[Food anaphylaxis].

María Isabel Rojo Gutiérrez, Marylin Valentín Rostan, Patricia Latour Staffeld, Edgardo José Jares
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Abstract

Anaphylaxis, a potentially life-threatening reaction, is characterized by acute symptoms affecting various systems and requires immediate medical intervention. While the overall mortality rate is low, anaphylaxis induced by foods and drugs has seen an increase. Common triggers include foods, drugs, and Hymenoptera venom. Epidemiology varies by region and age, with a global incidence of 50-112 episodes per 100,000 people annually. Implicated foods vary by age and region, with peanuts and nuts being common triggers. Two mechanisms of anaphylaxis are recognized: IgE-mediated and non-IgE-mediated. Diagnosis is based on clinical criteria and serum tryptase levels. Treatment includes epinephrine, oxygen, and intravenous fluids. Exercise-induced food-dependent anaphylaxis is addressed, where exercise, combined with certain foods, triggers anaphylactic reactions. Proper understanding and management are crucial to mitigate risks.

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[食物过敏性休克]。
过敏性休克是一种可能危及生命的反应,其特点是出现影响各系统的急性症状,需要立即进行医疗干预。虽然总体死亡率较低,但由食物和药物诱发的过敏性休克却有所增加。常见的诱发因素包括食物、药物和膜翅目昆虫毒液。流行病学因地区和年龄而异,全球发病率为每年每 10 万人 50-112 例。受影响的食物因年龄和地区而异,花生和坚果是常见的诱发因素。过敏性休克有两种机制:IgE 介导和非 IgE 介导。诊断依据是临床标准和血清胰蛋白酶水平。治疗包括肾上腺素、氧气和静脉输液。运动诱发的食物依赖性过敏性休克是指运动与某些食物结合后引发的过敏反应。正确理解和管理对降低风险至关重要。
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