Food Allergy in Adults

Seitz, Cornelia S.; Pfeuffer, Petra; Raith, Petra; Bröcker, Eva‐B.; Trautmann, Axel

doi:10.3238/arztebl.2008.0715

Cited by 7 publications

(3 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, DBPCFC is time-consuming, expensive, subjects patients to potential severe allergic reactions, requires the need for well equipped facilities and may not be able to reproduce the conditions that occurred when the reported allergic reaction took place [ 17 , 18 ]. Due to these practical problems, in normal clinical settings FA is often diagnosed by a thorough medical history and a test for sensitization [ 17 , 19 ]. In our study, medical history and sIgE was used to define a probable FA since this could be performed in all participants and outpatients.…”

Section: Discussionmentioning

confidence: 99%

Food allergy in the Netherlands: differences in clinical severity, causative foods, sensitization and DBPCFC between community and outpatients

Hoffen

Kummeling

et al. 2015

Clinical & Translational All

View full text Add to dashboard Cite

BackgroundIt is unknown whether food allergy (FA) in an unselected population is comparable to those from an outpatient clinic population.ObjectiveTo discover if FA in a random sample from the Dutch community is comparable to that of outpatients.MethodsThis study was part of the Europrevall-project. A random sample of 6600 adults received a questionnaire. Those with symptoms to one of 24 defined priority foods were tested for sIgE. Participants with a positive case history and elevated sIgE were evaluated by double-blind placebo-controlled food challenge (DBPCFC). Outpatients with a suspicion of FA were evaluated by questionnaire, sIgE and DBPCFC.ResultsIn the community, severe symptoms were reported less often than in outpatients (39.3% vs. 54.3%). Participants in the community were less commonly sensitized to any of the foods. When selecting only those with a probable FA (i.e. symptoms of priority food and elevation of sIgE to the respective food), no major differences were observed with respect to severity, causative foods, sensitization and DBPCFC between the groups.ConclusionIn the Netherlands, there are large differences in self-reported FA between community and outpatients. However, Dutch community and outpatients with a probable FA do not differ with respect to severity, causative foods, sensitization and DBPCFC-outcome.

show abstract

Section: Discussionmentioning

confidence: 99%

Food allergy in the Netherlands: differences in clinical severity, causative foods, sensitization and DBPCFC between community and outpatients

Hoffen

Kummeling

et al. 2015

Clinical & Translational All

View full text Add to dashboard Cite

show abstract

“…With the clinical relevance of positive skin prick test and finding of food specific IgE limited by sensitization in patients, demonstration of a provoked allergy induced reaction in patient is the identified gold standard in diagnosis [ 14 ]…”

Section: Discussionmentioning

confidence: 99%

Mopane worm allergy in a 36-year-old woman: a case report

2010

View full text Add to dashboard Cite

IntroductionThe increasing incidence of new diseases as well as changing features of known diseases has partly been attributed to the impact of environmental changes. As a result, there have been calls from health experts for proper surveillance and monitoring of these changes.This is a report of mopane worm allergy in a 36 year old female from the Tswana tribe in Botswana. Mopane worm, the caterpillar stage of Gonimbrasia belina moths, is a seasonal delicacy to people in many communities in southern Africa. As a result, by adulthood, many residents of these communities have had substantial exposure to the worm. Gonimbrasia belina moths belong to the Lepidoptera order of insects. Though some members of this order are known to induce contact allergy, there is no reported incidence of ingestion allergy from mopane worm. Therefore, it is important to track this case for its epidemiological significance and to alert both clinicians and the vulnerable public on the incidence of mopane worm allergy in this region.Case presentationThis is a case of a 36 year old woman from the Tswana ethnic group in Botswana, who was diagnosed with food allergy. She presented with itchy skin rash, facial swelling, and mild hypotension after eating mopane worm. She had no previous history of allergic reaction following contact or ingestion of mopane worm and had no atopic illness in the past. She was treated and her symptoms resolved after 4 days.ConclusionThe proper management of allergy involves patients' avoidance and clinicians' predictability. Though hypothetical, this report is expected to sensitize clinicians to anticipate and properly manage subsequent occurrence, as well as educate the public in these communities. In addition, tracking new disease patterns, with relationship to environmental changes, will compliment existing evidence in validating the importance of proper environmental surveillance and management.

show abstract

“…Reactions to an allergen may occur right away or at a later time (Gauerke, 2008; Seitz, Pfeuffer, Raith, Brocker, & Trautmann, 2008). For example, Seitz et al found that most symptoms occurred within 2 hours (69 percent) after ingestion of the allergen, whereas others occurred within 2 to 4 hours (28.6 percent).…”

Section: About Food Allergiesmentioning

confidence: 99%