食品安全概论.pptxVIP

Food Sensitivities, Allergic Reactions, and Food Intolerances食品敏感性、过敏性反应和食品不耐性 ;CONTENTS 主要内容;PREVALENCE第四节 发病率 FOOD ALLERGENS第五节 食品过敏原 FOOD ADDITIVES第六节 食品添加剂 FOOD LABELING IN RELATION TO FOOD SENSITIVITIES 第七节 与食品过敏性有关的食品标签;DEFINITION AND MECHANISMS OF ADVERSE FOOD REACTION第一节 食品不良反应的定义和机理;Fig.1 Classification of foods proposed by EAACI 图1 EAACI对食品的分级;toxic food reactions 食品毒性反应;Food intolerance 食品不耐性 ;SYMPTOMS OF ADVERSE FOOD REACTIONS第二节 食品不良反应的症状;IgE-Mediated Food Allergy一、以IgE-为媒介的食品敏感症 ;Characteristic 特征;;Oral Allergy Syndrome （一）口腔敏感综合病症 ;Symptom 症状： Itching of the lips, mouth, palate， throat 嘴唇、嘴、上腭咽喉等处立即发痒 Hoarseness and/or swelling of the lips, tongue, uvula, and larynx 嗓音嘶哑，嘴唇、舌头、小舌、喉等肿胀 ;Allergic Reactions After Ingestion of Food （二）摄入食品后的过敏反应 ;2) Skin reactions include local or generalized pruritus, flush, urticaria, angioedema. morbilliform exanthema, and flare-up of atopic dermatitis 皮肤反应：局部的或无显著特点的搔痒症、面部潮红、风疹、血管性水肿、麻疹样疹病、突发特异性皮炎； ;3) The symptoms of the upper and the lower respiratory tract are rhinitis (sneezing, pruritus of the nose, nasal stuffiness, and nasal obstruction), larynx edema, cough, wheezing, and bronchial asthma. 上呼吸道或稍低些的呼吸道症状： 鼻炎（打喷嚏、鼻搔痒症、鼻子不通气、鼻塞）、喉肿、咳嗽、喘息以及支气管哮喘；;4) Itching, redness, and watering eyes (conjunctivitis) 发痒、充血以及眼睛流泪（结膜炎）. ;Allergic Reactions After Inhalation of Food （三）吸入食品后的过敏反应;Allergen: flour, n-amylase, green coffee, castor and soy beans, spices. egg white, and crustaceans 过敏原：面粉、α-淀粉酶、绿咖啡、海狸香和大豆、调味品、鸡蛋白以及甲壳动物 ;Allergic Reactions Following Skin Contact With Food（四）皮肤接触食品后的过敏反应 ;Symptom 症状： Urticarial lesion 风疹 Chronic contact with a food may induce protein contact, dermatitis in food handlers 食品操作工人长期接触某种食品会诱导蛋白接触性皮炎。 ;Non-lgE-Mediated Immune Reactions二、不以IgE为媒介的免疫反应 ;Heiners Syndrome, Allergic Alveolitis, and Hemorrhagic Gastroenteritis in Childhood（一）儿童Heiner综合症、过敏性齿槽炎、出血性肠胃炎 ;Symptom 症状： chronic or recurrent pulmonary intiltrates 慢性或周期性发生的肺渗透 allergic alveolitis 过敏性齿槽