Prevalence, Severity, and Distribution of Adult-Onset Food Allergy

Warren, C.; Stankey, C.; Jiang, Jialing; Blumenstock, Jesse; Smith, B.; Gupta, Ramyani

doi:10.1016/j.anai.2018.09.041

Cited by 10 publications

(8 citation statements)

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“…Although most adult-onset allergy studies to date use the accepted legal de nition of "adult" as aged 18 and older (10,16,21,23,30), we de ned this with an age of 16 years or older as our cut-off. Although this resulted in only 1 additional case in our series, we believe this is a valid exclusion point, as the age 16 and older has been used in oral immunotherapy (OIT) Canadian guidelines (31).…”

Section: Resultsmentioning

confidence: 99%

Adult-Onset IgE-Mediated Food Allergy in Manitoba

Walter

Kalicinsky

2020

Preprint

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BackgroundIt is a putatively understood phenomenon that the overall prevalence of allergic disease has been increasing in recent decades – particularly in industrialized nations. Despite this, there is a relative scarcity of data concerning the development of food-related allergic disease in the adult population. In addition, the paucity of data as it pertains to the Canadian population is particularly marked when compared to other nations. We sought to determine common culprit foods and the reactions they elicited in a series of 14 patients seen in the Winnipeg allergy and immunology clinic. MethodsWe conducted a retrospective review of patients identified by academic allergists in Winnipeg, Manitoba as fitting criteria for adult-onset IgE-mediated food allergy from May 2018 – July 2020. We included patients with IgE-mediated symptoms, including the food pollen syndrome which developed at the age of 16 or later. We collected data regarding the food which induced the reaction, what the reaction was, and any concomitant atopic disease.ResultsThe most common culprit food identified was shellfish, followed by finfish, food pollen syndrome, and wheat/flour. The most common reaction experienced was anaphylaxis, followed by food-dependent exercise-induced anaphylaxis and isolated (muco)cutaneous symptoms. With regard to concomitant atopic disease, allergic rhinitis/rhinoconjunctivitis stood out as the most prevalent.ConclusionsAdult-onset food allergy – particularly with resultant anaphylaxis – is an important phenomenon to recognize, even when patients have previously tolerated the food in question.

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Section: Resultsmentioning

confidence: 99%

Adult-Onset IgE-Mediated Food Allergy in Manitoba

Walter

Kalicinsky

2020

Preprint

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“…Although most adult-onset allergy studies to date use the accepted legal de nition of "adult" as aged 18 and older (10,16,21,23,31), we de ned this with an age of 16 years or older as our cut-off. Although this resulted in only 1 additional case in our series, we believe this is a valid exclusion point, as the age 16 and older has been used in oral immunotherapy (OIT) Canadian guidelines (32).…”

Section: Resultsmentioning

confidence: 99%

Adult-onset IgE-mediated food allergy at a Winnipeg allergy clinic – a case series

Walter

Kalicinsky

2020

Preprint

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Background It is a putatively understood phenomenon that the overall prevalence of allergic disease has been increasing in recent decades – particularly in industrialized nations. Despite this, there is a relative scarcity of data concerning the development of food-related allergic disease in the adult population. In addition, the paucity of data as it pertains to the Canadian population is particularly marked when compared to other nations. We sought to determine common culprit foods and the reactions they elicited in a series of 14 patients seen in the Winnipeg allergy and immunology clinic.Methods We conducted a retrospective review of patients identified by academic allergists in Winnipeg, Manitoba as fitting criteria for adult-onset IgE-mediated food allergy from May 2018 – July 2020. We included patients with IgE-mediated symptoms, including the pollen-food syndrome which developed at the age of 16 or later. We collected data regarding the food which induced the reaction, what the reaction was, and any concomitant atopic disease.ResultsThe most common culprit food identified was shellfish, followed by finfish, pollen-food syndrome, and wheat/flour. The most common reaction experienced was anaphylaxis, followed by food-dependent exercise-induced anaphylaxis and isolated (muco)cutaneous symptoms. With regard to concomitant atopic disease, allergic rhinitis/rhinoconjunctivitis stood out as the most prevalent.Conclusions Adult-onset food allergy – particularly with resultant anaphylaxis – is an important phenomenon to recognize, even when patients have previously tolerated the food in question.

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“…This focus is understandable: the burden of allergic disease in children is growing, heightened responsibilities for allergy management are borne by parents and teenagers, and allergy management often becomes more difficult within public versus private spaces. However, adult-onset allergies are increasingly common (Warren et al 2018), and a focus upon particular spaces or phases of the life-course forecloses the potential for understanding the dynamicism of allergic experience. Fenton, Elliott, and Clarke's (2013) study of the experiences of children with food allergies in schools is a valuable starting point from which this research builds.…”

Section: Theorising the Allergic Experiencementioning

confidence: 99%

Living with Food Allergies: The Recalibratory Body

Greenhalgh¹

2021

JUE

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As a growing global public health concern, an increasing proportion of the UK’s population must live with and manage the chronic disease of food allergies. Through a multi-method approach of autoethnography, cognitive mapping, and interviewing, this research investigates what matters to the bodily experience of people living with food allergies. I work with the concepts of embodiment and affect to delineate a theorisation of the allergic body as recalibratory and argue that the adrenaline auto-injector (AAI)—the lifesaving medication prescribed to individuals with severe food allergies—is integral to the allergic recalibratory body. I demonstrate the multiple, dynamic ways in which those living with food allergies “affectively relate” to the AAI and what contributes to this. An account of the body as recalibratory is advanced to account for the dynamicism of the body’s affective relations. The recalibratory body becomes a valuable tool for understanding the ways that macro-issues of AAI production shortages and the tragic occurrence of allergy fatalities as well as micro-level everyday experiences matter to those living with food allergies. The essay concludes by exploring how the concept of recalibration can expand beyond allergic bodies to understand what the body—any body—can be, do, and mean.

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Prevalence, Severity, and Distribution of Adult-Onset Food Allergy

Cited by 10 publications

References 0 publications

Adult-Onset IgE-Mediated Food Allergy in Manitoba

Adult-Onset IgE-Mediated Food Allergy in Manitoba

Adult-onset IgE-mediated food allergy at a Winnipeg allergy clinic – a case series

Living with Food Allergies: The Recalibratory Body

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