Latex-fruit syndrome and degree of severity of natural rubber latex allergy: is there a link?

Calamelli, Elisabetta; Piccinno, Valentina; Giannetti, Arianna; Ricci, Giampaolo; Pession, Andrea

doi:10.1186/2045-7022-1-s1-o18

Cited by 4 publications

(2 citation statements)

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“…However, in the last decade, severe anaphylactic reactions have also been reported in the literature, and therefore, this species is of clinical importance. In addition to PFS, a link between latex allergy and cross‐reactive plant‐derived food allergens, latex–fruit syndrome (LFS), has also been reported in this species (Blanco, 2003; Calamelli et al ., 2011; Dramburg et al ., 2023). As shown in Table 1, 17 proteinaceous food allergens have been identified in kiwifruits and have been approved and included by the World Health Organization and International Union of Immunological Societies (WHO/IUIS) Allergen Nomenclature Sub‐committee (see, http://www.allergen.org/); many show IgE cross‐reactivity and several have been biochemically characterised.…”

Section: Resultsmentioning

confidence: 99%

Update on the global prevalence and severity of kiwifruit allergy: a scoping review

James,

Welham,

Rose

2023

Int J of Food Sci Tech

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SummaryThe production and use of kiwifruit, and their derived products, has seen rapid growth in the food industry with some 4,467,099 tonnes produced in 2021. A key area of development has been the increased use of kiwifruit waste streams to support sustainable food production systems. However, kiwifruit is emerging as a common elicitor of food allergy worldwide. Therefore, the present research focuses on summarising the current literature on kiwifruit induced human food allergy. Of the available information, a total of 7,098 titles were found and 107 articles were included in the current study following full‐text screening. Most research concentrated on the prevalence of allergenicity and was performed within Europe, North America, Asia, Africa, South America and Oceania. Food allergy to kiwifruit ranged from oral allergy syndrome to anaphylaxis in humans. Few studies considered the need for labelling or public education. Given the increased usage of kiwifruit across a range of food streams further research is required due to the greater focus on utilisation of these products in the food industry.

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Section: Resultsmentioning

confidence: 99%

Update on the global prevalence and severity of kiwifruit allergy: a scoping review

James,

Welham,

Rose

2023

Int J of Food Sci Tech

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“…33 El síndrome del látex-fruta se ha descrito en 30 a 50 % de los pacientes afectados por alergia al látex de caucho natural. 34 Se ha relacionado reactividad cruzada con plátano, kiwi, papaya, pepino, aguacate, fruta de la pasión, melón, mango, castaña, entre otros. Esto se debe principalmente a que algunas de las proteínas alergénicas del látex también están presentes en esas frutas.…”

Section: Síndrome Látex-frutaunclassified

Alergia al látex: opciones terapéuticas

Jiménez-Carrillo

Piña-Ramos

Meza-Arrayales

et al. 2022

RAM

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La alergia al látex es un problema importante en el mundo debido a la gravedad de la sintomatología que produce y a los grupos de riesgo expuestos. La evitación completa es difícil, casi imposible, dada su ubicuidad. El látex de caucho natural (LCN) es un polímero secretado por el árbol Hevea brasiliensis (Hev b), que funciona como sellador protector. Actualmente se usa para fabricar productos para el cuidado de la salud como tapones para tubos, pistones, mascarillas y cánulas. El objetivo de esta revisión es resaltar los aspectos epidemiológicos, clínicos y diagnósticos de la alergia al LCN, y realizar una revisión de la literatura sobre su manejo, mediante una búsqueda bibliográfica de artículos en bases de datos como PubMed, Cochrane, UpToDate y Google Académico, hasta septiembre del 2021. Se revisaron aproximadamente 121 artículos, de los cuales se utilizaron 76 como referencia. Concluimos que la alergia al látex es una entidad cuyo tratamiento aún hoy en día es la evitación, a pesar de tener una prevalencia mundial de 4.3 % y representar una complicación quirúrgica de cerca de 20 % de las cirugías con una reacción anafiláctica y una mortalidad que puede llegar a 9 %. El único tratamiento que podría modificar la evolución de esta enfermedad es la inmunoterapia, pero aún no se cuenta con extractos estandarizados y no se ha podido determinar la vía más segura y efectiva.

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Síndrome látex-papaya: una asociación poco frecuente

Rojas-Mandujano

González-Juárez

Hernández-Fernández

et al. 2018

RAM

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Background: Latex-fruit syndrome (LFS) is characterized by allergy to latex and plants. Papain, chymopapain, caricaine and class I chitinases are papaya's most allergenic proteins. The similarity between latex hevein epitopes and papaya class I chitinases might explain the latex-papaya syndrome (LPS). Objective: To describe the clinical characteristics of patients with LPS. Methods: Cross-sectional, observational, descriptive study where 11 patients diagnosed with latex allergy by skin prick test and clinically diagnosed with papaya-induced anaphylaxis were included The results were analyzed with descriptive statistics. Results: Out of 11 patients with LPS, 72.7% were females (7 to 46 years), all with a history of papaya-induced anaphylaxis, identifi ed by medical history and medical notes plus latex-positive skin prick tests, with 63.3% exhibiting anaphylaxis in the skin prick tests. Risk factors included multiple surgeries, another allergic disease, and being employed in the fi eld of health; 63.6% were allergic to to other foods, 45.4% to medications, 45.4% had allergic rhinitis and 27.3% had asthma. Conclusions: Hypersensitivity to papaya increases the risk of anaphylaxis in patients with latex allergy and, therefore, mortality. Clinical data is the main diagnostic tool. Education for the management of anaphylaxis with adrenaline self-administration is essential.

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Latex-fruit syndrome and degree of severity of natural rubber latex allergy: is there a link?

Cited by 4 publications

References 0 publications

Update on the global prevalence and severity of kiwifruit allergy: a scoping review

Update on the global prevalence and severity of kiwifruit allergy: a scoping review

Alergia al látex: opciones terapéuticas

Síndrome látex-papaya: una asociación poco frecuente

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