Anaphylaxis to walnuts and pine nuts induced by ACE

Moneret‐Vautrin, D.A.; Blain, H.; Kanny, G.; Bloch, Y.

doi:10.1111/j.1398-9995.1998.tb03855.x

Cited by 18 publications

(4 citation statements)

References 5 publications

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“…The role of angiotensin-converting enzyme (ACE) inhibitors in the prevention of bradykinin degradation is not as well documented. Isolated observations have lead to the suspicion of their possible involvement [29]. A comparison of the incidence of association of these factors to food allergy, either in patients experiencing severe anaphylaxis or in patients with other clinical features, shows a significant difference for alcohol, exercise, treatment by β-blockers, or simultaneous intake of aspirin (Fig.…”

Section: Clinical Featuresmentioning

confidence: 96%

Adult food allergy

Moneret-Vautrin

Morisset

2005

Curr Allergy Asthma Rep

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Adult food allergy is estimated at approximately 3.2% worldwide. The persistence of childhood food allergy is unusual, peanut allergies excepted. Once established in adults, food allergy is rarely cured. Factors favoring the acquisition of allergy could be sensitization to pollens, occupational sensitization by inhalation, drugs (such as tacrolimus), and sudden dietary changes. Severe anaphylaxis and oral allergy syndrome are frequent. The fatality risk is estimated at 1% in severe anaphylaxis. Risk factors for severe anaphylaxis are agents causing increased intestinal permeability, such as alcohol and aspirin. b-blockers, angiotensin-converting enzyme (ACE) inhibitors, and exercise are other factors. Gastrointestinal food allergy remains, to a large extent, undiagnosed in adults. Food allergens are mainly fruit and vegetable, related to pollen sensitizations, or to latex allergy. Wheat flour allergy is increasing. The diagnosis relies on prick skin tests, detection of specific IgEs, and standardized oral challenges. Strict avoidance diets are necessary. Specific immunotherapy to pollens may be efficient for cross-reactive food allergies.

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Section: Clinical Featuresmentioning

confidence: 96%

Adult food allergy

Moneret-Vautrin

Morisset

2005

Curr Allergy Asthma Rep

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“…Cross -reactivity between walnut and Rosaceae (peach, apple, plum) [80] , hazelnut, and Brazil nut [81,82] are known. Drug -induced (antihypertensive angiotensin converting enzyme [ACE] inhibitor) anaphylaxis to walnut is also known [83] . Due to its frequency in occurrence and severity of the reactions, inclusion of walnut in the tree nut list is warranted.…”

Section: 3229mentioning

confidence: 99%

Criteria to Determine Priority Allergens: Tree Nut Allergy Review

Yeung

2010

Allergen Management in the Food Industry

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“…En ce qui concerne les allergies alimentaires, il a été montré que lorsque les allergies sévères aux fruits à coque s'expriment par un angioedème pharyngo-laryngé, elles sont liées à un taux bas de l'ECA, sans modification du taux d'aminopeptidase P [27]. Un cas avéré d'anaphylaxie alimentaire dû à un IEC a été rapporté [28]. L'étude cas-contrôle confirme l'implication des IEC dans le collapsus anaphylactique, l'OR étant de 13, donc particulièrement élevé.…”

Section: Inhibiteurs De L'enzyme De Conversion De L'angiotensineunclassified

Facteurs de risque d’anaphylaxie alimentaire sévère

Moneret-Vautrin¹

2010

Med Sci (Paris)

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Anaphylaxis to walnuts and pine nuts induced by ACE

Cited by 18 publications

References 5 publications

Adult food allergy

Adult food allergy

Criteria to Determine Priority Allergens: Tree Nut Allergy Review

Facteurs de risque d’anaphylaxie alimentaire sévère

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