FEATURES OF DIET THERAPY IN INFANTS WITH POLYVALENTFOOD ALLERGY
- Authors: Pampura AN1, Varlamov EE1
-
Affiliations:
- Moscow Research Institute of Pediatric and Child Surgery
- Issue: Vol 7, No 6 (2010)
- Pages: 60-63
- Section: Articles
- URL: https://journal-vniispk.ru/raj/article/view/121400
- DOI: https://doi.org/10.36691/RJA921
- ID: 121400
Cite item
Open Access
Access granted
Subscription Access
Abstract
Background. Establish indications for prescription of amino acid formula to infants with atopic dermatitis.
Methods. 55 infants with atopic dermatitis and food allergy were enrolled. Allergic examination included skin
prick tests and evaluation of specific IgE level. Oral challenge test was performed if necessary.
Results. Low efficacy of elimination diet was observed in 16 infants with multiple food protein intolerance. In the issue cluster analysis defined two subgroups. High IgE levels, specific IgE to egg and fish were considered as criterions of the first subgroup.
Patients with multiple food protein intolerance and low efficacy to elimination diet received amino acid formula, SCORAD index decreased more than 50% after the first week of treatment.
Conclusion. Multiple food protein intolerance is particular form of food allergy. Prescription of amino acid
formula is reasonable in this category of patients.
Methods. 55 infants with atopic dermatitis and food allergy were enrolled. Allergic examination included skin
prick tests and evaluation of specific IgE level. Oral challenge test was performed if necessary.
Results. Low efficacy of elimination diet was observed in 16 infants with multiple food protein intolerance. In the issue cluster analysis defined two subgroups. High IgE levels, specific IgE to egg and fish were considered as criterions of the first subgroup.
Patients with multiple food protein intolerance and low efficacy to elimination diet received amino acid formula, SCORAD index decreased more than 50% after the first week of treatment.
Conclusion. Multiple food protein intolerance is particular form of food allergy. Prescription of amino acid
formula is reasonable in this category of patients.
About the authors
A N Pampura
Moscow Research Institute of Pediatric and Child Surgery
Email: apampura@pedklin.ru
Moscow Research Institute of Pediatric and Child Surgery
E E Varlamov
Moscow Research Institute of Pediatric and Child SurgeryMoscow Research Institute of Pediatric and Child Surgery
References
- Ikematsu K., Tashimoto H., Sugisaki C. et al. Feature of food allergy developed during infancy (1) relationship between infantile atopic dermatitis and food allergy. Arerugi. 2006, v. 55, p. 140-150.
- Garcia C., El-Qutob D., Martorell A. et al. Sensitization in early age to food allergens in children with atopic dermatitis. Allergol Immunopathol. 2007, v. 35, p. 15-20.
- Kemp A.S., Hill D.J., Allen K.J. et al. Guidelines for the use of infant formulas to treat cows milk protein allergy: an Australian consensus panel opinion. Med. J. Aust. 2008, v. 188 (2), p. 109-112.
- Wang J., Sampson H.A. Food allergy: recent advances in pathophysiology and treatment. Allergy Asthma Immunol. Res. 2009, v. 1 (1), p. 19-29.
- Hill D.J., Murch S.H., Rafferty K. et al. The efficacy of amino acid-based formulas in relieving the symptoms of cow's milk allergy: a systematic review. Clin. Exp. Allergy. 2007, v. 37 (6), p. 808-822.
- Darsow U., Wollenberg A., Simon D. et al. ETFAB/EADV eczema task force 2009 position paper on diagnosis and treatment of atopic dermatitis. European Task Force on Atopic dermatitis. EADV Eczema Task Force. 2010, v. 24, p. 25-27.
- Kneepkens F., Meijer Y. Clinical practice. Diagnosis and treatment of cow's milk allergy. Eur. J. Pediatr. 2009, v. 168, p. 891-896.
- Sicherer S.H., Sampson H.A. Food allergy. J. Allergy Clin. Immunol. 2010, v. 125, p. 116-125.
Supplementary files
