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Phenotypes and Endotypes of Peach Allergy: What Is New?
Abstract
Peach allergy is emerging as a common type of fresh-fruit allergy in Europe, especially in the Mediterranean area. The clinical manifestations of peach allergy tend to have a peculiar geographical distribution and can range from mild oral symptoms to anaphylaxis, depending on the allergic sensitization profile. The peach allergen Pru p 7, also known as peamaclein, has recently been identified as a marker of peach allergy severity and as being responsible for peculiar clinical features in areas with high exposure to cypress pollen. This review addresses the latest findings on molecular allergens for the diagnosis of peach allergy, the clinical phenotypes and endotypes of peach allergy in adults and children, and management strategies, including immunotherapy, for peach allergy.
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“In Mediterranean countries, LTPs play a significant role in PFAS, with peaches (which contain the Pru p 3 LTP) being a major trigger, alongside other fruits like apricots, plums, and nectarines, which are staples of the local diet [54,55].”
From Pollen–Food Allergy Syndrome: Allergens, Clinical Insights, Diagnostic and Therapeutic Challenges (2024) · cites this paper as [54]
In the citing paper
“Systemic reactions are estimated to occur in approximately 2-10% of PFAS cases, with severe outcomes such as hypotension and respiratory distress being extremely rare (1-2%) [54,57,62,63].”
From Pollen–Food Allergy Syndrome: Allergens, Clinical Insights, Diagnostic and Therapeutic Challenges (2024) · cites this paper as [54]
In the citing paper
“These more serious presentations are often linked to heat-stable allergens, such as those found in nuts, LTPs, and GRPs, or when cofactors like NSAIDs or physical activity lower the reaction threshold [54,94,96].”
From Pollen–Food Allergy Syndrome: Allergens, Clinical Insights, Diagnostic and Therapeutic Challenges (2024) · cites this paper as [54]
In the citing paper
“In Mediterranean countries, LTPs are the most significant cause of food allergies and PFAS, with a high prevalence (up to 30%) of sensitization to Pru p 3, the peach LTP that serves as the archetype of this allergen family [54,143,146,147].”
From Pollen–Food Allergy Syndrome: Allergens, Clinical Insights, Diagnostic and Therapeutic Challenges (2024) · cites this paper as [54]
In the citing paper
“The type of food consumed and the patient's underlying pollen sensitization profile also play a significant role [54,63,100].”
From Pollen–Food Allergy Syndrome: Allergens, Clinical Insights, Diagnostic and Therapeutic Challenges (2024) · cites this paper as [54]
In the citing paper
“Systemic reactions are estimated to occur in approximately 2-10% of PFAS cases, with severe outcomes such as hypotension and respiratory distress being extremely rare (1-2%) [54,57,62,63].”
From Pollen–Food Allergy Syndrome: Allergens, Clinical Insights, Diagnostic and Therapeutic Challenges (2024) · cites this paper as [54]
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Citations
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Cited by
Sorted by citations
Pollen–Food Allergy Syndrome: Allergens, Clinical Insights, Diagnostic and Therapeutic Challenges
Haidar, L., Bănărescu, C. F., Uța, C., Moldovan, S. I., Zimbru, E.-L., Zimbru, R.-I., Ciurariu, E., Georgescu, M., & Panaitescu, C. (2024) · Applied Sciences · doi:10.3390/app15010066 · Cited by 21
Metadata
- Authors
- Barni, S., Caimmi, D., Chiera, F., Comberiati, P., Mastrorilli, C., Pelosi, U., Paravati, F., Marseglia, G. L., & Arasi, S.
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2022-02-26
- Volume
- 14
- Issue
- 5
- Pages
- 998
- ISSN
- 2072-6643
- PMC
- PMC8912752
- Cited by
- 22
- References
- 1
- Language
- en
- Funders
- The Italian Society of Pediatric Allergy and Immunology (SIAIP) (0000)
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![Figure 1 Diagnostic algorithm for peach allergy. Adapted from [40].](/paper-figures/c5f4a7e39e984c9ba3d715d681b581d2/phenotypes-and-endotypes-of-peach-allergy-what-is-new-figure-1.jpg)