{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T00:30:23Z","timestamp":1705537823140},"reference-count":8,"publisher":"Colegio Mexicano de Inmunologia Clinica y Alergia, A. C.","issue":"4","license":[{"start":{"date-parts":[[2023,12,31]],"date-time":"2023-12-31T00:00:00Z","timestamp":1703980800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Alerg Mex"],"abstract":"<jats:p>El m\u00e9todo m\u00e1s efectivo para el diagn\u00f3stico de alergia alimentaria es la historia cl\u00ednica, que comprende la anamnesis y el examen f\u00edsico. La anamnesis debe incluir el interrogatorio dirigido y detallado, y junto con el examen f\u00edsico aportar\u00e1n los datos necesarios para orientar hacia el diagn\u00f3stica, y sugerir si la fisiopatolog\u00eda es mediada o no por IgE, lo que es pertinente para la selecci\u00f3n e interpretaci\u00f3n de las pruebas espec\u00edficas y establecer el diagn\u00f3stico certero, adem\u00e1s de evaluar la posibilidad de distinguir entre los distintos diagn\u00f3sticos diferenciales.La expresi\u00f3n de la alergia alimentaria est\u00e1 influenciada por factores de riesgo no modificables que incluyen sexo, raza y gen\u00e9tica (familiares), y factores modificables: dermatitis at\u00f3pica, deficiencia de vitamina D, dieta con alta cantidad de grasas poliinsaturadas y deficiente de antioxidantes, consumo de f\u00e1rmacos anti\u00e1cidos, obesidad, aumento de la higiene, influencia de la microbiota, tiempo y v\u00eda de exposici\u00f3n de los alimentos (mayor riesgo al retrasar la ingesti\u00f3n oral de al\u00e9rgenos y concomitante exposici\u00f3n ambiental de los mismos que conduce a sensibilizaci\u00f3n y alergia).<\/jats:p>","DOI":"10.29262\/ram.v70i4.1333","type":"journal-article","created":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T12:36:52Z","timestamp":1705495012000},"page":"234-237","source":"Crossref","is-referenced-by-count":0,"title":["Anamnesis y examen f\u00edsico"],"prefix":"10.29262","volume":"70","author":[{"given":"Silvana Beatriz","family":"Monsell","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Cristina","family":"Diaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11808","published-online":{"date-parts":[[2023,12,31]]},"reference":[{"key":"56503","doi-asserted-by":"crossref","unstructured":"Mayorga C, Palomares F, et al. New Insights in Therapy for Food Allergy. Foods 2021; 10; 10 (5): 1037. doi: 10.3390\/foods10051037.","DOI":"10.3390\/foods10051037"},{"key":"56504","doi-asserted-by":"crossref","unstructured":"Chinthrajah RS, Tupa D, et al Diagnosis of Food Allergy. Pediatr Clin North Am 2015; 62 (6): 1393-408. doi: 10.1016\/j.pcl.2015.07.009.","DOI":"10.1016\/j.pcl.2015.07.009"},{"key":"56505","unstructured":"National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Food and Nutrition Board; Committee on Food Allergies: Global Burden, Causes, Treatment, Prevention, and Public Policy. Finding a Path to Safety in Food Allergy: Assessment of the Global Burden, Causes, Prevention, Management, and Public Policy. Oria MP, Stallings VA, editors. Washington (DC): National Academies Press (US); 2016 Nov 30."},{"key":"56506","doi-asserted-by":"crossref","unstructured":"Sicherer SH, Wood RA; American Academy of Pediatrics Section On Allergy And Immunology. 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