Loeys-Dietz Gastroenterology and Allergy Q&A
38:57-40:39
Q:
We've had a couple of questions. I see Julie, I know Lincoln has tree nut allergies, so asking about a young child a type 2, you know, when would you use an EpiPen, would you not use an EpiPen? At what age would you do a food challenge to see if he's grown out of it?
エピペンを使う・使わないの判断基準を教えてください。また、食物アレルギー（ナッツ）が治ったこと確認するための食物経口負荷試験は、何歳で受ければいいでしょうか？
A:
Those are all good questions, so in terms of when to use an EpiPen if they have a reaction that is mild or localized and what I mean by localized they have maybe hives at one part of their body and that's their only symptom or they only have itchiness in their mouth or they had one episode of vomiting, for instance, then you could try treating with an antihistamine something like the Zyrtec, Benadryl or Allegra that I mentioned but if they start to have difficulty swallowing or breathing or there's two systems involved where they have hives involving their whole body and their vomiting, so it's both GI symptoms and skin symptoms, that's when we would go ahead and use the EpiPen.
まず、エピペンを使う・使わないの判断基準について回答します。アレルギー反応が軽度あるいは局所的である場合、具体的には、体の一箇所にじんましんが出ただけで他に症状はない、口の中がヒリヒリする、一回嘔吐しただけ、といった場合には、抗ヒスタミン薬（ジルテック、ベナドリル、アレグラ）を使います。また、嚥下困難や呼吸困難、2つ以上の器官系に場合、例えば、じんましんが全身に出て嘔吐したといったように消化器系の症状と皮膚症状が両方とも出た場合には、エピペンを使います。
Then, I forgot the second question was about food challenges, so food challenges that is where the allergy testing does come into play, so we have pretty good cutoffs for when we would do a food challenge for tree nuts and so it's really based on their history of reaction to the tree nuts, whether they've ever eaten them and if they have what their reaction was, the type of reaction they had, how long ago that reaction was and what their IgE level to that tree nut is, so it's, it's a, it takes into I guess incorporates a few pieces of information but we would generally check the IgE levels about once a year and make that decision again based on the clinical history when to offer a food challenge.
ナッツの食物経口負荷試験では、アレルギー検査が重要な役割を果たします。行うべき時期については、明確な基準があります。ナッツによるアレルギー反応の既往、つまり、食べたことがあるかどうか、食べたことがある場合はどういった反応であったか、反応の種類、どのくらい前に起こった反応か、ナッツに対するIgE値に基づきます。こうした情報が判断材料になりますが、IgE値については、1年に一度検査するのが一般的で、この値と既往歴を組み合わせて検査時期を判断することになります。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.org にアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
