NGHIỆM PHÁP THỬ THÁCH ĐƯỜNG MIỆNG TRONG CHẨN ĐOÁN DỊ ỨNG THỨC ĂN QUA TRUNG GIAN IGE QUA CÁC TRƯỜNG HỢP LÂM SÀNG
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Tóm tắt
Nghiệm pháp thử thách đường miệng (Oral Food Challenge – OFC) là tiêu chuẩn vàng trong chẩn đoán dị ứng thức ăn (DUTA). Nghiệm pháp này có vai trò quan trọng trong chẩn đoán dị ứng thức ăn qua trung gian IgE ở trẻ em, đặc biệt trong trường hợp test lẩy da và xét nghiệm định lượng IgE đặc hiệu không giúp chẩn đoán hoặc không thể thực hiện được. Nghiệm pháp này thực hiện trong môi trường bệnh viện, mang lại giá trị chẩn đoán và đánh giá sự dung nạp thức ăn.
Hai trường hợp lâm sàng dị ứng đạm sữa bò ở trẻ em được mô tả. Trường hợp thứ nhất dị ứng đạm sữa bò (DUSB) qua trung gian IgE được chẩn đoán dựa vào lâm sàng, test lẩy da. OFC được sử dụng để xác định tình trạng dung nạp sữa bò sau thời gian ăn kiêng. Trường hợp thứ hai DUSB được chẩn đoán dựa vào OFC thực hiện tại bệnh viện với sữa bò và trẻ phản ứng với nồng độ 3ml sữa bò.
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Từ khóa
Nghiệm pháp thử thách đường miệng, Dị ứng thức ăn, Dị ứng đạm sữa bò, Oral Food Challenge, Food Allergy, Cow's Milk Protein Allergy
Tài liệu tham khảo
1. Soller L, Ben-Shoshan M, Harrington DW et al. Adjusting for nonresponse bias corrects overestimates of food allergy prevalence. J Allergy Clin Immunol Pract 2015;3(2):291-293 e2. https://doi.org/10.1016/j.jaip.2014.11.006
2. Barni S, Liccioli G, Sarti L et al. Immunoglobulin E (IgE)-Mediated Food Allergy in Children: Epidemiology, Pathogenesis, Diagnosis, Prevention, and Management. Medicina. 2020;56
3. Peters RL, Krawiec M, Koplin JJ et al. Update on food allergy. Pediatr Allergy Immunol 2020;32:647-657. https://doi.org/10.1111/pai.13443
4. Riggioni C, Ricci C, Moya B et al. Systematic review and meta-analyses on the accuracy of diagnostic tests for IgE-mediated food allergy. Allergy 2024;79(2):324-352. https://doi.org/10.1111/all.15939
5. Bird JA, Leonard SA, Groetch M et al. Conducting an Oral Food Challenge: An Update to the 2009 Adverse Reactions to Foods Committee Work Group Report. The journal of allergy and clinical immunology In practice 2020;8(1):75-90.e17. https://doi.org/10.1016/j.jaip.2019.09.029
6. Fleischer DM, Bock SA, Spears GC et al. Oral food challenges in children with a diagnosis of food allergy. The Journal of pediatrics 2011;158 4:578-583.e1. https://doi.org/10.1016/j.jpeds.2010.09.027
7. Greiwe J. Oral Food Challenges in Infants and Toddlers. Immunol Allergy Clin North Am 2019;39(4):481-493. https://doi.org/10.1016/j.iac.2019.07.003
8. Sampson HA, Gerth van Wijk R, Bindslev-Jensen C et al. Standardizing double-blind, placebo-controlled oral food challenges: American Academy of Allergy, Asthma & Immunology–European Academy of Allergy and Clinical Immunology PRACTALL consensus report. Journal of Allergy and Clinical Immunology 2012;130(6):1260-1274. doi:https://doi.org/10.1016/j.jaci.2012.10.017
9. Ünsal H, Bozat GG, Ocak M et al. Oral food challenge in IgE mediated food allergy in eastern Mediterranean children. Allergol Immunopathol (Madr) 2021;49(3):185-192. https://doi.org/10.15586/aei.v49i3.189
10. Sampson HA, Aceves S, Bock SA et al. Food allergy: A practice parameter update—2014. Journal of Allergy and Clinical Immunology 2014;134(5):1016-1025.e43. https://doi.org/10.1016/j.jaci.2014.05.013
11. Waserman S, Bégin P, Watson WTA. IgE-mediated food allergy. Allergy, Asthma, and Clinical Immunology: Official Journal of the Canadian Society of Allergy and Clinical Immunology 2018;14 (Suppl 2):55. https://doi.org/10.1186/s13223-018-0284-3
12. van der Velde JL, Flokstra-de Blok BMJ, de Groot H et al. Food allergy–related quality of life after double-blind, placebo-controlled food challenges in adults, adolescents, and children. Journal of Allergy and Clinical Immunology 2012;130(5):1136-1143.e2. doi:https://doi.org/10.1016/j.jaci.2012.05.037
13. MacGinnitie AJ, Young MC. The Role of Food Challenges in Clinical Practice. The journal of allergy and clinical immunology In practice 2018;6 2:353-360. https://doi.org/10.1016/j.jaip.2017.12.014
14. El Baba A, Jeimy S, Soller L et al. Geographical discrepancy in oral food challenge utilization based on Canadian billing data. Allergy, Asthma, and Clinical Immunology: Official Journal of the Canadian Society of Allergy and Clinical Immunology 2023;19(1):5. https://doi.org/10.1186/s13223-022-00751-6
15. Abrams EM, Becker AB. Oral food challenge outcomes in a pediatric tertiary care center. Allergy, Asthma, and Clinical Immunology: Official Journal of the Canadian Society of Allergy and Clinical Immunology 2017;13:43. https://doi.org/10.1186/s13223-017-0215-8
16. Bird JA, Groetch M, Allen KJ et al. Conducting an Oral Food Challenge to Peanut in an Infant. The Journal of Allergy and Clinical Immunology: In Practice 2017;5(2):301-311.e1. https://doi.org/10.1016/j.jaip.2016.07.019
17. Casale TB, Haselkorn T, Ciaccio CE et al. Harmonization of Terminology for Tolerated and Reactive Dose in Food Allergy Immunotherapy. J Allergy Clin Immunol Pract 2019;7(2):389-392.
18. Akarsu A, Brindisi G, Fiocchi AG et al. Oral Immunotherapy in Food Allergy: A Critical Pediatric Perspective. Frontiers in Pediatrics 2022;10:842196. https://doi.org/10.3389/fped.2022.842196
19. Simberloff T, Parambi R, Bartnikas LM et al. Implementation of a Standardized Clinical Assessment and Management Plan (SCAMP) for Food Challenges. J Allergy Clin Immunol Pract 2017;5(2):335-344 e3. https://doi.org/10.1016/j.jaip.2016.05.021
20. Niggemann B, Yürek S, Beyer K. Severe anaphylaxis requiring intensive care during oral food challenge-It is not always peanuts. Pediatr Allergy Immunol 2017;28(2):201-203. https://doi.org/10.1111/pai.12676
21. Akuete K, Guffey D, Israelsen RB et al. Multicenter prevalence of anaphylaxis in clinic-based oral food challenges. Annals of Allergy, Asthma & Immunology 2017;119(4):339-348.e1. https://doi.org/10.1016/j.anai.2017.07.028
22. Sindher S, Long AJ, Purington N et al. Analysis of a Large Standardized Food Challenge Data Set to Determine Predictors of Positive Outcome Across Multiple Allergens. Front Immunol 2018;9:2689. https://doi.org/10.3389/fimmu.2018.02689
23. Koutlas N, Stallings A, Hall G et al. Pediatric oral food challenges in the outpatient setting: A single-center experience. The Journal of Allergy and Clinical Immunology: Global 2023;3(1):100187
24. Foong R-X, Dantzer JA, Wood RAB et al. Improving Diagnostic Accuracy in Food Allergy. The Journal of Allergy and Clinical Immunology in Practice 2021;9:71-80.
25. Cuomo B, Indirli GC, Bianchi A et al. Specific IgE and skin prick tests to diagnose allergy to fresh and baked cow's milk according to age: a systematic review. Ital J Pediatr 2017;43(1):93. https://doi.org/10.1186/s13052-017-0410-8
26. Santos AF, Shreffler WG. Road map for the clinical application of the basophil activation test in food allergy. Clin Exp Allergy 2017;47(9):1115-1124. https://doi.org/10.1111/cea.12964
27. Steering Committee A, Review Panel M. A WAO - ARIA - GA(2)LEN consensus document on molecular-based allergy diagnosis (PAMD@): Update 2020. The World Allergy Organization journal 2020;13(2):100091-100091.
2. Barni S, Liccioli G, Sarti L et al. Immunoglobulin E (IgE)-Mediated Food Allergy in Children: Epidemiology, Pathogenesis, Diagnosis, Prevention, and Management. Medicina. 2020;56
3. Peters RL, Krawiec M, Koplin JJ et al. Update on food allergy. Pediatr Allergy Immunol 2020;32:647-657. https://doi.org/10.1111/pai.13443
4. Riggioni C, Ricci C, Moya B et al. Systematic review and meta-analyses on the accuracy of diagnostic tests for IgE-mediated food allergy. Allergy 2024;79(2):324-352. https://doi.org/10.1111/all.15939
5. Bird JA, Leonard SA, Groetch M et al. Conducting an Oral Food Challenge: An Update to the 2009 Adverse Reactions to Foods Committee Work Group Report. The journal of allergy and clinical immunology In practice 2020;8(1):75-90.e17. https://doi.org/10.1016/j.jaip.2019.09.029
6. Fleischer DM, Bock SA, Spears GC et al. Oral food challenges in children with a diagnosis of food allergy. The Journal of pediatrics 2011;158 4:578-583.e1. https://doi.org/10.1016/j.jpeds.2010.09.027
7. Greiwe J. Oral Food Challenges in Infants and Toddlers. Immunol Allergy Clin North Am 2019;39(4):481-493. https://doi.org/10.1016/j.iac.2019.07.003
8. Sampson HA, Gerth van Wijk R, Bindslev-Jensen C et al. Standardizing double-blind, placebo-controlled oral food challenges: American Academy of Allergy, Asthma & Immunology–European Academy of Allergy and Clinical Immunology PRACTALL consensus report. Journal of Allergy and Clinical Immunology 2012;130(6):1260-1274. doi:https://doi.org/10.1016/j.jaci.2012.10.017
9. Ünsal H, Bozat GG, Ocak M et al. Oral food challenge in IgE mediated food allergy in eastern Mediterranean children. Allergol Immunopathol (Madr) 2021;49(3):185-192. https://doi.org/10.15586/aei.v49i3.189
10. Sampson HA, Aceves S, Bock SA et al. Food allergy: A practice parameter update—2014. Journal of Allergy and Clinical Immunology 2014;134(5):1016-1025.e43. https://doi.org/10.1016/j.jaci.2014.05.013
11. Waserman S, Bégin P, Watson WTA. IgE-mediated food allergy. Allergy, Asthma, and Clinical Immunology: Official Journal of the Canadian Society of Allergy and Clinical Immunology 2018;14 (Suppl 2):55. https://doi.org/10.1186/s13223-018-0284-3
12. van der Velde JL, Flokstra-de Blok BMJ, de Groot H et al. Food allergy–related quality of life after double-blind, placebo-controlled food challenges in adults, adolescents, and children. Journal of Allergy and Clinical Immunology 2012;130(5):1136-1143.e2. doi:https://doi.org/10.1016/j.jaci.2012.05.037
13. MacGinnitie AJ, Young MC. The Role of Food Challenges in Clinical Practice. The journal of allergy and clinical immunology In practice 2018;6 2:353-360. https://doi.org/10.1016/j.jaip.2017.12.014
14. El Baba A, Jeimy S, Soller L et al. Geographical discrepancy in oral food challenge utilization based on Canadian billing data. Allergy, Asthma, and Clinical Immunology: Official Journal of the Canadian Society of Allergy and Clinical Immunology 2023;19(1):5. https://doi.org/10.1186/s13223-022-00751-6
15. Abrams EM, Becker AB. Oral food challenge outcomes in a pediatric tertiary care center. Allergy, Asthma, and Clinical Immunology: Official Journal of the Canadian Society of Allergy and Clinical Immunology 2017;13:43. https://doi.org/10.1186/s13223-017-0215-8
16. Bird JA, Groetch M, Allen KJ et al. Conducting an Oral Food Challenge to Peanut in an Infant. The Journal of Allergy and Clinical Immunology: In Practice 2017;5(2):301-311.e1. https://doi.org/10.1016/j.jaip.2016.07.019
17. Casale TB, Haselkorn T, Ciaccio CE et al. Harmonization of Terminology for Tolerated and Reactive Dose in Food Allergy Immunotherapy. J Allergy Clin Immunol Pract 2019;7(2):389-392.
18. Akarsu A, Brindisi G, Fiocchi AG et al. Oral Immunotherapy in Food Allergy: A Critical Pediatric Perspective. Frontiers in Pediatrics 2022;10:842196. https://doi.org/10.3389/fped.2022.842196
19. Simberloff T, Parambi R, Bartnikas LM et al. Implementation of a Standardized Clinical Assessment and Management Plan (SCAMP) for Food Challenges. J Allergy Clin Immunol Pract 2017;5(2):335-344 e3. https://doi.org/10.1016/j.jaip.2016.05.021
20. Niggemann B, Yürek S, Beyer K. Severe anaphylaxis requiring intensive care during oral food challenge-It is not always peanuts. Pediatr Allergy Immunol 2017;28(2):201-203. https://doi.org/10.1111/pai.12676
21. Akuete K, Guffey D, Israelsen RB et al. Multicenter prevalence of anaphylaxis in clinic-based oral food challenges. Annals of Allergy, Asthma & Immunology 2017;119(4):339-348.e1. https://doi.org/10.1016/j.anai.2017.07.028
22. Sindher S, Long AJ, Purington N et al. Analysis of a Large Standardized Food Challenge Data Set to Determine Predictors of Positive Outcome Across Multiple Allergens. Front Immunol 2018;9:2689. https://doi.org/10.3389/fimmu.2018.02689
23. Koutlas N, Stallings A, Hall G et al. Pediatric oral food challenges in the outpatient setting: A single-center experience. The Journal of Allergy and Clinical Immunology: Global 2023;3(1):100187
24. Foong R-X, Dantzer JA, Wood RAB et al. Improving Diagnostic Accuracy in Food Allergy. The Journal of Allergy and Clinical Immunology in Practice 2021;9:71-80.
25. Cuomo B, Indirli GC, Bianchi A et al. Specific IgE and skin prick tests to diagnose allergy to fresh and baked cow's milk according to age: a systematic review. Ital J Pediatr 2017;43(1):93. https://doi.org/10.1186/s13052-017-0410-8
26. Santos AF, Shreffler WG. Road map for the clinical application of the basophil activation test in food allergy. Clin Exp Allergy 2017;47(9):1115-1124. https://doi.org/10.1111/cea.12964
27. Steering Committee A, Review Panel M. A WAO - ARIA - GA(2)LEN consensus document on molecular-based allergy diagnosis (PAMD@): Update 2020. The World Allergy Organization journal 2020;13(2):100091-100091.