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Anaphylaxis is a severe, life-threatening hypersensitivity reaction mediated by Immunoglobulin E (IgE) antibodies. When IgE binds to allergens, it triggers the release of mediators– histamine, leukotrienes, and prostaglandins from mast cells and basophils. These mediators cause vasodilation, edema, and inflammation, leading to various symptoms.The primary allergens causing anaphylaxis include food items (e.g., peanuts, shellfish), drugs (e.g., penicillin, asparaginase, corticotropin,...
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Basophil Activation Test for Allergy Diagnosis
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Fruit and vegetable allergy.

Montserrat Fernández-Rivas1

  • 1Allergy Department, Hospital Clínico San Carlos, IdISSC, Madrid, Spain.

Chemical Immunology and Allergy
|May 30, 2015
PubMed
Summary

Pollen-food syndrome (PFS) and lipid transfer protein (LTP) syndrome are common fruit and vegetable allergies. Molecular diagnosis guides management, with immunotherapy showing promise for LTP syndrome.

Area of Science:

  • Food allergy research
  • Immunology
  • Clinical diagnostics

Background:

  • Fruit and vegetable allergies are common in adolescents and adults.
  • Understanding allergen properties and cross-reactivity is key to allergy mechanisms.
  • Pollen-food syndrome (PFS) and lipid transfer protein (LTP) syndrome represent contrasting allergy types.

Purpose of the Study:

  • To differentiate between pollen-food syndrome and lipid transfer protein syndrome.
  • To highlight the role of molecular diagnostics in allergy management.
  • To discuss current and potential future treatment strategies for fruit and vegetable allergies.

Main Methods:

  • Review of current literature on fruit and vegetable allergies.
  • Analysis of allergen characteristics (stability, cross-reactivity).

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  • Comparison of clinical phenotypes and diagnostic approaches for PFS and LTP syndrome.
  • Main Results:

    • PFS involves labile pollen allergens, causing mild oral reactions.
    • LTP syndrome involves stable allergens, leading to severe systemic reactions and anaphylaxis.
    • Molecular diagnostics are crucial for risk assessment and management.

    Conclusions:

    • PFS and LTP syndrome have distinct allergen profiles and clinical outcomes.
    • Management includes avoidance and emergency medication, with immunotherapy being a potential future therapy for LTP syndrome.
    • Further research into allergen-specific immunotherapy is warranted.