PDF(Pubmed)
Abstract：
Idiopathic anaphylaxis (IA) remains a frustrating challenge for both patients and physicians. The aim of this paper is to focus on IA in pediatric ages and suggest possible diagnostic algorithms according to specific age ranges (infants, children, and adolescents). In fact, in a variable percentage of patients, despite extensive diagnostic tests, the cause of anaphylactic episodes cannot be identified. Moreover, the lack of a unanimous IA definition requires a careful and detailed diagnostic workup. Prompt recognition of signs and symptoms, especially in younger children, and an accurate clinical history often allow a choice of the most appropriate diagnostic tests and a correct differential diagnosis.
摘要：
特发性过敏反应（IA）对于患者和医生来说仍然是一个令人沮丧的挑战。本文的目的是将重点放在儿科年龄的IA上，并根据特定的年龄范围（婴儿，孩子们,和青少年）。事实上,在可变百分比的患者中，尽管进行了广泛的诊断测试，无法确定过敏性发作的原因.此外，缺乏一致的IA定义需要仔细和详细的诊断检查.迅速识别体征和症状，尤其是年幼的孩子，准确的临床病史通常可以选择最合适的诊断测试和正确的鉴别诊断。
