Cow's milk protein allergy is the most common food allergy in infants and young children, and its prevalence has been increasing in recent years. The use of appropriate diagnostic methods is essential for the management of patients. Oral food challenges are not yet widely used in clinical practice, and new and more effective methods are still being sought, including component resolved diagnosis. Component resolved diagnosis has been introduced into the field of clinical allergy, which provides a new understanding for the diagnosis and treatment of allergic diseases. This article reviews the clinical application of component resolved diagnosis in IgE-mediated cow's milk protein allergy, especially the components of cow's milk protein allergy and the identification of co-sensitization, the research progress of diagnosis, the prediction of the development of tolerance and the risk of allergic reactions, the guidance of allergen immunotherapy and the development of personalized diet for patients, in order to provide a basis for the diagnosis, treatment and prevention of IgE-mediated cow's milk protein allergy.
牛奶蛋白过敏是婴幼儿期最常见的食物过敏,近年来患病率呈上升趋势。使用适当的诊断方法对患者的管理至关重要,口服激发试验在临床尚不能推广,仍在寻找新的、更有效的方法,变应原组分诊断就是其中之一。变应原组分诊断被引入临床变态反应学领域,为过敏性疾病的诊治提供了新的认识。本文就变应原组分诊断在IgE介导的牛奶蛋白过敏中的临床应用,尤其是在牛奶蛋白过敏组分与明确共同致敏、诊断的研究进展、预测耐受性的形成和过敏反应发生的风险、指导过敏原免疫治疗和为患者制订个性化的饮食方案等方面进行阐述,以期为IgE介导的牛奶蛋白过敏的诊断、治疗及预防提供依据。.