE INDUCTION; EXERCISE-INDUCED ANAPHYLAXIS; COWS MILK PROTEIN; SUBLINGUAL IMMUNOTHERAPY; DOUBLE-BLIND; PEANUT ALLERGY; NATURAL-HISTORY; CHILDREN; EPIDEMIOLOGY;
D O I
10.1111/j.1600-065X.2011.01028.x
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
In the century since Paul Portier and Charles Richet described their landmark findings of severe fatal reactions in dogs re-exposed to venom after vaccination with sea anemone venom, treatment for anaphylaxis continues to evolve. The incidence of anaphylaxis continues to be difficult to measure. Underreporting due to patients not seeking medical care as well as failure to identify anaphylaxis affects our understanding of the magnitude of the disease. Treatment with intramuscular epinephrine continues to be the recommended first-line therapy, although studies indicate that education of both the patients and the medical community is needed. Adverse food reactions continue to be the leading cause of anaphylaxis presenting for emergency care. Current therapy for food-induced anaphylaxis is built on the foundation of strict dietary avoidance, rapid access to injectable epinephrine, and education to recognize signs and symptoms of anaphylaxis. Investigation into therapy with oral and sublingual immunotherapy as well as other modalities holds hope for improved treatment of food-induced anaphylaxis.
引用
收藏
页码:247 / 257
页数:11
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