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Position paper of the EAACI: food allergy due to immunological cross‐reactions with common inhalant allergens

Werfel, T., Asero, R., Ballmer‐Weber, B. K., Beyer, K., Enrique, E., Knulst, A. C., Mari, A., Muraro, A., Ollert, M., Poulsen, L. K., Vieths, S., Worm, M., Hoffmann‐Sommergruber, K.·2015·Allergy
DOI 10.1111/all.12666
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Abstract

In older children, adolescents, and adults, a substantial part of all IgE‐mediated food allergies is caused by cross‐reacting allergenic structures shared by inhalants and foods. IgE stimulated by a cross‐reactive inhalant allergen can result in diverse patterns of allergic reactions to various foods. Local, mild, or severe systemic reactions may occur already after the first consumption of a food containing a cross‐reactive allergen. In clinical practice, clinically relevant sensitizations are elucidated by skin prick testing or by the determination of specific IgE in vitro. Component‐resolved diagnosis may help to reach a diagnosis and may predict the risk of a systemic reaction. Allergy needs to be confirmed in cases of unclear history by oral challenge tests. The therapeutic potential of allergen immunotherapy with inhalant allergens in pollen‐related food allergy is not clear, and more placebo‐controlled studies are needed. As we are facing an increasing incidence of pollen allergies, a shift in sensitization patterns and changes in nutritional habits, and the occurrence of new, so far unknown allergies due to cross‐reactions are expected.

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Citations

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Metadata

Authors
Werfel, T., Asero, R., Ballmer‐Weber, B. K., Beyer, K., Enrique, E., Knulst, A. C., Mari, A., Muraro, A., Ollert, M., Poulsen, L. K., Vieths, S., Worm, M., & Hoffmann‐Sommergruber, K.
Affiliations
  • Department of Dermatology and Allergy Hannover Medical University Hannover Germany
  • Ambulatorio di Allergologia Clinica San Carlo Paderno Dugnano Milan Italy
  • Allergy Unit Department of Dermatology University Hospital Zürich Zürich Switzerland
  • Division of Paediatric Pneumology and Immunology Charité University Hospital Berlin Germany
  • Allergy Division Hospital General de Castellón Castellón Spain
  • Department of Dermatology/Allergology University Medical Center Utrecht Utrecht The Netherlands
  • Associated Center for Molecular Allergology (CAAM) Latina Italy
  • The Referral Centre for Food Allergy Diagnosis and Treatment Veneto Region Department of Mother and Child Health University of Padua Padua Italy
  • Department of Infection and Immunity Luxembourg Institute of Health Esch‐sur‐Alzette Luxembourg and Department of Dermatology and Allergy Biederstein Technische Universität München (TUM) Munich Germany
  • Allergy Clinic Copenhagen University Hospital at Gentofte Copenhagen Denmark
  • Division of Allergology Paul‐Ehrlich Institute Langen Germany
  • Department of Dermatology and Allergy of Charité ‐ Universitätsmedizin Berlin Berlin Germany
  • Department of Pathophysiology and Allergy Research Medical University of Vienna Vienna Austria
Venue
Allergy
Publisher
Wiley
Published
2015-07-07
Volume
70
Issue
9
Pages
1079-1090
ISSN
  • 0105-4538
  • 1398-9995
DOI
10.1111/all.12666
Cited by
200
References
3
Language
en
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)

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