哮喘和食物依赖性运动诱导性变态反应

摘要

目的 对食物依赖性运动诱导性变态反应(Food-dependent exercise-induced anaphylaxis,FDEIA)进行调查研究.方法 采用问卷调查方法,对每一个调查对象在门诊进行询问.结果 ① 21名患者是13～25岁青少年,平均年龄为17.4岁.其中男性17例(80.95%),女性4例(19.05%),男性明显多于女性,差异有统计学意义(P<0.05).② 小麦和鱼虾是引起FDEIA的主要食物,病例中进食与运动的间隔时间均在10～120 min以内,平均为67 min.③ 21名患者除了均有呼吸道症状如呼吸困难和喘息(100%)外,不同程度伴随有皮肤表现如荨麻疹和血管性水肿(76.8%),消化道症状如呕吐和腹痛(47.6%),低血压(61.9%).讨论 FDEIA是不常见且常常不能正确识别的综合征,了解FDEIA对因哮喘症状就诊的患者可以立即做出正确鉴别.%Objective To explored the Food-dependent exercise-induced anaphylaxis. Metheds All of the patients participated inaquestionnairsurvey. Result 1. We described here 21 patients aged 13 to 25 years old. There are 17 boys(80.95％) and4girls ( 19. 05％ ). 2. wheat and shellfish are the most frequent allergenic food. 3. The typical symptoms include respiratory symptoms,skin manifestations, abdominal pain,loss of consciousness. Conclusion More public awareness and strategies to ensure accurate diagnosis and management of this condition are necessary.