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Kinder- und Jugendmedizin 2019; 19(04): 247-256
DOI: 10.1055/a-0918-1275
Übersichtsarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Update Allergologie im Kindesalter

Update allergology in childhood
Nicola Wagner∗
1   Hautklinik, Universitätsklinik Erlangen
,
Michael Sticherling∗
1   Hautklinik, Universitätsklinik Erlangen
› Author Affiliations
Further Information

Publication History

eingereicht 06 September 2018

akzeptiert 12 September 2018

Publication Date:
16 August 2019 (online)

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Zusammenfassung

Allergologische Erkrankungen im Kindesalter manifestieren sich mit diversen Symptomen. Das zunehmend breitere Spektrum verfügbarer spezifischer IgE auf rekombinante Allergene verbessert die Diagnostik und die Beurteilung ätiologischer Zusammenhänge einer allergologischen Symptomatik. Nahrungsmittelassoziierte Allergien und Intoleranzen nehmen zu und erfordern, insbesondere im Kindesalter, eine rasche Aufklärung des auslösenden Allergens. Die Empfehlungen zur allergologischen Diagnostik bei Arzneimittelallergie-/unverträglichkeit stehen als deutsche SK2-Leitlinie zur Verfügung. Ekzematöse Hautveränderungen können neben Atopie-assoziierten Ekzemreaktionen auch auf Kontaktallergien zurückzuführen sein, weshalb auch neue Kontaktallergene, wie Isobornylacrylat, in kontinuierlich messenden Glukosesensoren, differenzialdiagnostisch bedacht werden sollten.

Abstract

Allergologic diseases in childhood present with various clinical symptoms. The broadening spectre of specific IgE to recombinant allergens refines diagnostic tools and helps to understand aetiological relationship of allergic symptoms. Food-associated allergies and intolerances are increasing and require, especially in childhood, a rapid clarification of the culprit allergen. Recommendations in diagnostics of drug allergy are summarized in a recent german guideline. Eczema often is atopy associated but might be the clinical symptom of contact allergy. New emerging contact allergens, as isobornylacrylate in continuous glucose monitoring devices, should be taken into account.

Schlüsselwörter

Nahrungsmittelallergie - Medikamentenallergie - eosinophile Ösophagitis-Kontaktallergie

Key words

Food allergy - drug allergy - eosinophilic esophagitis-contact allergy
 

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