Clinical characteristics of patients with mustard hypersensitivity

Caballero, Teresa; San-Martin, M.S.; Padial, M.A.; Contreras, J; Cabañas, Rosario; Paredes, Pilar; López-Serrano, M C

doi:10.1016/s1081-1206(10)61933-3

Cited by 34 publications

(24 citation statements)

References 24 publications

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“…In the patients studied by Caballero et al (2002), mugwort sensitisation was significantly more frequent in the mustard allergic patients than in a population of patients with pollinosis (p<0.0001). Hypersensitivity to nuts has been shown to be associated with mugwort pollen sensitisation (Caballero et al, 1994) and cross-reactivity between hazelnut and mugwort pollen has been described with immunochemical techniques .…”

Section: Cross-reactivitiesmentioning

confidence: 89%

“…Clinical symptoms reported from single-blind placebo-controlled food challenge studies, DBPCFC studies and case histories include the full spectrum from anaphylactic shock to oral allergy syndrome to subjective symptoms: burning sensation, swelling of lips and tongue, facial oedema, laryngeal oedema, dysphonia, difficulty in breathing and swallowing, asthma, nausea, generalised urticaria, rhino-conjunctivitis, and atopic dermatitis (Monreal et al, 1992;Rancé et al, 1999a andRancé and Dutau, 2002;Caballero et al, 2002 and.…”

Section: General Clinical Manifestationsmentioning

confidence: 99%

“…Skin tests were positive for mustard, cabbage, broccoli and cauliflower, but the paper gives no information about clinical history with regard to mustard intolerance, and no challenge with mustard was performed. Caballero et al (2002) studied 29 patients with symptoms suggestive of mustard allergy. Only one patient had mild symptoms after ingestion of cabbage and had a positive reaction to skin prick testing with cauliflower and cabbage.…”

Section: Cross-reactivitiesmentioning

confidence: 99%

“…Some allergen similarity of mustard, rapeseed, sunflower and Brazil nut has been described (major allergens are 2S storage proteins). In the patients studied by Caballero et al (2002) (29 patients with symptoms suggestive of mustard allergy), more than 50% of the patients had symptoms suggestive of allergy to other vegetable foods, and only two patients had sensitivity exclusively to mustard. Castillo et al (1996) found a significant association between allergies to nuts and spices.…”

Section: Cross-reactivitiesmentioning

confidence: 99%

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Opinion of the Scientific Panel on Dietetic products, nutrition and allergies [NDA] on a request from the Commission relating to the evaluation of allergenic foods for labelling purposes

2004

EFS2

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Section: Cross-reactivitiesmentioning

confidence: 89%

Section: General Clinical Manifestationsmentioning

confidence: 99%

Section: Cross-reactivitiesmentioning

confidence: 99%

Section: Cross-reactivitiesmentioning

confidence: 99%

See 2 more Smart Citations

Opinion of the Scientific Panel on Dietetic products, nutrition and allergies [NDA] on a request from the Commission relating to the evaluation of allergenic foods for labelling purposes

2004

EFS2

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“…Multiple allergens have been identified in mustard seed (40). Reactions can be systemic, including anaphylaxis (41)(42)(43). Skin testing with raw extracts was reported to be superior to commercial extracts or specific IgE tests, although challenge testing is required for verification (43,44).…”

Section: Anaphylaxis and Other Ige-mediated Reactions By Ingestionmentioning

confidence: 99%

Hypersensitivities to sesame and other common edible seeds

Patel

Bahna

2016

Allergy

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Several seeds have been increasingly incorporated in various food items, with consequent risk of hypersensitivity reactions that are often severe. Identification of the specific seed as the culprit is often not explored or is difficult to verify. In this article, we reviewed the English literature from January 1930 to March 2016 using PubMed and Google Scholar searching for publications relevant to hypersensitivity to common edible seeds, namely sesame, sunflower seed, poppy seed, pumpkin seed, flaxseed, and mustard seed. Considering the worldwide consumption of those seeds, the number of published articles on the subject was relatively small and was mainly as case reports rather than large series. Allergy to sesame was more reported than to other seeds, with an estimated prevalence of 0.1-0.2%. In this review, we summarize the information relevant to each of the six seeds and their oils regarding the manifestations, routes of exposure, identified major allergens, and cross-reactivity with other seeds or other foods. We also addressed the important role of a thorough history taking in suspecting seed allergy, the limited reliability of routine diagnostic procedures, and the importance of verification by appropriate challenge tests. At present, management is basically dietary avoidance and the use of symptomatic medications that may include epinephrine auto-injectors. We did not encounter any well-designed studies on immunotherapy for seed allergy, but it is hoped that such a gap be filled by the development of safe effective protocols in the near future.With the growing trend of incorporating seeds in diet, hypersensitivity reactions have been increasingly occurring but are rarely suspected. The problem is compounded by the difficulty in identifying the culprit and the apparent underreporting. MethodsIn this article, we review the English literature from January 1930 to March 2016 using PubMed and Google Scholar. Special attention was directed to hypersensitivity reactions to commonly consumed seeds, namely sesame, sunflower, poppy, flaxseed, and pumpkin seed, and their respective oils. We also summarize the studies on the identified allergens and the cross-reactivities among these seeds and with other foods.

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Emerging Allergens and the Future

Achouri

Boye

2010

Allergen Management in the Food Industry

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Clinical characteristics of patients with mustard hypersensitivity

Cited by 34 publications

References 24 publications

Opinion of the Scientific Panel on Dietetic products, nutrition and allergies [NDA] on a request from the Commission relating to the evaluation of allergenic foods for labelling purposes

Opinion of the Scientific Panel on Dietetic products, nutrition and allergies [NDA] on a request from the Commission relating to the evaluation of allergenic foods for labelling purposes

Hypersensitivities to sesame and other common edible seeds

Emerging Allergens and the Future

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