Pentingnya Pencegahan Dini dan Tata laksana Alergi Susu Sapi
Sari
Alergi susu sapi (ASS) merupakan penyakit atopik pertama pada seorang anak, karena
mekanisme pertahananspesifik dan non-spesifik saluran cerna bayi belum sempurna.
Diagnosis ASS harus ditegakkan sedini mungkin karena memberikan gejala klinis
beraneka ragam seperti dermatitis atopik, urtikaria, muntah, kolik, diare, batuk kronik
berulang, asma sampai anafilaksis. Pemeriksaan baku emas untuk ASS adalah double
blind placebo controlled food challange (DBPCFC) selain anamnesis, tanda-tanda atopi
pada pemeriksaan fisis, dan pemeriksaan imunoglobulin E total dan spesifik susu sapi.
Penghindaran susu sapi harus dikerjakan sampai terjadi toleransi sekitar usia 2-3 tahun
sehingga harus diberikan susu pengganti formula soya atau susu sapi hidrolisat sempurna
dan makanan padat bebas susu sapi dan produk susu sapi. Pencegahan alergi harus
dikerjakan sedini mungkin pada anak berisiko atopik, dikenal tiga jenis pencegahan
yaitu pencegahan primer, sekunder dan tersier.
Kata Kunci
Teks Lengkap:
PDFReferensi
Sampson HA.Food allergy. Part I:Immunopathogenesis
and clinical disorders. J.Allergy Clin Immunol 1999;
:717-28.
Bock SA.Prospective appraisal of complaints of adverse
reactions to foods in children during the first 3 years of
life. Pediatrics 1987; 79:683-8.
Host Halken S. A prospective study of cow milk allergy
in Danish infants during the first years of life.Allergy
; 45:587-96.
Sicherer Sh,Sampson HA.Food hypersensitivity and
atopic dermatitis:Pathofysiology, epidemiology, diagnosis
and management. J Allergy Clin Immunol 1999;
:S114-S22.
Guillet G, Guillet MH.Natural history of sensitisation
in atopic dermatitis. A 3 year follow up in 250 children:
food allergy and high risk of respiratory symptoms.Arch
Dermatol 1992; 128:187-92.
Burks AW, James JM,Hiegel A,Wilson G, dkk. Atopic
dermatitis and food hypersensitivity reactions. J Pediatr
; 132:132-6.
Eigenmann PA, Siecherer SH, Borowski TA, Cohen BA.
Prevalence of IgE-mediated food allergy among children
with atopic dermatitis. Pediatrics 1998; 101:E8
Sampson HA. Food allergy. Part 2: diagnosis and management.
J Allergy Clin Immunol 1999; 103:981-9.
Bocks SA, Sampson HA, Atkins FM, Zeiger RS, Lehrer
S, et al.Double blind, placebo-controlled food challenge
(DBPCFC) as an office procedure: a manual. J Allergy
Clin Immunol 1988; 82:986-97.
Jacobson O, Lindberg T. A prospective study of cow’s
milk protein intolerance in Swedish infants. Acta Paediatr
Scand 1979; 68:853-9.
Walker WA. Adverse reactions to food in infancy and
childhood, J Pediatr 1992; 121:4-6.
Burks AW, Sampson HA. Diagnostic approachs to the
patient with suspected food allergies. J Pediatr 1992;
:4-71.
Savilahti E .Cow’s milk allergy. Allergy 1981; 36:37-88.
Bleumink E, Young E. Identification of the atopic allergen
in cow’s milk. Int Arch Allergy 1968; 34:521-43.
Swaisgood HE. Chemistry of milk protein. Dalam: Fox
PF,editor. Developments in dairy chemistry, London,
Applied Science Publishers, 1982. h. 1-59.
Owen G. Infant protein allergy: its orrigin and management.
Disampaikan pada kuliah tamu Ilmu Kesehatan
Anak FKUI RSCM, Jakarta, 20 Oktober, 1991.
Ishizaka K, Ishizaka T, Hornbrook MM. Physiochemical
properties of human reaginic antibody. J Immunol 1966;
:75-84.
Sampson HA. Adverse reactions to foods. Dalam:
Middleton E, Reed CE, Elliot EF, Adkinson NF,
Yunginger JW, Busse WW, penyunting. Allergy, Principle
and Practice. Edisi ke-4.St. Louis: Mosby; 1993.
h. 1661 - 86
Bishop MJ, Hasting. Natural history of cow’s milk allergy.
Clinical outcome. J Pediatr 1990; 116:862-7.
Hosking CS, Heine RG, Hill DJ. The Melbourne milk
allergy study-two decades of clinical research. Allergy
and Clinical Immunol International 2000;12:198-205
Hill DJ, Duke AM, Hosking CS, dkk. Clinical manifestations
of cow’s milk allergy in childhood:II.The diagnosis
value of skin tests and RAST. Clin Allergy 1988;
:481-90.
William LW, Bock SL. Skin testing and food challenges
for evaluation of food allergy. Immunology and Allergy
Clinics of North Amer 1999; 19:479-93.
Isolauri E, Turjanmaa K .Combined skin prick and patch
testing enhances identification of food allergy in infants
with atopic dermatitis. J Allergy Clin Immunol 1996;
:9-15.
Menardo JL, Bousquet J, Rodiere M, Astruc J.Skin test
reactivity in infancy. J Allergy Clin Immunol 1989;
:646-58
Bock SA, Sampson HA, Atkins FM, dkk.Double blind
placebo controlled food challenge (DBPCFC) as an affice
procedure: A manual. J. Allergy Clin Immunol 1988;
:986-97.
Rogier Schade P. Cow’s milk allergy in infancy and childhood.
Immunological and clinical aspects. Didapat dari:
http//www.library.uu.nl
Bishop MJ, Hasting. Natural history of cow’s milk allergy.
Clinical outcome. J Pediatr 1990; 116:862-7.
Zeiger RS,Sampson HA, Bock SA, Burks JR, dkk. Soy
allergy in infants and children with IgE associated cow’s
allergy. J Pediatr 1999; 134:614-22.
Bock SA, Atkins FM. Pattern of food hypersensitivity
during sixteen years of double blind, placebo-controlled
food challenges. J Pediatr 1990; 117:561-7.
Warner JO. Prediction and prevention of asthma. Dalam:
Naspitz CK, Szefler SJ, Tinkelman DG, Warner JO,
penyunting. Textbook of Pediatric Asthma. An International
Perspective. London: Martin Dunitz Ltd, 2001.
h. 359-76.
DOI: http://dx.doi.org/10.14238/sp7.4.2006.237-43
Refbacks
- Saat ini tidak ada refbacks.
##submission.copyrightStatement##
##submission.license.cc.by-nc-sa4.footer##
Email: editorial [at] saripediatri.org
Sari Pediatri diterbitkan oleh Badan Penerbit Ikatan Dokter Anak Indonesia
Ciptaan disebarluaskan di bawah Lisensi Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional.