IgE mediated food allergy in Turkey: different spectrum, similar outcome

Yıl: 2021 Cilt: 63 Sayı: 4 Sayfa Aralığı: 554 - 563 Metin Dili: İngilizce İndeks Tarihi: 26-05-2022

IgE mediated food allergy in Turkey: different spectrum, similar outcome

Öz:
Background. Food allergies (FAs) potentially differ across cultures. Methods. All medical records of 534 children and adolescents with IgE-mediated FA over a 5-year period were reviewed to document the regional characteristics with regard to spectrum and outcome. Results. According to their last visit, the most common FAs were tree nuts (TNs) (52.4%), cow’s milk (27.3%), seeds (24.7%), egg white (23.2%) and peanuts (14.9%). Hazelnut and Anacardia nuts were the most common etiologies for TN allergies, whereas lentils and chickpeas for legumes and sesame and pumpkin seed for seeds were most common, respectively. TN allergy was in first place in school-age children (55.3%) and adolescents (57.1%) while in the second place in preschoolers (57.7%) after egg white (60%). Of these 534 children, 59.2% had at least one resolved FA (mainly egg white, cow’s milk) and 21% had no residual FA during the study period. Emerging FAs (fish, shellfish, fruit, TN and seed) after the age of 3 years was reported in 94 children. The prevalence of current asthma (22.3%, 38.2%, 40%) and allergic rhinitis (11.6%, 45.2%, 60%) increased, while current atopic dermatitis (17.5%, 8.6%, 8,6%) decreased in preschoolers, school age children and adolescents, respectively. Conclusions. The FA spectrum of Turkish children and adolescents differs from many regions of the world with high rates of TN (hazelnut, Anacardia nuts), seed (sesame, pumpkin seed) and lentils, and low rates of soy, peanut and seafood allergies. However, resolution, emergence and persistence of allergies and comorbidities are similar, which points to the limited role of the environment in the outcome.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Sampson HA, Aceves S, Bock SA, et al. Food allergy: a practice parameter update-2014. J Allergy Clin Immunol 2014; 134: 1016-1025.e43.
  • 2. Savage J, Johns CB. Food allergy: epidemiology and natural history. Immunol Allergy Clin North Am 2015; 35: 45-59.
  • 3. Gupta RS, Springston EE, Warrier MR, et al. The prevalence, severity, and distribution of childhood food allergy in the United States. Pediatrics 2011; 128: e9-e17.
  • 4. Stiefel G, Anagnostou K, Boyle RJ, et al. BSACI guideline for the diagnosis and management of peanut and tree nut allergy. Clin Exp Allergy 2017; 47: 719-739.
  • 5. Saf S, Sifers TM, Baker MG, et al. Diagnosis of sesame allergy: analysis of current practice and exploration of sesame component ses i 1. J Allergy Clin Immunol Pract 2020; 8: 1681-1688.e3.
  • 6. Clark AT, Ewan PW. Interpretation of tests for nut allergy in one thousand patients, in relation to allergy or tolerance. Clin Exp Allergy 2003; 33: 1041- 1045.
  • 7. Peters RL, Koplin JJ, Gurrin LC, et al; HealthNuts Study. The prevalence of food allergy and other allergic diseases in early childhood in a populationbased study: HealthNuts age 4-year follow-up. J Allergy Clin Immunol 2017; 140: 145-153.e8.
  • 8. Sampson HA, Gerth van Wijk R, Bindslev-Jensen C, et al. Standardizing double-blind, placebo-controlled oral food challenges: American Academy of Allergy, Asthma & Immunology-European Academy of Allergy and Clinical Immunology PRACTALL consensus report. J Allergy Clin Immunol 2012; 130: 1260-1274.
  • 9. Eichenfield LF, Tom WL, Chamlin SL, et al. Guidelines of care for the management of atopic dermatitis: section 1. diagnosis and assessment of atopic dermatitis. J Am Acad Dermatol 2014; 70: 338- 351.
  • 10. Bousquet J, Schunemann HJ, Togias A, et al; Allergic Rhinitis and Its Impact on Asthma Working Group Next-generation Allergic Rhinitis and Its Impact on Asthma (ARIA) guidelines for allergic rhinitis based on Grading of Recommendations Assessment, Development and Evaluation (GRADE) and realworld evidence. J Allergy Clin Immunol 2020; 145: 70-80.e3.
  • 11. Global Strategy for Asthma Management and Prevention. https://ginasthma.org/wp-content/ uploads/2020/04/GINA-2020-full-report_-final-_ wms.pdf (Accessed on July 18, 2021).
  • 12. Kahveci M, Karabulut E, Soyer O, Sahiner UM, Buyuktiryaki B, Sekerel BE. Fine-tuning the use of a skin prick test device. World Allergy Organ J 2020; 13: 100122.
  • 13. Steinke M, Fiocchi A, Kirchlechner V, et al; REDALL Study ConsortiumPerceived food allergy in children in 10 European nations. A randomised telephone survey. Int Arch Allergy Immunol 2007; 143: 290- 295.
  • 14. Nwaru BI, Hickstein L, Panesar SS, Roberts G, Muraro A, Sheikh A; EAACI Food Allergy and Anaphylaxis Guidelines Group. Prevalence of common food allergies in Europe: a systematic review and metaanalysis. Allergy 2014; 69: 992-1007.
  • 15. Sasaki M, Koplin JJ, Dharmage SC, et al. Prevalence of clinic-defined food allergy in early adolescence: The SchoolNuts study. J Allergy Clin Immunol 2018; 141: 391-398. e4.
  • 16. Leung TF, Yung E, Wong YS, Lam CW, Wong GW. Parent-reported adverse food reactions in Hong Kong Chinese pre-schoolers: epidemiology, clinical spectrum and risk factors. Pediatr Allergy Immunol 2009; 20: 339-346.
  • 17. Nuts & Dried Fruits Statistical Yearbook 2019/2020 Available at: https://www.nutfruit. org/files/tech/1587539172_INC_Statistical_ Yearbook_2019-2020.pdf (Accessed on September 2, 2020).
  • 18. Warren CM, Chadha AS, Sicherer SH, Jiang J, Gupta RS. Prevalence and severity of sesame allergy in the United States. JAMA Netw Open 2019; 2: e199144.
  • 19. Garkaby J, Epov L, Musallam N, et al. The sesame - peanut conundrum in Israel: reevaluation of food allergy prevalence in young children. J Allergy Clin Immunol Pract 2021; 9: 200-205.
  • 20. Kahveci M, Koken G, Sahiner UM, Soyer O, Sekerel BE. Immunoglobulin E-mediated food allergies differ in East Mediterranean children aged 0-2 years. Int Arch Allergy Immunol 2020; 181: 365-374.
  • 21. Shoormasti RS, Sabetkish N, Kazemnejad A, Vahabi N, Fazlollahi MR, Pourpak Z. Are the most common food allergens in an Iranian atopic population compatible with worldwide reports? A systemic review and meta-analysis with molecular classification of frequent allergens. Allergol Immunopathol (Madr) 2019; 47: 604-618.
  • 22. Lyons SA, Clausen M, Knulst AC, et al. Prevalence of food sensitization and food allergy in children across Europe. J Allergy Clin Immunol Pract 2020; 8: 2736-2746.e9.
  • 23. Yavuz ST, Sahiner UM, Buyuktiryaki B, et al. Phenotypes of IgE-mediated food allergy in Turkish children. Allergy Asthma Proc 2011; 32: 47-55.
  • 24. Orhan F, Karakas T, Cakir M, Aksoy A, Baki A, Gedik Y. Prevalence of immunoglobulin E-mediated food allergy in 6-9-year-old urban schoolchildren in the eastern Black Sea region of Turkey. Clin Exp Allergy 2009; 39: 1027-1035.
  • 25. Savage JH, Matsui EC, Skripak JM, Wood RA. The natural history of egg allergy. J Allergy Clin Immunol 2007; 120: 1413-1417.
  • 26. Skripak JM, Matsui EC, Mudd K, Wood RA. The natural history of IgE-mediated cow’s milk allergy. J Allergy Clin Immunol 2007; 120: 1172-1177.
  • 27. Mustafayev R, Civelek E, Orhan F, Yuksel H, Boz AB, Sekerel BE. Similar prevalence, different spectrum: IgE-mediated food allergy among Turkish adolescents. Allergol Immunopathol (Madr) 2013; 41: 387-396.
  • 28. McWilliam V, Peters R, Tang MLK, et al; HealthNuts Investigators. Patterns of tree nut sensitization and allergy in the first 6 years of life in a populationbased cohort. J Allergy Clin Immunol 2019; 143: 644- 650.e5.
  • 29. McWilliam VL, Perrett KP, Dang T, Peters RL. Prevalence and natural history of tree nut allergy. Ann Allergy Asthma Immunol 2020; 124: 466-472.
  • 30. Cetinkaya PG, Buyuktiryaki B, Soyer O, Sahiner UM, Sackesen C, Sekerel BE. Phenotypical characterization of tree nuts and peanut allergies in east Mediterranean children. Allergol
  • 31. Kahveci M, Akarsu A, Koken G, Sahiner UM, Soyer O, Sekerel BE. Food-induced anaphylaxis in infants, as compared to toddlers and preschool children in Turkey. Pediatr Allergy Immunol 2020; 31: 954-961.
  • 32. Cetinkaya PG, Karaguzel D, Esenboga S, et al. Pistachio and cashew nut allergy in childhood: predictive factors towards development of a decision tree. Asian Pac J Allergy Immunol 2021; 39: 53-61.
  • 33. Boyce JA, Assa’ad A, Burks AW, et al; NIAIDSponsored Expert Panel. Guidelines for the diagnosis and management of food allergy in the United States: summary of the NIAID-sponsored expert panel report. J Allergy Clin Immunol 2010; 126: 1105-1118.
  • 34. Langan SM, Irvine AD, Weidinger S. Atopic dermatitis. Lancet 2020; 396: 345-360.
  • 35. Holgate ST, Wenzel S, Postma DS, Weiss ST, Renz H, Sly PD. Asthma. Nat Rev Dis Primers 2015; 1: 15025.
  • 36. Cohen A, Goldberg M, Levy B, Leshno M, Katz Y. Sesame food allergy and sensitization in children: the natural history and long-term follow-up. Pediatr Allergy Immunol 2007; 18: 217-223.
APA AKARSU A (2021). IgE mediated food allergy in Turkey: different spectrum, similar outcome. , 554 - 563.
Chicago AKARSU Ayşegül IgE mediated food allergy in Turkey: different spectrum, similar outcome. (2021): 554 - 563.
MLA AKARSU Ayşegül IgE mediated food allergy in Turkey: different spectrum, similar outcome. , 2021, ss.554 - 563.
AMA AKARSU A IgE mediated food allergy in Turkey: different spectrum, similar outcome. . 2021; 554 - 563.
Vancouver AKARSU A IgE mediated food allergy in Turkey: different spectrum, similar outcome. . 2021; 554 - 563.
IEEE AKARSU A "IgE mediated food allergy in Turkey: different spectrum, similar outcome." , ss.554 - 563, 2021.
ISNAD AKARSU, Ayşegül. "IgE mediated food allergy in Turkey: different spectrum, similar outcome". (2021), 554-563.
APA AKARSU A (2021). IgE mediated food allergy in Turkey: different spectrum, similar outcome. Turkish Journal of Pediatrics, 63(4), 554 - 563.
Chicago AKARSU Ayşegül IgE mediated food allergy in Turkey: different spectrum, similar outcome. Turkish Journal of Pediatrics 63, no.4 (2021): 554 - 563.
MLA AKARSU Ayşegül IgE mediated food allergy in Turkey: different spectrum, similar outcome. Turkish Journal of Pediatrics, vol.63, no.4, 2021, ss.554 - 563.
AMA AKARSU A IgE mediated food allergy in Turkey: different spectrum, similar outcome. Turkish Journal of Pediatrics. 2021; 63(4): 554 - 563.
Vancouver AKARSU A IgE mediated food allergy in Turkey: different spectrum, similar outcome. Turkish Journal of Pediatrics. 2021; 63(4): 554 - 563.
IEEE AKARSU A "IgE mediated food allergy in Turkey: different spectrum, similar outcome." Turkish Journal of Pediatrics, 63, ss.554 - 563, 2021.
ISNAD AKARSU, Ayşegül. "IgE mediated food allergy in Turkey: different spectrum, similar outcome". Turkish Journal of Pediatrics 63/4 (2021), 554-563.