Safety of Food Oral Immunotherapy What We Know, and What We Need to Learn

被引:14
作者
Vazquez-Cortes, Sonia [1 ]
Jaqueti, Paloma [2 ]
Arasi, Stefania [3 ]
Machinena, Adrianna [4 ]
Alvaro-Lozano, Montserrat [4 ]
Fernandez-Rivas, Montserrat [5 ]
机构
[1] Hosp Clin San Carlos, IdISSC, ARADyAL, Allergy Dept, Prof Martin Lagos S-N, Madrid 28040, Spain
[2] Hosp Clin San Carlos, IdISSC, Allergy Dept, Prof Martin Lagos S-N, Madrid 28040, Spain
[3] IRCCS, Bambino Gesu Childrens Res Hosp, Dept Pediat Med, Pediat Allergol Unit, Piazza S Onofrio, I-00161 Rome, Italy
[4] Hosp St Joan de Deu, Allergy & Clin Immunol Dept, Seccio Al Lergia & Immunol Clin, Passeig St de Joan Deu, Barcelona 08590, Spain
[5] Hosp Clin San Carlos, Med UCM, IdISSC, Allergy Dept,ARADyAL, Prof Martin Lagos S-N, Madrid 28040, Spain
关键词
Allergy; Food; Immunotherapy; Oral immunotherapy; Safety; COWS MILK ALLERGY; DOUBLE-BLIND; TOLERANCE INDUCTION; EGG ALLERGY; SUSTAINED UNRESPONSIVENESS; PREDICT SAFETY; HENS EGG; CHILDREN; DESENSITIZATION; IGE;
D O I
10.1016/j.iac.2019.09.013
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Oral immunotherapy (OIT) for food allergy entails a risk of adverse reactions, including anaphylaxis. This safety concern is the major barrier for OIT to become a therapeutic option in clinical practice. The high heterogeneity in safety reporting of OIT studies prevents setting the safety profile accurately. An international consensus is needed to facilitate the analysis of large pooled clinical data with homogeneous safety reporting, that together with integrated omics, and patients/families' opinions, may help stratify the patients' risk and needs, and help developing safe(r) individualized care pathways. This will give OIT the right place in the food allergy therapy.
引用
收藏
页码:111 / +
页数:24
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