Última revisão: 22 Set 2020
Última atualização: 25 Out 2019

Resumo

Definição

História e exame físico

Principais fatores de diagnóstico

  • presença de fatores de risco
  • ingestão de leite, ovos, nozes, peixe, marisco, trigo ou soja
  • sintomas reprodutíveis
  • rubor, urticária ou angioedema cutâneo
  • espirros, rinorreia ou congestão nasal
  • dispneia, taquipneia, sibilância, tosse ou cianose
  • rouquidão, estridor ou sensação de sufocamento
  • náuseas e vômitos
  • cólica ou distensão abdominal
  • diarreia
  • hiperemia conjuntival ou lacrimejamento
  • edema periorbital
  • início abrupto dos sintomas
  • reação causada por uma pequena quantidade de alimento
  • presença de outras doenças alérgicas
  • edema laríngeo

Outros fatores de diagnóstico

  • taquicardia ou bradicardia
  • reação exacerbada por exercícios ou esforço físico
  • ingestão de medicamentos ou de bebidas alcoólicas antes da reação
  • arritmia cardíaca
  • hipotensão

Fatores de risco

  • história familiar de alergia alimentar
  • dermatite atópica
  • neonatos
  • exposição perinatal a óleo de amendoim

Exames diagnósticos

1° exames a serem solicitados

  • imunoensaio da imunoglobulina E (IgE) específica in vitro
  • teste alérgico cutâneo por puntura ("prick test")
Mais 1° exames a serem solicitados

Novos exames

  • testes de adesivo atópico
  • diagnósticos resolvidos por componentes
Mais novos exames

Algoritmo de tratamento

Colaboradores

A. Wesley Burks

Curnen Distinguished Professor and Chair

Department of Pediatrics

University of North Carolina

Chapel Hill

NC

Divulgações

AWB receives grant support to his institution from the National Institutes of Health, Food Allergy Research & Education, and Allergen Research Corporation; royalties from UpToDate; consulting honorariums from Aravax, Astella Pharma Global Development, DBV Technologies and N-Fold, LLC, as well as Aimmune Therapeutics, Consortia TX, Inc., Intrommune Therapeutics, and Prota Therapeutics for his service on their respective Scientific Advisory Boards. AWB has consulted for the following companies (which are all now expired): Biomerica, Inc., Evelo Biosciences/Epiva, Genentech, Insys Therapeutics, PPD Development, Sanofi US Services, Valeant Pharmaceuticals North America, LLC, LEK Consulting, LLC, Hycor Biomedical. AWB has received payments for speaking at the Gordon Research Conferences, the Pediatric Allergy and Asthma Meeting, and the American College of Allergy Asthma and Immunology. AWB is a minority stockholder of both Allertein and Mastcell Pharmaceuticals stock. These interests do not directly relate to the article but are being shared for full disclosure. AWB is an author of references cited in this topic.

Associate Professor

Department of Pediatrics

Division of Allergy and Immunology

University of Texas Southwestern Medical Center

Dallas

TX

Divulgações

JAB has received fees from Food Allergy Research and Education; personal fees and non-financial support from the American College of Allergy, Asthma and Immunology; grants from Nestle Health Sciences; personal fees from Nutricia North America; personal fees from Pharm-Olam International LTD; consulting work for and personal fees from Pfizer Pharmaceuticals; grants, personal fees and non-financial support from Aimmune Therapeutics; personal fees from Prota Therapeutics; personal fees from Allergy Therapeutics Ltd; grants from NIH-NIAID; grants from Novartis; personal fees from AllerGenis; personal fees from Abbott Nutrition International; grants and personal fees from DBV Technologies.

Colegas revisoresMOSTRAR TODOS

Assistant Professor of Pediatric Allergy and Immunology

Mount Sinai School of Medicine

New York

NY

Divulgações

JS declares that he has no competing interests.

Professor of Pediatrics

Mount Sinai School of Medicine

New York

NY

Divulgações

HAS holds a 4% interest in a biotech company, Allertein Pharmaceuticals LLC, which is developing an engineered recombinant protein vaccine for peanut allergy, and 45% interest in a virtual company, Herbal Springs LLC, that holds a patent application on an herbal product for treating asthma and another for treating food allergy. HAS is an author of a number of references cited in this topic.

Consultant and Honorary Senior Lecturer in Paediatric Allergy

Evelina Children's Hospital

Guy's & St Thomas' Hospitals NHS Foundation Trust

London

UK

Divulgações

AF declares that he has no competing interests.

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