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Clinical features of potato sensitivity in children with allergic disease
M Dogru1, S Ozmen1, I Bostanci1
1Department of Pediatric Allergy-Immunology. Dr. Sami Ulus Woman's Health and Children Education and Research Hospital, Ankara, Turkey.
Insights
Potato sensitivity is common in children with atopic dermatitis and often co-occurs with other food allergies. Testing for potato allergy is recommended for children with eczema and suspected food allergies.
Area of Science:
- Pediatric Immunology
- Allergy Research
- Clinical Nutrition
Background:
- Adverse reactions to potato are uncommon despite global consumption.
- Potato sensitivity presents unique clinical challenges in pediatric populations.
Purpose of the Study:
- To characterize the clinical manifestations of potato sensitivity in allergic children.
- To identify associated allergic conditions and triggers in this cohort.
Main Methods:
- Retrospective evaluation of 40 children diagnosed with potato sensitivity.
- Data collected from January 2012 to December 2013 at a Pediatric Immunology and Allergy Clinic.
- Skin prick tests were utilized to assess sensitivity to various allergens.
Main Results:
- Eczema was the most prevalent symptom (33/40 children), followed by wheezing (9/40) and urticaria/angioedema (7/40).
- 95% of patients showed sensitivity to other allergens, predominantly other foods (82.5%), house dust mite, and pollens.
- Pollen sensitivity was observed in 38.5% of patients over three years old.
Conclusions:
- Potato sensitivity frequently occurs in children with atopic dermatitis (eczema).
- Clinicians should consider potato as a potential trigger in children with atopic eczema.
- Combined food allergies are common; potato should be included in allergy testing for atopic eczema patients.
Background And Objective:
Although potato is greatly consumed all over the world, adverse reactions to potato are uncommon. Our aim is to describe the clinical features of potato sensitivity in allergic children.
Materials And Methods:
Forty children with sensitivity to potato were followed up in the Pediatric Immunology and Allergy Clinic of our hospital were included in the study. These patients were retrospectively evaluated from January 2012 to December 2013.
Results:
Forty children aged between 6 months and 10 years (mean 2.9±3.2, median:1.5 years) were enrolled of whom 26 were male (65%). Thirty three of these children had presented eczema, nine wheezing, seven urticaria and/or angioedema, six rhinitis, four subjects had experienced anaphylaxis, and two vomiting or other gastrointestinal complaints. In 38 (95%) patients, skin prick tests detected sensitivity to other allergens besides potato. The most frequently identified sensitivities were to food sensitivities (82.5%). In addition sensitivity to house dust mite, cat dander, pollens, A. Alternata and cockroaches in skin prick tests were documented in nine, six, five, four and four patients, respectively. Latex sensitivity was not detected in any patient. Five (38.5%) out of 13 patients over the age of three showed sensitivity to pollen.
Conclusions:
Potatoes sensitivity is mostly seen in children with atopic dermatitis. In children with atopic eczema should be asked whether the increase in complaints with potatoes. Mostly potato sensitivity is combined with other food allergies. Therefore potato should be included in the test in patients with atopic eczema and food allergy.
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