Oral food desensitization: the BACH proposal for the very gradual reintroduction of a food.
Curr Opin Allergy Clin Immunol
; 13(3): 306-14, 2013 Jun.
Article
em En
| MEDLINE
| ID: mdl-23587684
ABSTRACT
PURPOSE OF REVIEW The common treatment of IgE-mediated food allergy is to avoid the offending item and educating patients on appropriate emergency measures. Recently, attempts to gain food tolerance with oral administration of increasing doses of the offending food have become frequent. Desensitization procedures are risky and safety is a priority. Their success depends on the individual allergic characteristics and the modality of food administration. RECENT FINDINGS:
Most schedules adopted in the desensitization protocols are empiric and not regular, as requirements of safety would require.SUMMARY:
Some oral food desensitization schedules were compared in order to verify whether the increments between doses were regular. Through a mathematic formula adopted by the musicians to tune instruments in the 17th Century, including Bach, I describe a method to calculate an increment factor by which a schedule of food administration that ensures an absolutely constant increment between doses can be achieved. This method can prove useful for every situation in which a gradual dose increment is needed (food, drugs in an experimental setting, specific immunotherapy with inhalants or venom insect allergens). All calculations can be done also without a computer, and this is particularly important if modern technologies are not available, such as in developing countries.I propose calling this method 'Building an Allergen-augmentation Curve Harmoniously (BACH)'.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Imunoglobulina E
/
Alérgenos
/
Dessensibilização Imunológica
/
Modelos Imunológicos
/
Cálculos da Dosagem de Medicamento
/
Hipersensibilidade Alimentar
Tipo de estudo:
Guideline
/
Prognostic_studies
Limite:
Animals
/
Humans
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article