A case report on transitory histamine intolerance from strawberry intake in a 15 month old child with acute gastroenteritis

Ibranji, Alkerta; Nikolla, Elida; Loloci, Gjustina; Mingomataj, Ervin

doi:10.1186/2045-7022-5-s3-p61

Cited by 8 publications

(7 citation statements)

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“…It should be noted that some species of chili could trigger symptoms such as red face, cough, and rhinitis, and these symptoms were reported in three chili allergy cases that met criteria for “food-induced anaphylaxis”. Similarly, strawberry could trigger allergic-like symptoms in some not sensitized individuals due to its histamine content [ 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Food Allergy Prevalence in Salvadoran Schoolchildren Estimated by Parent-Report

Cabrera-Chávez

Rodríguez-Bellegarrigue

Figueroa-Salcido

et al. 2018

IJERPH

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The prevalence of food allergy (FA) has not been estimated at a population level in Central American countries and, consequently, the magnitude and relevance of the problem in the Central American region remains unknown. Thus, our aim was to evaluate the parent-reported prevalence of FA in a population of schoolchildren from the Central American country El Salvador. A Spanish version of a structured questionnaire was utilized. Five hundred and eight (508) parents returned the questionnaire with valid responses (response rate, 32%). The estimated prevalence rates (95% CI) were: adverse food reactions 15.9 (13.0–19.3), “perceived FA, ever” 11.6 (9.1–14.6), “physician-diagnosed FA, ever” 5.7% (4.0–8.0), “immediate-type FA, ever” 8.8% (6.6–11.6), “immediate-type FA, current” 5.3% (3.6–7.6), and anaphylaxis 2.5% (1.5–4.3). The most common food allergens were milk (1.7%), shrimp (1.3), chili (0.7%), chocolate (0.7%), and nuts (0.3%). Most of the “food-dependent anaphylaxis” cases (60.5%) sought medical attention, but only one case reported the prescription of an epinephrine autoinjector. Mild and severe FA cases are not uncommon among Salvadoran schoolchildren and both the prescription of epinephrine autoinjectors by healthcare personnel and the use of the autoinjectors by anaphylactic individuals should be encouraged.

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Section: Discussionmentioning

confidence: 99%

Food Allergy Prevalence in Salvadoran Schoolchildren Estimated by Parent-Report

Cabrera-Chávez

Rodríguez-Bellegarrigue

Figueroa-Salcido

et al. 2018

IJERPH

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“…The main allergen in strawberry (Fragaria × ananassa) belongs to the PR-10 group (17 kDa) and is homologous to the major birch pollen Bet v 1. Based on the latest knowledge, several isoforms of this protein have been described in strawberries [22]. They may be responsible for allergic reactions in sensitive individuals as well as reactions caused by the cross-reactivity of allergens.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Potential Allergenicity of Strawberries in Response to Different Farming Practices

et al. 2020

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Fruit allergies are a large problem today. Many consumers suffer from food allergies or intolerances. The method of food production has a major impact on its quality. In fruit and vegetable production, three different farming systems are mainly found: conventional, integrated pest management and organic production. The latter is considered the best in terms of fruits and vegetables safety and high quality. The present experiment was performed to demonstrate the effect of the strawberry production method on its allergenic properties and flavonoid content. The strawberry ‘Honeoye’ cv. was used for the study. Fruits from the three cultivation systems, organic, conventional and integrated, were tested for their content of biologically active compounds and their potential allergenicity. The results obtained indicate that the strawberries from the organic system were the safest because they contained the lowest levels of Bet v1 and profilin in comparison with the fruits from the integrated and conventional systems.

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“…In adults, decreased DAO excretion was reported in other diseases including chronic urticaria, viral hepatitis [ 1 ] and inflammatory bowel diseases [ 3 ]. These pathologies also occur in childhood [ 24 , 25 , 26 ] but insofar no evidence of DAO deficit in those conditions has been reported in children, although, as one report describes, histamine intolerance was diagnosed in a child with viral intestinal infection [ 27 ].…”

Section: Secondary Histamine Intolerance Aetiologymentioning

confidence: 99%

“…Also, the question arises about the minimum age at which HIT diagnosis can be made. As of now, a 15-month-old child is the youngest patient diagnosed with HIT [ 27 ]. However, another study claims that the symptoms of HIT were observed in a 6-month-old patient [ 7 ].…”

Section: Epidemiology Of Histamine Intolerance In the Paediatric Populationmentioning

confidence: 99%

Histamine Intolerance in Children: A Narrative Review

et al. 2021

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Histamine intolerance is defined as a disequilibrium of accumulated histamine and the capacity for histamine degradation. This clinical term addresses a non-immunologically mediated pathology when histamine ingested with food is not particularly high, however its degradation is decreased. This paper aims to provide a narrative review on etiopathology, epidemiology, possible diagnostic algorithms and diagnostic challenges of histamine intolerance in children. The clinical picture of histamine intolerance in children is similar to that observed in adults apart from male predominance found in paediatric patients. Both in children and adults, a histamine-reduced diet is typically the treatment of choice. Diamine oxidase supplementation offers another treatment option. There is no symptom or test pathognomonic for histamine intolerance. Nevertheless, manifestations of chronic gastrointestinal symptoms, measurements of diamine oxidase deficits, positive results of histamine provocation tests and improvement in symptoms with histamine-reduced diet considerably increase the probability of histamine intolerance diagnosis. These factors have been included in the proposed diagnostic algorithm for histamine intolerance. In children histamine intolerance most likely co-occurs with allergies and bowel diseases, which creates an additional diagnostic challenge. As the evidence for children is poor further research is needed the determine epidemiology, validate diagnostic algorithms and establish possible treatment options regarding histamine intolerance.

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A case report on transitory histamine intolerance from strawberry intake in a 15 month old child with acute gastroenteritis

Cited by 8 publications

References 0 publications

Food Allergy Prevalence in Salvadoran Schoolchildren Estimated by Parent-Report

Food Allergy Prevalence in Salvadoran Schoolchildren Estimated by Parent-Report

Evaluation of the Potential Allergenicity of Strawberries in Response to Different Farming Practices

Histamine Intolerance in Children: A Narrative Review

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