Evaluation of clinical and demographic features of childhood food allergy: A single-center experience.

Northern clinics of Istanbul Pub Date : 2023-11-20 eCollection Date: 2023-01-01 DOI:10.14744/nci.2022.92195
Elif Nurdan Ozmansur, Murat Cansever, Fulya Tahan
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Abstract

Objective: Current evaluations of pediatric food allergies are very important, many studies have shown that the frequency of food allergies is increasing in the pediatric age group. In this study, we retrospectively investigated the epidemiology and clinical features to better understand the clinical effects of food allergy, to contribute to the literature on this subject, and to evaluate the data of our country.

Methods: The epidemiological and clinical data of patients with food allergies diagnosed at the Erciyes University Pediatric Allergy Outpatient Clinic between 2014 and 2019 were analyzed. The outcomes were analyzed by a statistical analyzing program and compared with the literature.

Results: As a result of our retrospective evaluation, we found that the mean age of 854 patients who were diagnosed with food allergy was 21.2±30.7 months (min 0 months, max 16.5 years). 512 (60%) of our patients were female, and 342 (40%) were male. The most common complaint was rash at the rate of 75.2% and followed by itching 27.6%, angioedema 10.5%, bloody defecation 10.5%, wheezing 8.4%, vomiting 8.3%, diarrhea 6.7%, frequent bronchiolitis 6.6%, cough 6.2%, and shortness of breath 4.4%. It was shown that 32.2% of the patient had multiple food allergies and the highest sensitivity rates were 65.9% with egg allergies and 39.2% with milk. In the classification, it was found that 75.1% of the patients who were followed up with food allergy had IgE-mediated food allergy, and 24.9% had a non-IgE-mediated food allergy.

Conclusion: The results of this study of a 5-year cross-sectional evaluation of the patients diagnosed with food allergy and followed up in our clinic may contribute to the growing body of literature on pediatric-age food allergy.

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评估儿童食物过敏的临床和人口特征:单中心经验。
目的:目前对儿科食物过敏的评估非常重要,许多研究表明,食物过敏在儿科年龄组中的发生率正在增加。在这项研究中,我们对流行病学和临床特征进行了回顾性调查,以更好地了解食物过敏的临床影响,为这方面的文献做出贡献,并对我国的数据进行评估:分析了2014年至2019年期间在埃尔希耶斯大学儿科过敏门诊确诊的食物过敏患者的流行病学和临床数据。通过统计分析程序对结果进行分析,并与文献进行比较:通过回顾性评估,我们发现854名被诊断为食物过敏的患者的平均年龄为(21.2±30.7)个月(最小0个月,最大16.5岁)。512名患者(60%)为女性,342名患者(40%)为男性。最常见的主诉是皮疹(75.2%),其次是瘙痒(27.6%)、血管性水肿(10.5%)、排便带血(10.5%)、喘息(8.4%)、呕吐(8.3%)、腹泻(6.7%)、频繁支气管炎(6.6%)、咳嗽(6.2%)和气短(4.4%)。结果显示,32.2%的患者对多种食物过敏,其中对鸡蛋过敏的敏感率最高,为 65.9%,对牛奶过敏的敏感率最高,为 39.2%。分类结果显示,在随访的食物过敏患者中,75.1%为IgE介导的食物过敏,24.9%为非IgE介导的食物过敏:本研究对在本诊所被诊断为食物过敏并接受随访的患者进行了为期 5 年的横断面评估,其结果可为不断增加的有关儿童食物过敏的文献做出贡献。
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