Diagnosis and Management of Pollen Food Allergy Syndrome to Nuts

Giovannini, Mattia; Skypala, Isabel J.; Caubet, Jean Christoph; Du Toit, George; Nowak-Wegrzyn, Anna

doi:10.1016/j.jaip.2024.01.025

Cited by 3 publications

(2 citation statements)

References 52 publications

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“…These peanut allergens are part of various protein families, fostering IgE-mediated cross-reactions in immune responses. These cross-reactions extend not only among different members of the legume families but also involve other plant foods, including tree nuts [ 44 ]. The toasting process seems to increase the allergenicity of key peanut allergens [ 45 , 46 ].…”

Section: Characterization Of Vegetable Allergens: Unveiling Molecular...mentioning

confidence: 99%

Botanical Impurities in the Supply Chain: A New Allergenic Risk Exacerbated by Geopolitical Challenges

Dinardo,

Dahdah,

Cafarotti

et al. 2024

Nutrients

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Background: The supply chains of food raw materials have recently been heavily influenced by geopolitical events. Products that came from, or transited through, areas currently in conflict are now preferentially supplied from alternative areas. These changes may entail risks for food safety. Methods: We review the potential allergenicity of botanical impurities, specifically vegetable contaminants, with particular attention to the contamination of vegetable oils. We delve into the diverse types of botanical impurities, their sources, and the associated allergenic potential. Our analysis encompasses an evaluation of the regulatory framework governing botanical impurities in food labeling. Results: Unintended plant-derived contaminants may manifest in raw materials during various stages of food production, processing, or storage, posing a risk of allergic reactions for individuals with established food allergies. Issues may arise from natural occurrence, cross-contamination in the supply chain, and contamination at during production. The food and food service industries are responsible for providing and preparing foods that are safe for people with food allergies: we address the challenges inherent in risk assessment of botanical impurities. Conclusions: The presence of botanical impurities emerges as a significant risk factor for food allergies in the 2020s. We advocate for regulatory authorities to fortify labeling requirements and develop robust risk assessment tools. These measures are necessary to enhance consumer awareness regarding the potential risks posed by these contaminants.

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Section: Characterization Of Vegetable Allergens: Unveiling Molecular...mentioning

confidence: 99%

Botanical Impurities in the Supply Chain: A New Allergenic Risk Exacerbated by Geopolitical Challenges

Dinardo,

Dahdah,

Cafarotti

et al. 2024

Nutrients

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“…Other symptoms of PFAS may include tightness in the throat, difficulty swallowing, dysphonia, nausea, nasal itching, and itching of the ear ( 27 ). PFAS complicates the diagnosis and management of food allergies by leading to uncertainty around potential severity of future reactions and indications for prescribing epinephrine, as well as the extent of necessary dietary avoidance ( 28 ). The main pan-allergens of relevance for PFAS include three protein families: profilins, pathogenesis-related protein type 10 (PR-10), and nonspecific lipid transfer proteins (LTPs) ( 26 ).…”

Section: Diagnosis Of Food Allergymentioning

confidence: 99%

The role of pediatricians in the diagnosis and management of IgE-mediated food allergy: a review

Gupta,

Epstein,

Wood

2024

Front. Pediatr.

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ImportanceFood allergy can often cause a significant burden on patients, families, and healthcare systems. The complexity of food allergy management requires a multidisciplinary approach involving different types of healthcare providers, including allergists, dieticians, psychologists, nurses, family practitioners and, of particular relevance for this article, pediatric primary caretakers. Pediatricians may be the first-line healthcare providers for food allergy: strategies for management and guideline adherence have been highlighted.ObservationsThis review article summarizes the up-to-date recommendations on the role of pediatricians in the diagnosis, management, and prevention of IgE-mediated food allergy. Early introduction of allergenic foods like peanut is known to be of importance to reduce the development of peanut allergy in infants, and pediatricians are essential for educating and supporting parents in this decision. In scenarios of limited allergist availability, as is often the case among rural, Medicaid and minority populations, pediatricians can assist in the evaluation and management of food allergy, and provide action plans, education and counselling for patients and families.Conclusions and relevancePediatric primary caretakers play a key role in the diagnosis, management, and prevention of IgE-mediated food allergy. As more diagnostic tools and therapies in food allergy become available, the need for a multidisciplinary team is paramount to optimize patient care.

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Complexity and Diversity of Food Allergy Requires Individualized Care

Wang,

Wood

2024

The Journal of Allergy and Clinical Immunology: In Practice

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Diagnosis and Management of Pollen Food Allergy Syndrome to Nuts

Cited by 3 publications

References 52 publications

Botanical Impurities in the Supply Chain: A New Allergenic Risk Exacerbated by Geopolitical Challenges

Botanical Impurities in the Supply Chain: A New Allergenic Risk Exacerbated by Geopolitical Challenges

The role of pediatricians in the diagnosis and management of IgE-mediated food allergy: a review

Complexity and Diversity of Food Allergy Requires Individualized Care

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