ภาวะแพ้อาหารในผู้ใหญ่
คำสำคัญ:
ภาวะแพ้อาหาร, วัยผู้ใหญ่, กลุ่มอาการคันรอบปากจากอาหารจำพวกผลไม้, ภาวะแพ้รุนแรงหลังรับประทานอาหารและออกกำลังกายบทคัดย่อ
ภาวะแพ้อาหาร เป็นภาวะที่เกิดจากการตอบสนองของภูมิคุ้มกันของร่างกายที่ผิดปกติต่ออาหารที่รับประทานเข้าไป ภาวะแพ้อาหารในผู้ใหญ่เป็นอาการที่สำคัญ เนื่องจากอุบัติการณ์การเกิดโรคที่เพิ่มสูงขึ้น
และการดำเนินโรคที่แตกต่างจากภาวะแพ้อาหารในวัยเด็ก การวินิจฉัยต้องอาศัยความรู้ความเข้าใจจากแพทย์ผู้เชี่ยวชาญร่วมกับประวัติที่ชัดเจนจากผู้ป่วย เนื่องจากผู้ป่วยส่วนใหญ่มักเข้าใจว่าผลข้างเคียงของอาหารที่เกิดขึ้นเป็นการแพ้อาหาร บทความนี้ประกอบด้วยภาวะแพ้อาหารที่เกี่ยวข้องกับระบบภูมิคุ้มกันทั้งแบบเฉียบพลันและแบบเรื้อรัง และรวบรวมสาเหตุต่างๆ ที่เกิดอาการแพ้อาหารในผู้ใหญ่ เช่น ภาวะแพ้อาหารร่วมกับการออกกำลังกาย หรือภาวะแพ้ผลไม้ที่มีกลุ่มอาการคันรอบปาก พร้อมทั้งอธิบายถึงการวินิจฉัยและการดูแลรักษา บทความนี้มีวัตถุประสงค์เพื่อสะท้อนให้เห็นถึงภาพรวมเกี่ยวกับการแพ้อาหารในผู้ใหญ่การวินิจฉัย และการให้คำแนะนำอย่างถูกต้อง รวมถึงการนำองค์ความรู้ไปใช้ประโยชน์ในดูแลผู้ป่วย
เอกสารอ้างอิง
1. Chafen JJ, Newberry SJ, Riedl MA, et al. Diagnosing and managing common food allergies: a systematic review. Jama 2010;303:1848-56.
2. Burks AW, Tang M, Sicherer S, et al. ICON: food allergy. J Allergy Clin Immunol 2012;129:906-20.
3. Boyce JA, Assa’ad A, Burks AW, et al. Guidelines for the diagnosis and management of food allergy in the United States: summary of the NIAID-sponsored expert panel report. Nutr Res 2011;31: 61-75.
4. Sicherer SH. Epidemiology of food allergy. J Allergy Clin Immunol 2011;127:594-602.
5. Gupta RS, Springston EE, Warrier MR, et al. The prevalence, severity, and distribution of childhood food allergy in the United States. Pediatrics 2011;128: e9-17.
6. Soller L, Ben-Shoshan M, Harrington DW, et al. Overall prevalence of self-reported food allergy in Canada. J Allergy Clin Immunol 2012;130:986-8.
7. Rona RJ, Keil T, Summers C, et al. The prevalence of food allergy: a metaanalysis. J Allergy Clin Immunol 2007;120:638-46.
8. Rangkakulnuwat P, Sutham K, Lao-Araya M. Anaphylaxis: Ten-year retrospective study from a tertiary-care hospital in Asia. Asian Pac J Allergy Immunol 2020;38:31.
9. Sicherer SH, Sampson HA. Food allergy: Epidemiology, pathogenesis, diagnosis, and treatment. J Allergy Clin Immunol 2014;133:291-307;quiz8.
10. Savage J, Sicherer S, Wood R. The Natural History of Food Allergy. J Allergy Clin Immunol Pract 2016;4:196-203; quiz 4.
11. Ochfeld EN, Pongracic JA. Food allergy: Diagnosis and treatment. Allergy Asthma Proc 2019;40:446-9.
12. Kamdar TA, Peterson S, Lau CH, et al. Prevalence and characteristics of adultonset food allergy. J Allergy Clin Immunol Pract 2015;3:114-5.e1.
13. Begin P, Chan ES, Kim H, et al. CSACI guidelines for the ethical, evidence-based and patient-oriented clinical practice of oral immunotherapy in IgE-mediated food
allergy. Allergy Asthma Clin Immunol 2020;16:20.
14. Iweala OI, Choudhary SK, Commins SP. Food Allergy. Curr Gastroenterol Rep 2018;20:17.
15. Katelaris CH. Food allergy and oral allergy or pollen-food syndrome. Curr Opin Allergy Clin Immunol 2010;10:246-51.
16. Mahdavinia M. Food Allergy in Adults: Presentations, Evaluation, and Treatment. Med Clin North Am 2020;104:145-55.
17. Visness CM, London SJ, Daniels JL, et al. Association of obesity with IgE levels and allergy symptoms in children and adolescents: results from the National Health and Nutrition Examination Survey 2005-2006. J Allergy Clin Immunol 2009;123:1163-9, 9.e1-4.
18. Capucilli P, Hill DA. Allergic Comorbidity in Eosinophilic Esophagitis: Mechanistic Relevance and Clinical Implications. Clin Rev Allergy Immunol 2019;57:111-27.
19. Gupta RS, Warren CM, Smith BM, et al. Prevalence and Severity of Food Allergies Among US Adults. JAMA Netw Open 2019;2:e185630.
20. Sicherer SH, Warren CM, Dant C, et al. Food Allergy from Infancy Through Adulthood. J Allergy Clin Immunol Pract 2020;8:1854-64.
21. Kleine-Tebbe J, Wassmann-Otto A, Monnikes H. [Food Allergy and Intolerance: Distinction, Definitions and Delimitation]. Bundesdedundheitsbla 2016;59:705-22.
22. Sampson HA, Aceves S, Bock SA, et al. Food allergy: a practice parameter update-2014. J Allergy Clin Immunol 2014;134:1016-25.e43.
23. Chomchai S, Chomchai C. Histamine poisoning from insect consumption: an outbreak investigation from Thailand. Clin Toxicol (Phila) 2018;56:126-31.
24. Skypala IJ, Williams M, Reeves L, et al. Sensitivity to food additives, vaso-active amines and salicylates: a review of the evidence. Clin Transl Allergy 2015;5:34.
25. Hodge L, Swain A, Faulkner-Hogg K. Food allergy and intolerance. Aust Fam Physician 2009;38:705-7.
26. Lam HY, van Hoffen E, Michelsen A, et al. Cow’s milk allergy in adults is rare but severe: both casein and whey proteins are involved. Clin Exp Allergy 2008;38:995-
1002.
27. Ugidos-Rodríguez S, Matallana-González MC, Sánchez-Mata MC. Lactose malabsorption and intolerance: a review. Food Funct 2018;9:4056-68.
28. Fiocchi A, Dahdah L, Albarini M, et al. Cow’s milk allergy in children and adults. Chem Immunol Allergy 2015;101:114-23.
29. Fiocchi A, Dahda L, Dupont C, et al. Cow’s milk allergy: towards an update of DRACMA guidelines. World Allergy Organ J 2016;9:35.
30. Wong GK, Krishna MT. Food-dependent exercise-induced anaphylaxis: is wheat unique? Curr Allergy Asthma Rep 2013;13:639-44.
31. Cianferoni A. Wheat allergy: diagnosis and management. J Asthma Allergy 2016;9:13.
32. Morita E, Matsuo H, Chinuki Y, et al. Fooddependent exercise-induced anaphylaxisimportance of omega-5 gliadin and HMWglutenin as causative antigens for wheatdependent exercise-induced anaphylaxis. Allergol Int 2009;58:493-8.
33. Brisman J. Baker’s asthma. Occup Environ Med 2002;59:498-502;quiz,426.
34. T h o n g k h o m R , O n c h a m S , Sompornrattanaphan M, et al. Banana anaphylaxis in Thailand: case series. Asia Pac Allergy 2020;10:e4.
35. Sanchez-Borges M, Suarez-Chacon R, Capriles-Hulett A, et al. Pancake syndrome (oral mite anaphylaxis). World Allergy Organ J 2009;2:91
36. Hilger C, Fischer J, Wolbing F, et al. Role and Mechanism of Galactose-Alpha-1,3- Galactose in the Elicitation of Delayed Anaphylactic Reactions to Red Meat. Curr Allergy Asthma Rep 2019;19:3.
37. Matricardi PM, Kleine-Tebbe J, Hoffmann HJ, et al. EAACI Molecular Allergology User’s Guide. Pediatr Allergy Immunol 2016;27 (Suppl 23) 23:1-250.
38. Wongrakpanich S, Klaewsongkram J, Chantaphakul H, et al. Jackfruit anaphylaxis in a latex allergic patient. Asian Pac J Allergy Immunol 2015;33:65-8.
39. Stirapongsasuti P, Tanglertsampan C, Aunhachoke K, et al. Anaphylactic reaction to phuk-waan-ban in a patient with latex allergy. J Med Assoc Thai 2010;93:616-9.
40. Borres MP, Maruyama N, Sato S, et al. Recent advances in component resolved diagnosis in food allergy. Allergol Int 2016;65:378-87.
41. Asaumi T, Yanagida N, Sato S, et al. Provocation tests for the diagnosis of food-dependent exercise-induced anaphylaxis. Pediatr Allergy Immunol 2016;27:44-9.
42. Brockow K, Kneissl D, Valentini L, et al. Using a gluten oral food challenge protocol to improve diagnosis of wheatdependent exercise-induced anaphylaxis.J Allergy Clin Immunol 2015;135:977-84.e4.
43. Pavicic Saric J, Zenko J, Bevanda M, et al. Liver transplantation and allergy: transplant-acquired food allergy. Psychiatr Danub 2019;31:63-5.
44. Dreskin SC, Halsey NA, Kelso JM, et al. International Consensus (ICON): allergic reactions to vaccines. World Allergy Organ J 2016;9:32.
2. Burks AW, Tang M, Sicherer S, et al. ICON: food allergy. J Allergy Clin Immunol 2012;129:906-20.
3. Boyce JA, Assa’ad A, Burks AW, et al. Guidelines for the diagnosis and management of food allergy in the United States: summary of the NIAID-sponsored expert panel report. Nutr Res 2011;31: 61-75.
4. Sicherer SH. Epidemiology of food allergy. J Allergy Clin Immunol 2011;127:594-602.
5. Gupta RS, Springston EE, Warrier MR, et al. The prevalence, severity, and distribution of childhood food allergy in the United States. Pediatrics 2011;128: e9-17.
6. Soller L, Ben-Shoshan M, Harrington DW, et al. Overall prevalence of self-reported food allergy in Canada. J Allergy Clin Immunol 2012;130:986-8.
7. Rona RJ, Keil T, Summers C, et al. The prevalence of food allergy: a metaanalysis. J Allergy Clin Immunol 2007;120:638-46.
8. Rangkakulnuwat P, Sutham K, Lao-Araya M. Anaphylaxis: Ten-year retrospective study from a tertiary-care hospital in Asia. Asian Pac J Allergy Immunol 2020;38:31.
9. Sicherer SH, Sampson HA. Food allergy: Epidemiology, pathogenesis, diagnosis, and treatment. J Allergy Clin Immunol 2014;133:291-307;quiz8.
10. Savage J, Sicherer S, Wood R. The Natural History of Food Allergy. J Allergy Clin Immunol Pract 2016;4:196-203; quiz 4.
11. Ochfeld EN, Pongracic JA. Food allergy: Diagnosis and treatment. Allergy Asthma Proc 2019;40:446-9.
12. Kamdar TA, Peterson S, Lau CH, et al. Prevalence and characteristics of adultonset food allergy. J Allergy Clin Immunol Pract 2015;3:114-5.e1.
13. Begin P, Chan ES, Kim H, et al. CSACI guidelines for the ethical, evidence-based and patient-oriented clinical practice of oral immunotherapy in IgE-mediated food
allergy. Allergy Asthma Clin Immunol 2020;16:20.
14. Iweala OI, Choudhary SK, Commins SP. Food Allergy. Curr Gastroenterol Rep 2018;20:17.
15. Katelaris CH. Food allergy and oral allergy or pollen-food syndrome. Curr Opin Allergy Clin Immunol 2010;10:246-51.
16. Mahdavinia M. Food Allergy in Adults: Presentations, Evaluation, and Treatment. Med Clin North Am 2020;104:145-55.
17. Visness CM, London SJ, Daniels JL, et al. Association of obesity with IgE levels and allergy symptoms in children and adolescents: results from the National Health and Nutrition Examination Survey 2005-2006. J Allergy Clin Immunol 2009;123:1163-9, 9.e1-4.
18. Capucilli P, Hill DA. Allergic Comorbidity in Eosinophilic Esophagitis: Mechanistic Relevance and Clinical Implications. Clin Rev Allergy Immunol 2019;57:111-27.
19. Gupta RS, Warren CM, Smith BM, et al. Prevalence and Severity of Food Allergies Among US Adults. JAMA Netw Open 2019;2:e185630.
20. Sicherer SH, Warren CM, Dant C, et al. Food Allergy from Infancy Through Adulthood. J Allergy Clin Immunol Pract 2020;8:1854-64.
21. Kleine-Tebbe J, Wassmann-Otto A, Monnikes H. [Food Allergy and Intolerance: Distinction, Definitions and Delimitation]. Bundesdedundheitsbla 2016;59:705-22.
22. Sampson HA, Aceves S, Bock SA, et al. Food allergy: a practice parameter update-2014. J Allergy Clin Immunol 2014;134:1016-25.e43.
23. Chomchai S, Chomchai C. Histamine poisoning from insect consumption: an outbreak investigation from Thailand. Clin Toxicol (Phila) 2018;56:126-31.
24. Skypala IJ, Williams M, Reeves L, et al. Sensitivity to food additives, vaso-active amines and salicylates: a review of the evidence. Clin Transl Allergy 2015;5:34.
25. Hodge L, Swain A, Faulkner-Hogg K. Food allergy and intolerance. Aust Fam Physician 2009;38:705-7.
26. Lam HY, van Hoffen E, Michelsen A, et al. Cow’s milk allergy in adults is rare but severe: both casein and whey proteins are involved. Clin Exp Allergy 2008;38:995-
1002.
27. Ugidos-Rodríguez S, Matallana-González MC, Sánchez-Mata MC. Lactose malabsorption and intolerance: a review. Food Funct 2018;9:4056-68.
28. Fiocchi A, Dahdah L, Albarini M, et al. Cow’s milk allergy in children and adults. Chem Immunol Allergy 2015;101:114-23.
29. Fiocchi A, Dahda L, Dupont C, et al. Cow’s milk allergy: towards an update of DRACMA guidelines. World Allergy Organ J 2016;9:35.
30. Wong GK, Krishna MT. Food-dependent exercise-induced anaphylaxis: is wheat unique? Curr Allergy Asthma Rep 2013;13:639-44.
31. Cianferoni A. Wheat allergy: diagnosis and management. J Asthma Allergy 2016;9:13.
32. Morita E, Matsuo H, Chinuki Y, et al. Fooddependent exercise-induced anaphylaxisimportance of omega-5 gliadin and HMWglutenin as causative antigens for wheatdependent exercise-induced anaphylaxis. Allergol Int 2009;58:493-8.
33. Brisman J. Baker’s asthma. Occup Environ Med 2002;59:498-502;quiz,426.
34. T h o n g k h o m R , O n c h a m S , Sompornrattanaphan M, et al. Banana anaphylaxis in Thailand: case series. Asia Pac Allergy 2020;10:e4.
35. Sanchez-Borges M, Suarez-Chacon R, Capriles-Hulett A, et al. Pancake syndrome (oral mite anaphylaxis). World Allergy Organ J 2009;2:91
36. Hilger C, Fischer J, Wolbing F, et al. Role and Mechanism of Galactose-Alpha-1,3- Galactose in the Elicitation of Delayed Anaphylactic Reactions to Red Meat. Curr Allergy Asthma Rep 2019;19:3.
37. Matricardi PM, Kleine-Tebbe J, Hoffmann HJ, et al. EAACI Molecular Allergology User’s Guide. Pediatr Allergy Immunol 2016;27 (Suppl 23) 23:1-250.
38. Wongrakpanich S, Klaewsongkram J, Chantaphakul H, et al. Jackfruit anaphylaxis in a latex allergic patient. Asian Pac J Allergy Immunol 2015;33:65-8.
39. Stirapongsasuti P, Tanglertsampan C, Aunhachoke K, et al. Anaphylactic reaction to phuk-waan-ban in a patient with latex allergy. J Med Assoc Thai 2010;93:616-9.
40. Borres MP, Maruyama N, Sato S, et al. Recent advances in component resolved diagnosis in food allergy. Allergol Int 2016;65:378-87.
41. Asaumi T, Yanagida N, Sato S, et al. Provocation tests for the diagnosis of food-dependent exercise-induced anaphylaxis. Pediatr Allergy Immunol 2016;27:44-9.
42. Brockow K, Kneissl D, Valentini L, et al. Using a gluten oral food challenge protocol to improve diagnosis of wheatdependent exercise-induced anaphylaxis.J Allergy Clin Immunol 2015;135:977-84.e4.
43. Pavicic Saric J, Zenko J, Bevanda M, et al. Liver transplantation and allergy: transplant-acquired food allergy. Psychiatr Danub 2019;31:63-5.
44. Dreskin SC, Halsey NA, Kelso JM, et al. International Consensus (ICON): allergic reactions to vaccines. World Allergy Organ J 2016;9:32.
ดาวน์โหลด
เผยแพร่แล้ว
2021-04-30
รูปแบบการอ้างอิง
1.
ประเสริฐเจริญสุข อ. ภาวะแพ้อาหารในผู้ใหญ่. J Med Health Sci [อินเทอร์เน็ต]. 30 เมษายน 2021 [อ้างถึง 2 มกราคม 2026];28(1):169-83. available at: https://he01.tci-thaijo.org/index.php/jmhs/article/view/249203
ฉบับ
ประเภทบทความ
บทความวิชาการ
สัญญาอนุญาต
อนุญาตภายใต้เงื่อนไข Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
