Peanut-Induced Anaphylaxis in Children: A Literature Review

Hawra A Alshajarah1,2, Hamza A Alghamdi3, Zainab A Alberi1,4

  • 1School of Medicine, Xi'an Jiaotong University, Xi'an, CHN.

Cureus
|December 29, 2022
PubMed

Insights

Peanut allergy is rising in children, increasing risks of fatal anaphylaxis. Early oral exposure may prevent allergy, while new treatments show promise.

Area of Science:

  • Pediatric Allergy and Immunology
  • Clinical Immunology
  • Food Allergy Research

Background:

  • Peanut allergy prevalence has significantly increased in children, becoming a leading cause of fatal anaphylaxis.
  • Management involves not only symptom treatment but also strict dietary avoidance and risk education.

Purpose of the Study:

  • To review the current understanding of peanut-induced anaphylaxis in children, covering prevalence, mechanisms, diagnosis, treatment, and emergency actions.
  • To synthesize recent research findings on peanut allergens, their impact, and therapeutic advancements.

Main Methods:

  • A comprehensive web-based literature search was conducted across major scientific databases (PubMed, Scopus, DOAJ, Embase, Google Scholar, Cochrane).
  • Advanced search features were utilized to identify relevant studies on peanut allergy and anaphylaxis in pediatric populations.

Main Results:

  • Peanut allergy is a common and severe food allergy, with increasing incidence, particularly in Westernized countries.
  • Early oral exposure to peanuts may reduce allergy risk, while non-oral exposure might increase it. Complement activation plays a role in anaphylaxis.
  • Promising treatments include oral immunotherapy, anti-IgE antibody therapy, and a herbal formulation.

Conclusions:

  • Peanut allergy management requires rigorous avoidance and prompt emergency treatment, typically with injectable epinephrine.
  • Continued research into mechanisms and novel therapies is essential for improving outcomes in children with peanut allergy.

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