Pine nut allergy in children: A diagnostic test accuracy study

Mori, Francesca; Fazi, Camilla; Pertile, Riccardo; Liccioli, Giulia; Sarti, Lucrezia; Paladini, E; Alicandro, Tatiana; Giovannini, Mattia; Barni, Simona; Valleriani, Claudia

doi:10.1111/cea.14173

Cited by 1 publication

(1 citation statement)

References 9 publications

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“…Although the IgE-binding epitopes from peanut (Ara h 2 and Ara h 6) and Brazil nut (Ber e 1) do seem to share important similarities with epitopes in Pin p 1, it is not clear whether individuals with allergies to those foods are at a greater risk of developing an allergy to pine nuts [61]. A recent study from Mori and colleagues evaluated the efficacy of diagnostic tests for pine nut allergy in 91 children, 25 of whom had an allergy to pine nuts [62 ▪ ], Their results suggested that the most effective diagnostic test is a prick-to-prick skin test with pine nuts, with a cut off of 4 mm having the best overall performance and positive likelihood ratio. A study from Korea reported that severe reactions in older children might be linked to pollen sensitisation [63].…”

Section: Seedsmentioning

confidence: 99%

New arrivals in anaphylaxis to foods

Olivieri

Skypala

2023

Current Opinion in Allergy &Amp; Clinical Immunology

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Purpose of review More people are excluding wheat from their diet, or turning to a more sustainable diet in which includes meat substitutes or is mainly or wholly plant-based. This increases the availability of new foods and with it the increasing likelihood of novel allergens. Recent findings There is a growing body of evidence which suggests that allergies to seeds and legumes are increasing potentially due to their use in concentrated form in vegan or health foods. Insects can be a sustainable source of protein, but mealworm could provoke symptoms in individuals sensitized or allergic to shellfish or house dust mite. Novel plant food allergens such as gibberellin-regulated proteins and thaumatin-like proteins are increasingly being reported as significant causes of severe reactions to fruits. Summary these findings make it even more imperative to take a full dietary history to ensure apparent idiopathic anaphylaxis is not in reality due to a novel food, especially in cases where other forms of the food are tolerated. Given the lack of diagnostic tests for these novel foods, a prick-to-prick skin prick test should be performed with the suspected food. There is currently more work needed to define and sequence many of the allergens involved.

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Section: Seedsmentioning

confidence: 99%