Sesame allergy a time burden for families of children with multiple food allergies

Lemoine-Courcelles, Cathérine; Abrams, Elissa M.; Kim, Harold; Povolo, Beatrice; Gerdts, Jennifer; Protudjer, Jennifer L. P.

doi:10.1016/j.jaip.2020.11.031

Cited by 5 publications

(6 citation statements)

References 4 publications

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“…Given the frequency of permanence 1 and significant impact sesame allergy has on quality of life, it is likely that providing oral immunotherapy can decrease burdens faced. 5 , 7 , 16 , 17 Despite cross-reactivity between sesame and peanuts, it is unknown yet if peanut oral immunotherapy decreases clinical reactivity to sesame. 1 , 4 , 16 …”

Section: Discussionmentioning

confidence: 99%

“…In the United States, it is estimated to range from 0.1% to 0.24% of the population, 1 which makes it the ninth most common U.S. food allergen, and the most common seed allergy. 2 A sesame allergy typically appears early in life, on average between 6 months and 3.5 years of age 2 – 5 ; however, in one study, >25.7% of the adults with sesame allergy reported an adult onset of sesame hypersensitivity. 2 Unfortunately, only ∼20%–30% of individuals will outgrow their sesame allergy and the majority will remain allergic.…”

Section: Sesame Seed Allergy Overviewmentioning

confidence: 94%

“… 1 Among patients with multiple food allergies, 50% of them report their sesame allergy results in greater time burdens than their other food allergies. 5 …”

Section: Sesame Seed Allergy Overviewmentioning

confidence: 99%

“… 2 One study found that, among children with sesame allergy, 61.9% had more than five food allergies. 5 Between 58% and 99% of patients with sesame allergy may demonstrate sensitization to peanuts. Ses i 3 has been found to have 80% homology with the peanut allergen Ara h 1, which likely explains the cross-reactivity.…”

Section: Cross-reactivitymentioning

confidence: 99%

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A practical focus on sesame allergy and a brief review of other seed allergies

Kaman

Factor

2022

Journal of Food Allergy

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Although seed allergies are relatively rare, sesame allergy has been increasing worldwide and is typically persistent in most patients. Because allergen labeling laws, until just recently, have not required the declaration of sesame as a major allergen, there is a clear need to better understand and potentially treat this food allergy. Although blood and skin prick testing for sesame have limited predictive value, this improves with the use of component diagnostics and skin-prick test with fresh sesame. A thorough history and oral food challenge should be used to diagnose sesame allergy. Treatment of sesame allergy with oral immunotherapy has been demonstrated to be safe and effective in case reports, and in at least one controlled study with a published sesame oral immunotherapy protocol. There is minimum literature with regard to management of other seed allergies.

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Section: Discussionmentioning

confidence: 99%

Section: Sesame Seed Allergy Overviewmentioning

confidence: 94%

“… 1 Among patients with multiple food allergies, 50% of them report their sesame allergy results in greater time burdens than their other food allergies. 5 …”

Section: Sesame Seed Allergy Overviewmentioning

confidence: 99%

Section: Cross-reactivitymentioning

confidence: 99%

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A practical focus on sesame allergy and a brief review of other seed allergies

Kaman

Factor

2022

Journal of Food Allergy

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“…Although the range of severity of allergic reactions to these foods is wide, TN in particular account for a large proportion of life-threatening reactions. The fear of accidental exposure and the burden of food restrictions can therefore significantly reduce the quality of life of those affected [14,15]. The present review will focus on recent advances in the diagnosis and management of TN and seed allergy.…”

Section: Introductionmentioning

confidence: 99%

Recent advances in the diagnosis and management of tree nut and seed allergy

Labrosse

Graham

Caubet

2022

Current Opinion in Allergy &Amp; Clinical Immunology

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Purpose of reviewTree nut (TN) and seed allergies are frequent, and their prevalence appears to be on the rise. Allergic reactions associated with these foods are more frequently severe, and these allergies tend to persist into adulthood, consequently affecting quality of life. In this review, we summarize recent advances in diagnostic modalities and management strategies for TN/seed-allergic patients.Recent findingsClinical manifestations of TN and seed allergy range from asymptomatic sensitization to severe anaphylactic reactions. The use of emerging diagnostic tools such as component resolved diagnostics (CRD) and the basophil activation test (BAT) can help better predict clinical reactivity, the latter being currently reserved for research settings. Strict avoidance of all TN is generally not required, as most patients can tolerate select TN despite co-sensitization. Oral immunotherapy (OIT) is a promising alternative treatment instead of complete avoidance of culprit allergens, as it can safely increase the allergy threshold.SummaryOur recent understanding of co-reactivity between various TN and seeds has shaped management opportunities, including select TN introduction and optimization of OIT, two strategies which may improve quality of life. There is a need for better minimally invasive diagnostic methods for TN and seed allergy, with CRD and BAT being promising tools.

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Natural immunomodulating substances used for alleviating food allergy

Tian

Xue

et al. 2021

Critical Reviews in Food Science and Nutrition

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Sesame allergy a time burden for families of children with multiple food allergies

Cited by 5 publications

References 4 publications

A practical focus on sesame allergy and a brief review of other seed allergies

A practical focus on sesame allergy and a brief review of other seed allergies

Recent advances in the diagnosis and management of tree nut and seed allergy

Natural immunomodulating substances used for alleviating food allergy

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