Food Allergy in Infancy and Childhood PDF
Preview Food Allergy in Infancy and Childhood
H. K. Harms U. Wahn (Eds.) Food Allergy in Infancy and Childhood With 49 Figures and 46 Tables Springer Verlag Berlin Heidelberg New York London Paris Tokyo Professor Dr. med. H. K. Harms Kinderklinik Dr. v. Haunersches Kinderspital der UniversiUit Miinchen LindwurmstraBe 4 8000 Miinchen 2, FRG Professor Dr. med. U. Wahn Kinder- und Poliklinik Universitatsklinikum Rudolf Virchow Standort Charlottenburg Heubnerweg 6 1000 Berlin 19, FRG ISBN-13: 978-3-540-50636-2 e-ISBN-13: 978-3-642-74357-3 001: 10.978-3-642-74357-3 Library of Congress Cataloging·in·Publication Data. Food allergy in infancy and childhood / H. K. Harms, U. Wahn (eds.). Bibliography, Includes index. ISBN-13: 978-3-540-50636-2 (U.S.) 1. Food allergy in infants. 2. Food allergy in children. I. Harms, H. K. II. Wahn, U. RJ386.5.H37 1989 618.92'975 - dc19 89-6086 CIP This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustra tions, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9, 1965, in its version of June 24, 1985, and a copyright fee must always be paid. Violations fall under the prosecution act of the German Copyright Law. © Springer-Verlag Berlin Heidelberg 1989 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protec tive laws and regulation and therefore free for general use. Product Liability: The publishers can give no guarantee for information about drug dos age and application thereof contained in the book. On every individual case the respec tive user must check its accuracy be consulting other pharmaceutical literature. Typesetting and Printing: Zechnersche Buchdruckerei, Speyer Bookbinding: Schaffer, Griinstadt 2125/3145-543210 Printed on acid-free paper Preface Since the beginning of the century when HAMBURGER, SCHLOSS MANN, and MORO first described food allergy in infants being fed with cow's milk, this topic has been the subject of very con troversial discussions among pediatricians. The dispute is illus trated by markedly fluctuating incidence figures, ranging from denial of the disease to incidence rates up to one in ten infants. The explanation for the differing incidence figures lies in the lack of a single laboratory test which is simple as well as applicable and reliable for all clinical and immunological reactions. Even though the classic allergic hypersensitivity reactions mediated by specific IgE antibodies are relatively clearly defined, there still exist other more complex immune responses which are more dif ficult to recognize. In the fall of 1987 internationally renowned experts from var ious fields met to define and discuss the fundamentals, organic manifestations, and the current status of diagnosis, treatment, and prevention of food allergy in childhood. The results have been collected in the volume in hand, in hopes that it will encourage more public involvement in the discussion of this illness, which is fortunately mostly transient. Munich, Berlin; February 1989 H.K.HARMS U.WAHN Table of Contents Biochemical Characteristics of Food Allergens 1 K.Aas Mucosal Passage and Handling of Food-Protein Antigens 13 M.Stern Immune Responses of the Young to Foods: Developmental Aspects of Food Allergy 25 S.Strobel The Physiological Humoral Immunologic Response to Alimentary Antigens ................ 39 C. H. L. Rieger Food Antigens in Human Milk 47 1.1akobsson Pseudo-Allergic Reactions to Food 53 D. A. Moneret-Vautrin, Y. Maria Clinical Recognition of the Child with Food Allergy 61 D.l. Hill Gastrointestinal Manifestations of Food Allergy in Childhood . . . . . . . . . . . . . . . . . . . . 71 H. K. Harms, R. M. Bertele-Harms The Significance of Food Allergy in Atopic Dermatitis 87 H. A. Sampson VIII Table of Contents Food Allergy and Asthma 101 J. Bousquet, F. B. Michel Food Allergy and Disorders of the Central Nervous System in Childhood .................. 107 J.Egger The Relevance of History for the Diagnosis of Cow's Milk Allergy: A Prospective Study in Danish Infants 125 A.Hl2Jst IgE-Mediated Allergies 133 R. Urbanek Relationship of Histamine Release and Other In Vitro Methods to Oral Provocation Test in Hen's Egg Allergic Patients 139 S. Lau, U. Wahn Modification of Intenstinal Permeability to Large Molecules During Oral Provocation Tests in Children with Cow's Milk Sensitive Enteropathy and Atopic Dermatitis . . . . . . . . . . . . . . . . . 147 C. Dupont, E. Barau, P. Molkhou Whole Cow's Milk Versus Hydrolysed Infant Formulae: Analysis of Systemic Immune Responses and Antigenic Cross-Reactivities ....................... 157 S. Strobel, L. M. Fairclough The Binding Capacity of IgE to Hypoallergenic Nutrients 167 C.P.Bauer How Allergenic are "Hypoallergenic" Formulas? 173 S. Lau, U. Wahn Experience with Hypoallergenic Formulas in the Treatment of Food Allergy in Infancy 177 R. M. Bertele-Harms, H. K. Harms Table of Contents IX Sodium Cromoglycate in the Management of Food Allergy in Children 189 0 0 0 0 0 0 0 0 0 0 0 0 L. Businco, A. Cantani, Po Meglio, Po Go Giampietro Food Allergy - Epidemiology and Prediction 205 0 0 0 0 No-I. Mo Kjellman Prolonged Exclusive Breast-Feeding as a Determinant of Infantile Atopy and Infections 209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Eo Savilahti, Vo-Mo Tainio, L. Salmenpera Subject Index 219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 List of Contributors Professor Dr. med. Volksentoppen KJELL AAS P.O. Box 50 Voksenkollen 0326 Oslo 3, Norway Dr. med. Hopital St. Vincent de Paul E.BARAU 74, Avenue Denfert Rocherau 75674 Paris Cedex, France Priv. Doz. Dr. med. Kinderklinik und Poliklinik der C.P.BAUER Technischen Universitat Munchen Kolner Platz 1 8000 Munchen 40, FRG Dr.med. Kinderklinik R. M. BERTELE-HARMS Dr. v. Haunersches Kinderspital der Universitat Munchen LindwurmstraBe 4 8000 Munchen 2, FRG Dr.med. Service des Maladies Respiratoires JEAN BOUSQUET Centre Hospitalier Regional de Montpellier Hopital l'A iguelongue Montpellier, France Professor Dr. med. Department of Pediatrics LUISA BUSINCO Allergy and Clinical Immunology Division University La Sapienza Rome, Italy XII List of Contributors Dr. med. Department of Pediatrics ARNALDO CANTANI Allergy and Clinical Immunology Division University La Sapienza Rome, Italy Dr. med. Hopital St. Vincent de Paul C.DUPONT 74, Avenue Denfert Rochereau 75674 Paris Cedex, France Dr. med. Kinderklinik JOSEPH EGGER Dr. v. Haunersches Kinderspital der Universitat Munchen LindwurmstraBe 4 8000 Munchen 2, FRG Dr. med. Department of Immunology L. M. FAIRCLOUGH Institute of Child Health 30, Guilford Street London, WC 1N 1E H, UK Dr.med. Department of Pediatrics PAOLO G.GIAMPIETRO Allergy and Clinical Immunology Division University La Sapienza Rome, Italy Professor Dr. med. Kinderklinik H. K. HARMS Dr. v. Haunersches Kinderspital der Universitat Munchen LindwurmstraBe 4 8000 Munchen 2, FRG Dr. med. Allergy-Clinical Immunology Unit DAVID J.HILL Royal Children's Hospital Melbourne, Australia Dr.med. Department of Pediatrics ARNE H0ST Odense University Hospital 5000 Odense C, Denmark List of Contributors XIII Dr. med. Department of Pediatrics IRENE JAKOBSSON Malmo General Hospital Malmo, Sweden Professor Dr. med. Department of Pediatrics MAX KlELLMANN Faculty of Health Sciences Linkopings University 581 85 Linkoping, Sweden Dr.med. Kinder- und Poliklinik S.LAU Universitatsklinikum Rudolf Virchow Standort Charlottenburg Heubnerweg 6 1000 Berlin 19, FRG Dr. med. Service de M6decine D Y.MARIA Immuno-allergologie H6pital de Brabois Vandoeuvre-Les-Nancy 54511, France Dr. med. Department of Pediactrics PAOLO MEGLIO Allergy and Clinical Immunology Division U niv€rsity La Sapienza Rome, Italy Dr.med. Service des Maladies Respiratoires FRANCOISE B. MICHEL Centre Hospitalier Regional de Montpellier Hopital l'A iguelongue Montpellier, France Dr. med. H6pital St. Vincent de Paul P.MOLKHOU 74, Avenue Denfert Rochereau 75674 Paris Cedex, France Professor Dr. med. Service de Merlecine D D. A. MONERET Immuno-allergologie VAUTRIN H6pital de Brabois 54500 Vandoeuvre-Les-Nancy, France
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