ppharmПедиатрическая фармакологияPediatric pharmacology1727-57762500-3089Издательство «ПедиатрЪ»10.15690/pf.v18i1.2286ppharm-2023Research ArticleКЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИCLINICAL RECOMMENDATIONSСовременные принципы ведения детей с пищевой аллергиейModern Principles of Managing Children with Food Allergieshttps://orcid.org/0000-0003-3987-8112БарановА. А.BaranovAlexander A.

Баранов Александр Александрович - доктор медицинских наук, профессор, академик Российской академии наук; eLibrary SPIN: 3570-1806.

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https://orcid.org/0000-0002-2209-7531Намазова-БарановаЛ. С.Namazova-BaranovaLeyla S.

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https://orcid.org/0000-0003-3064-8871ХаитовР. М.KhaitovRakhim M.

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https://orcid.org/0000-0002-3056-403XМакароваС. Г.MakarovaSvetlana G.

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НИИ педиатрии и охраны здоровья детей ЦКБ РАН Министерства науки и высшего образования РФ; Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет), Москва, Российская ФедерацияРоссияResearch Institute of Pediatrics and Children's Health in Central Clinical Hospital of the Russian Academy of Sciences; Sechenov First Moscow State Medical UniversityRussian FederationНИИ педиатрии и охраны здоровья детей ЦКБ РАН Министерства науки и высшего образования РФ; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова; Белгородский государственный национальный исследовательский университетРоссияResearch Institute of Pediatrics and Children's Health in Central Clinical Hospital of the Russian Academy of Sciences; Pirogov Russian National Research Medical University; Belgorod National Research UniversityRussian FederationГосударственный научный центр Институт иммунологииРоссияState Scientific Center Institute of ImmunologyRussian FederationРоссийский национальный исследовательский медицинский университет им. Н.И. Пирогова; Государственный научный центр Институт иммунологииРоссияPirogov Russian National Research Medical University; State Scientific Center Institute of ImmunologyRussian FederationУральский государственный медицинский университетРоссияUral State Medical UniversityRussian FederationСанкт-Петербургский государственный педиатрический медицинский университетРоссияSaint Petersburg State Pediatric Medical UniversityRussian FederationНациональный медицинский исследовательский центр здоровья детейРоссияNational Medical Research Center of Children's HealthRussian FederationНИИ педиатрии и охраны здоровья детей ЦКБ РАН Министерства науки и высшего образования РФ; Российский национальный исследовательский медицинский университет им. Н.И. ПироговаРоссияResearch Institute of Pediatrics and Children's Health in Central Clinical Hospital of the Russian Academy of Sciences; Pirogov Russian National Research Medical UniversityRussian FederationНИИ педиатрии и охраны здоровья детей ЦКБ РАН Министерства науки и высшего образования РФРоссияResearch Institute of Pediatrics and Children's Health in Central Clinical Hospital of the Russian Academy of SciencesRussian FederationНИИ педиатрии и охраны здоровья детей ЦКБ РАН Министерства науки и высшего образования РФ; Российский национальный исследовательский медицинский университет им. Н.И. ПироговаРоссияResearch Institute of Pediatrics and Children's Health in Central Clinical Hospital of the Russian Academy of SciencesRussian FederationСоюз педиатров РоссииРоссияThe Union of pediatricians of RussiaRussian Federation202130072021183245263Copyright © Баранов А.А., Намазова-Баранова Л.С., Хаитов Р.М., Ильина Н.И., Курбачева О.М., Ковтун О.П., Новик Г.А., Макарова С.Г., Вишнёва Е.А., Селимзянова Л.Р., Чемакина Д.С., Алексеева А.А., Левина Ю.Г., Эфендиева К.Е., Добрынина Е.А., Привалова Т.Е., Сновская М.А., 20212021Баранов А.А., Намазова-Баранова Л.С., Хаитов Р.М., Ильина Н.И., Курбачева О.М., Ковтун О.П., Новик Г.А., Макарова С.Г., Вишнёва Е.А., Селимзянова Л.Р., Чемакина Д.С., Алексеева А.А., Левина Ю.Г., Эфендиева К.Е., Добрынина Е.А., Привалова Т.Е., Сновская М.А.Baranov A.A., Namazova-Baranova L.S., Khaitov R.M., Il'ina N.I., Kurbacheva O.M., Kovtun O.P., Novik G.A., Makarova S.G., Vishneva E.A., Selimzyanova L.R., Chemakina D.S., Alexeeva A.A., Levina Y.G., Efendieva K.E., Dobrynina E.A., Privalova T.E., Snovskaya M.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.pedpharma.ru/jour/article/view/2023

В статье представлены современные сведения об эпидемиологии, этиологии и клинических проявлениях аллергических реакций на продукты питания у детей. Освещены основанные на доказательной медицине подходы к диагностике, в том числе дифференциальной, лечению и профилактике пищевой аллергии у детей. Подробно изложены тактика и алгоритмы ведения пациентов. Рекомендации разработаны на основании всех доступных на сегодняшний день данных по пищевой аллергии. Материал основан на методическом руководстве по ведению пациентов с пищевой аллергией, ранее разработанном экспертами-специалистами Союза педиатров России в 2021 г.

The article presents modern data on the epidemiology, etiology and clinical manifestations of food allergies in children. Evidence-based approaches to diagnosis, including differential, treatment, and prevention of food allergies in children are shown. Patient management tactics and algorithms are presented in detail. The guidelines are based on all available up-to-date data on food allergies. The material is based on the methodological guideline for the management of patients with food allergies previously developed by expert specialists of the Union of Pediatricians of Russia in 2021.

пищевая аллергияIgE-опосредованные реакциине-IgE-опосредованные реакциисенсибилизацияпищевые аллергеныбелок коровьего молокаfood allergyIgE-directed responsenon-IgE-directed responsesensitizationfood allergenscow milk proteinНе указанNot specifiedReferencesНамазова-Баранова Л. С. Аллергия у детей: от теории к практике. — М.: Союз педиатров России; 2010–2011. — 668 с.Namazova-Baranova LS. Allergiya u detei: ot teorii k praktike. Moscow: The Union of Pediatricians of Russia; 2010-2011. 668 p. (In Russ).Muraro A, Werfel T, Hoffmann-Sommergruber K, et al. EAACI food allergy and anaphylaxis guidelines: diagnosis and management of food allergy. Allergy. 2014;69(8):1008–1025. doi: 10.1111/all.12429Muraro A, Werfel T, Hoffmann-Sommergruber K, et al. EAACI food allergy and anaphylaxis guidelines: diagnosis and management of food allergy. Allergy. 2014;69(8):1008-1025. doi: 10.1111/all.12429Баранов А. А., Намазова-Баранова Л.С., Боровик Т. Э. и др. Пищевая аллергия / под ред. А. А. Баранова, Л. 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The authors declare that there are no conflicts of interest present.