最近审阅: 24 十月 2020
最近更新: 05 三月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 急性发作
  • 荨麻疹
  • 血管性水肿
  • 冲洗
  • 呼吸困难
  • 哮鸣音
  • 鼻炎

其他诊断因素

  • 变应原摄入
  • 昆虫叮咬
  • 瘙痒
  • 吸气相鸣音和声音嘶哑
  • 双侧结膜炎
  • 恶心和呕吐
  • 腹部绞痛或疼痛
  • 激动/焦虑
  • 意识模糊/定向障碍
  • 心动过速
  • 头晕
  • 晕厥
  • 感到不安(濒死感)
  • 起病前运动情况
  • 受热或受冷
  • 低血压
  • 心动过缓
  • 心搏骤停
  • 腹泻
  • 视觉障碍
  • 震颤
  • 惊厥

危险因素

  • 成年:食物、昆虫毒素及药物相关
  • 30 岁以下人群:食物相关运动诱发
  • 女性
  • 特应性疾病/哮喘
  • 全身过敏反应既往史
  • 接触常见致敏物(例如乳胶)

诊断性检查

首要检查

  • 血清类胰蛋白酶水平
更多 首要检查

需考虑的检查

  • 体外 IgE 检测
  • 皮肤试验
  • 激发试验
更多 需考虑的检查

新兴检查

  • 嗜碱细胞活化试验
更多 新兴检查

治疗流程

撰稿人

Assistant Professor

Pediatric Allergy and Immunology

Penn State Health Milton S. Hershey Medical Center

Hershey

PA

利益声明

DAA is author of an UpToDate article on food allergy and a number of references cited in this topic.

Associate Professor

Department of Anesthesiology

Penn State Health Milton S. Hershey Medical Center

Hershey

PA

利益声明

MHA is an author of a reference cited in this topic.

Dr Doerthe Adriana Andreae and Dr Michael Henning Andreae would like to gratefully acknowledge Dr Andrea Vereda, a previous contributor to this topic.

利益声明

AV declares that she is currently employed by Aimmune Therapeutics. AV wrote the main content of this topic before taking up this appointment.

同行评议者展开全部内容

Associate Professor

Family Medicine and Community Health

University of Massachusetts Medical School

Worcester

MA

利益声明

FJD declares that he has no competing interests.

Assistant Professor of Pediatrics

Mount Sinai School of Medicine

New York

NY

利益声明

WS declares that he has no competing interests.

Visiting Consultant in Allergy

Addenbrooke’s Hospital NHS Trust

Cambridge

UK

利益声明

LY declares that he has no competing interests.

Consultant Immunologist

Department of Immunology

Epsom & St Helier University Hospitals NHS Trust

Carshalton

Surrey

UK

利益声明

GH declares that he has no competing interests.

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