vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v16i6.1826vsp-1840Research ArticleВ ПОМОЩЬ ВРАЧУA DOCTOR’S AIDДвенадцать мифов о пищевой аллергии у детейTwelve Myths About Food Allergies in Childrenhttps://orcid.org/0000-0002-1650-652XМакароваС. Г.MakarovaSvetlana G.

доктор медицинских наук, заведующая отделом профилактической педиатрии НМИЦ здоровья детей

Адрес: 119991, Москва, Ломоносовский пр-т, д. 2

sm27@yandex.ruНациональный медицинский исследовательский центр здоровья детей Российский национальный исследовательский медицинский университет им. Н.И. ПироговаРоссияNational Medical Research Center for Children’s Health Pirogov Russian National Research Medical UniversityRussian Federation201723012018166522528Copyright © Макарова С.Г., 20182018Макарова С.Г.Makarova S.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/1840

Пищевая аллергия часто является дебютным признаком аллергии у ребенка, и эта проблема наиболее актуальна в раннем возрасте. С аллергической реакции на пищу — казалось бы,  не очень значимой патологии — может начаться так называемый «атопический марш» с  развитием у ребенка тяжелых форм аллергических заболеваний. Вместе с тем возможно и  благоприятное течение пищевой аллергии с исчезновением признаков нарушения с  возрастом. Прогноз заболевания зависит от многих факторов, как генетических, так и  средовых, однако ранняя диагностика и адекватное лечение детей с пищевой аллергией в  большинстве случаев позволяют улучшить прогноз формирования толерантности или, как  минимум, добиться легкого течения проявлений пищевой аллергии. С ранними  проявлениями пищевой аллергии в первую очередь сталкиваются педиатры, и четкое  следование клиническим рекомендациям по ведению пациентов позволяет избежать  большинства типичных ошибок. Данная статья адресована практическим врачам: в ней  рассматриваются наиболее частые ошибки педиатров в ведении детей с пищевой аллергией  и обсуждаются прижившиеся «мифы» об этой патологии.

Food allergy is often the first manifestation of allergy in a child, and this problem is most relevant at an early age. With an allergic reaction to food, a seemingly not very significant pathology,  a so-called «atopic march» may begin with the development of  severe forms of allergic diseases in a child. At the same time, a favourable course of food allergy is possible with the disappearance of disorder signs with age. The disease prognosis depends on many factors, both genetic and environmental, but early diagnosis and adequate treatment of children with food allergies in most cases allow to  improve the prognosis of tolerance formation or, at least, to achieve  a mild course of food allergy manifestations. It is pediatricians who  first deal with early manifestations of food allergies, and adherence  to clinical guidelines for managing patients avoids the most common  mistakes. This article is addressed to practicing doctors. It considers  the most common mistakes of pediatricians in the management of  children with food allergies and discusses the surviving «myths»  about this pathology.

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The authors declare that there are no conflicts of interest present.