Causes of Food-Induced Anaphylaxis in Italian Adults: A Multi-Centre Study
Background: Data about food-induced anaphylaxis in Italy are missing. Objective: It was the aim of this study to detect the main foods/food allergens causing anaphylaxis in Italy. Methods: The frequency of anaphylaxis and the relative importance of many offending foods were assessed in 1,110 adult p...
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| Veröffentlicht in: | International archives of allergy and immunology 2009-01, Vol.150 (3), p.271-277 |
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| creator | Asero, R. Antonicelli, L. Arena, A. Bommarito, L. Caruso, B. Colombo, G. Crivellaro, M. De Carli, M. Della Torre, E. Della Torre, F. Heffler, E. Lodi Rizzini, F. Longo, R. Manzotti, G. Marcotulli, M. Melchiorre, A. Minale, P. Morandi, P. Moreni, B. Moschella, A. Murzilli, F. Nebiolo, F. Poppa, M. Randazzo, S. Rossi, G. Senna, G.E. |
| description | Background: Data about food-induced anaphylaxis in Italy are missing. Objective: It was the aim of this study to detect the main foods/food allergens causing anaphylaxis in Italy. Methods: The frequency of anaphylaxis and the relative importance of many offending foods were assessed in 1,110 adult patients with food allergy diagnosed by common criteria at 19 allergy centres scattered throughout Italy from 1 January to 31 December 2007. Results: Fifty-eight of 1,110 (5%) food-allergic patients experienced at least 1 episode of anaphylaxis. On average, they were older than other food-allergic patients (34 vs. 31 years; p < 0.05). The majority of anaphylactic episodes occurred in patients sensitized to lipid transfer protein (LTP; n = 19), followed by shrimp (n = 10), tree nuts (n = 9), legumes other than peanut (n = 4), and seeds (n = 2); peanut, spinach, celery, buckwheat, wheat, avocado, tomato, fish, meat, and Anisakis caused an anaphylactic reaction in single patients. Among LTP-hypersensitive patients, peach caused 13/19 anaphylactic episodes. Shrimp-allergic patients were significantly older than other patients with food-induced anaphylaxis (p < 0.05), whereas patients allergic to LTP experienced their anaphylactic episodes at a younger age (p < 0.001). The frequency of anaphylaxis among patients sensitized to LTP, shrimp or tree nuts did not differ between northern and central/southern Italy. Conclusion: LTP is the most important allergen causing food-induced anaphylaxis in Italy, peach being the most frequently offending food. Peanut-induced anaphylaxis seems very uncommon. Geographic and environmental differences both between Italy and other countries and within Italy seem to play a relevant role in the pattern of sensitization to foods. |
| doi_str_mv | 10.1159/000222679 |
| format | Article |
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Objective: It was the aim of this study to detect the main foods/food allergens causing anaphylaxis in Italy. Methods: The frequency of anaphylaxis and the relative importance of many offending foods were assessed in 1,110 adult patients with food allergy diagnosed by common criteria at 19 allergy centres scattered throughout Italy from 1 January to 31 December 2007. Results: Fifty-eight of 1,110 (5%) food-allergic patients experienced at least 1 episode of anaphylaxis. On average, they were older than other food-allergic patients (34 vs. 31 years; p < 0.05). The majority of anaphylactic episodes occurred in patients sensitized to lipid transfer protein (LTP; n = 19), followed by shrimp (n = 10), tree nuts (n = 9), legumes other than peanut (n = 4), and seeds (n = 2); peanut, spinach, celery, buckwheat, wheat, avocado, tomato, fish, meat, and Anisakis caused an anaphylactic reaction in single patients. Among LTP-hypersensitive patients, peach caused 13/19 anaphylactic episodes. Shrimp-allergic patients were significantly older than other patients with food-induced anaphylaxis (p < 0.05), whereas patients allergic to LTP experienced their anaphylactic episodes at a younger age (p < 0.001). The frequency of anaphylaxis among patients sensitized to LTP, shrimp or tree nuts did not differ between northern and central/southern Italy. Conclusion: LTP is the most important allergen causing food-induced anaphylaxis in Italy, peach being the most frequently offending food. Peanut-induced anaphylaxis seems very uncommon. Geographic and environmental differences both between Italy and other countries and within Italy seem to play a relevant role in the pattern of sensitization to foods.</description><identifier>ISSN: 1018-2438</identifier><identifier>EISSN: 1423-0097</identifier><identifier>DOI: 10.1159/000222679</identifier><identifier>PMID: 19494524</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Adolescent ; Adult ; Age Factors ; Age of Onset ; Aged ; Allergens - immunology ; Allergic diseases ; Anaphylaxis - immunology ; Animals ; Anisakis ; Arachis hypogaea ; Biological and medical sciences ; Carrier Proteins - immunology ; Child ; Digestive allergic diseases ; Female ; Food allergies ; Food Hypersensitivity - diagnosis ; Food Hypersensitivity - epidemiology ; Food Hypersensitivity - immunology ; Food Hypersensitivity - physiopathology ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Humans ; Immunopathology ; Incidence ; Italy ; Lycopersicon esculentum ; Male ; Medical sciences ; Middle Aged ; Nuts - adverse effects ; Original Paper ; Persea americana ; Prunus ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Seafood - adverse effects ; Spinacia oleracea ; Triticum aestivum ; Vegetables - adverse effects</subject><ispartof>International archives of allergy and immunology, 2009-01, Vol.150 (3), p.271-277</ispartof><rights>2009 S. Karger AG, Basel</rights><rights>2009 INIST-CNRS</rights><rights>Copyright 2009 S. Karger AG, Basel.</rights><rights>Copyright (c) 2009 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-36ebde6c56cfd616d3ac2990dcfbc6bb8e7795854356277b8a236dec4fcc5e853</citedby><cites>FETCH-LOGICAL-c393t-36ebde6c56cfd616d3ac2990dcfbc6bb8e7795854356277b8a236dec4fcc5e853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22006418$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19494524$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Asero, R.</creatorcontrib><creatorcontrib>Antonicelli, L.</creatorcontrib><creatorcontrib>Arena, A.</creatorcontrib><creatorcontrib>Bommarito, L.</creatorcontrib><creatorcontrib>Caruso, B.</creatorcontrib><creatorcontrib>Colombo, G.</creatorcontrib><creatorcontrib>Crivellaro, M.</creatorcontrib><creatorcontrib>De Carli, M.</creatorcontrib><creatorcontrib>Della Torre, E.</creatorcontrib><creatorcontrib>Della Torre, F.</creatorcontrib><creatorcontrib>Heffler, E.</creatorcontrib><creatorcontrib>Lodi Rizzini, F.</creatorcontrib><creatorcontrib>Longo, R.</creatorcontrib><creatorcontrib>Manzotti, G.</creatorcontrib><creatorcontrib>Marcotulli, M.</creatorcontrib><creatorcontrib>Melchiorre, A.</creatorcontrib><creatorcontrib>Minale, P.</creatorcontrib><creatorcontrib>Morandi, P.</creatorcontrib><creatorcontrib>Moreni, B.</creatorcontrib><creatorcontrib>Moschella, A.</creatorcontrib><creatorcontrib>Murzilli, F.</creatorcontrib><creatorcontrib>Nebiolo, F.</creatorcontrib><creatorcontrib>Poppa, M.</creatorcontrib><creatorcontrib>Randazzo, S.</creatorcontrib><creatorcontrib>Rossi, G.</creatorcontrib><creatorcontrib>Senna, G.E.</creatorcontrib><title>Causes of Food-Induced Anaphylaxis in Italian Adults: A Multi-Centre Study</title><title>International archives of allergy and immunology</title><addtitle>Int Arch Allergy Immunol</addtitle><description>Background: Data about food-induced anaphylaxis in Italy are missing. Objective: It was the aim of this study to detect the main foods/food allergens causing anaphylaxis in Italy. Methods: The frequency of anaphylaxis and the relative importance of many offending foods were assessed in 1,110 adult patients with food allergy diagnosed by common criteria at 19 allergy centres scattered throughout Italy from 1 January to 31 December 2007. Results: Fifty-eight of 1,110 (5%) food-allergic patients experienced at least 1 episode of anaphylaxis. On average, they were older than other food-allergic patients (34 vs. 31 years; p < 0.05). The majority of anaphylactic episodes occurred in patients sensitized to lipid transfer protein (LTP; n = 19), followed by shrimp (n = 10), tree nuts (n = 9), legumes other than peanut (n = 4), and seeds (n = 2); peanut, spinach, celery, buckwheat, wheat, avocado, tomato, fish, meat, and Anisakis caused an anaphylactic reaction in single patients. Among LTP-hypersensitive patients, peach caused 13/19 anaphylactic episodes. Shrimp-allergic patients were significantly older than other patients with food-induced anaphylaxis (p < 0.05), whereas patients allergic to LTP experienced their anaphylactic episodes at a younger age (p < 0.001). The frequency of anaphylaxis among patients sensitized to LTP, shrimp or tree nuts did not differ between northern and central/southern Italy. Conclusion: LTP is the most important allergen causing food-induced anaphylaxis in Italy, peach being the most frequently offending food. Peanut-induced anaphylaxis seems very uncommon. Geographic and environmental differences both between Italy and other countries and within Italy seem to play a relevant role in the pattern of sensitization to foods.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Age of Onset</subject><subject>Aged</subject><subject>Allergens - immunology</subject><subject>Allergic diseases</subject><subject>Anaphylaxis - immunology</subject><subject>Animals</subject><subject>Anisakis</subject><subject>Arachis hypogaea</subject><subject>Biological and medical sciences</subject><subject>Carrier Proteins - immunology</subject><subject>Child</subject><subject>Digestive allergic diseases</subject><subject>Female</subject><subject>Food allergies</subject><subject>Food Hypersensitivity - diagnosis</subject><subject>Food Hypersensitivity - epidemiology</subject><subject>Food Hypersensitivity - immunology</subject><subject>Food Hypersensitivity - physiopathology</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Humans</subject><subject>Immunopathology</subject><subject>Incidence</subject><subject>Italy</subject><subject>Lycopersicon esculentum</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nuts - adverse effects</subject><subject>Original Paper</subject><subject>Persea americana</subject><subject>Prunus</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Seafood - adverse effects</subject><subject>Spinacia oleracea</subject><subject>Triticum aestivum</subject><subject>Vegetables - adverse effects</subject><issn>1018-2438</issn><issn>1423-0097</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp90UtLxDAQB_Agiuvr4F0kCCoeqnk_vC2LqyuKB_Vc0iTVarddkxbcb290FxUPnmYOP_7DzACwi9EpxlyfIYQIIULqFbCBGaEZQlquph5hlRFG1QBsxviCUMJKrIMB1kwzTtgGuB6ZPvoI2xKO29Zlk8b11js4bMzseV6b9yrCqoGTztSVaeDQ9XUXz-EQ3qamyka-6YKH913v5ttgrTR19DvLugUexxcPo6vs5u5yMhreZJZq2mVU-MJ5YbmwpRNYOGos0Ro5WxZWFIXyUmquOKNcECkLZQgVzltWWsu94nQLHC9yZ6F9633s8mkVra9r0_i2j7mkDCkpuU7y6F9JMJZCaZzgwR_40vahSVvkhOA0kwmS0MkC2dDGGHyZz0I1NWGeY5R__iH__kOy-8vAvph69yOXh0_gcAlMtKYug2lsFb8dIQgJhlVyewv3asKTD7_A15wPogqWKQ</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Asero, R.</creator><creator>Antonicelli, L.</creator><creator>Arena, A.</creator><creator>Bommarito, L.</creator><creator>Caruso, B.</creator><creator>Colombo, G.</creator><creator>Crivellaro, M.</creator><creator>De Carli, M.</creator><creator>Della Torre, E.</creator><creator>Della Torre, F.</creator><creator>Heffler, E.</creator><creator>Lodi Rizzini, F.</creator><creator>Longo, R.</creator><creator>Manzotti, G.</creator><creator>Marcotulli, M.</creator><creator>Melchiorre, A.</creator><creator>Minale, P.</creator><creator>Morandi, P.</creator><creator>Moreni, B.</creator><creator>Moschella, A.</creator><creator>Murzilli, F.</creator><creator>Nebiolo, F.</creator><creator>Poppa, M.</creator><creator>Randazzo, S.</creator><creator>Rossi, G.</creator><creator>Senna, G.E.</creator><general>Karger</general><general>S. Karger AG</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20090101</creationdate><title>Causes of Food-Induced Anaphylaxis in Italian Adults: A Multi-Centre Study</title><author>Asero, R. ; Antonicelli, L. ; Arena, A. ; Bommarito, L. ; Caruso, B. ; Colombo, G. ; Crivellaro, M. ; De Carli, M. ; Della Torre, E. ; Della Torre, F. ; Heffler, E. ; Lodi Rizzini, F. ; Longo, R. ; Manzotti, G. ; Marcotulli, M. ; Melchiorre, A. ; Minale, P. ; Morandi, P. ; Moreni, B. ; Moschella, A. ; Murzilli, F. ; Nebiolo, F. ; Poppa, M. ; Randazzo, S. ; Rossi, G. ; Senna, G.E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-36ebde6c56cfd616d3ac2990dcfbc6bb8e7795854356277b8a236dec4fcc5e853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Age of Onset</topic><topic>Aged</topic><topic>Allergens - immunology</topic><topic>Allergic diseases</topic><topic>Anaphylaxis - immunology</topic><topic>Animals</topic><topic>Anisakis</topic><topic>Arachis hypogaea</topic><topic>Biological and medical sciences</topic><topic>Carrier Proteins - immunology</topic><topic>Child</topic><topic>Digestive allergic diseases</topic><topic>Female</topic><topic>Food allergies</topic><topic>Food Hypersensitivity - diagnosis</topic><topic>Food Hypersensitivity - epidemiology</topic><topic>Food Hypersensitivity - immunology</topic><topic>Food Hypersensitivity - physiopathology</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Fundamental immunology</topic><topic>Humans</topic><topic>Immunopathology</topic><topic>Incidence</topic><topic>Italy</topic><topic>Lycopersicon esculentum</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nuts - adverse effects</topic><topic>Original Paper</topic><topic>Persea americana</topic><topic>Prunus</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. 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Academic</collection><jtitle>International archives of allergy and immunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Asero, R.</au><au>Antonicelli, L.</au><au>Arena, A.</au><au>Bommarito, L.</au><au>Caruso, B.</au><au>Colombo, G.</au><au>Crivellaro, M.</au><au>De Carli, M.</au><au>Della Torre, E.</au><au>Della Torre, F.</au><au>Heffler, E.</au><au>Lodi Rizzini, F.</au><au>Longo, R.</au><au>Manzotti, G.</au><au>Marcotulli, M.</au><au>Melchiorre, A.</au><au>Minale, P.</au><au>Morandi, P.</au><au>Moreni, B.</au><au>Moschella, A.</au><au>Murzilli, F.</au><au>Nebiolo, F.</au><au>Poppa, M.</au><au>Randazzo, S.</au><au>Rossi, G.</au><au>Senna, G.E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Causes of Food-Induced Anaphylaxis in Italian Adults: A Multi-Centre Study</atitle><jtitle>International archives of allergy and immunology</jtitle><addtitle>Int Arch Allergy Immunol</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>150</volume><issue>3</issue><spage>271</spage><epage>277</epage><pages>271-277</pages><issn>1018-2438</issn><eissn>1423-0097</eissn><abstract>Background: Data about food-induced anaphylaxis in Italy are missing. Objective: It was the aim of this study to detect the main foods/food allergens causing anaphylaxis in Italy. Methods: The frequency of anaphylaxis and the relative importance of many offending foods were assessed in 1,110 adult patients with food allergy diagnosed by common criteria at 19 allergy centres scattered throughout Italy from 1 January to 31 December 2007. Results: Fifty-eight of 1,110 (5%) food-allergic patients experienced at least 1 episode of anaphylaxis. On average, they were older than other food-allergic patients (34 vs. 31 years; p < 0.05). The majority of anaphylactic episodes occurred in patients sensitized to lipid transfer protein (LTP; n = 19), followed by shrimp (n = 10), tree nuts (n = 9), legumes other than peanut (n = 4), and seeds (n = 2); peanut, spinach, celery, buckwheat, wheat, avocado, tomato, fish, meat, and Anisakis caused an anaphylactic reaction in single patients. Among LTP-hypersensitive patients, peach caused 13/19 anaphylactic episodes. Shrimp-allergic patients were significantly older than other patients with food-induced anaphylaxis (p < 0.05), whereas patients allergic to LTP experienced their anaphylactic episodes at a younger age (p < 0.001). The frequency of anaphylaxis among patients sensitized to LTP, shrimp or tree nuts did not differ between northern and central/southern Italy. Conclusion: LTP is the most important allergen causing food-induced anaphylaxis in Italy, peach being the most frequently offending food. Peanut-induced anaphylaxis seems very uncommon. Geographic and environmental differences both between Italy and other countries and within Italy seem to play a relevant role in the pattern of sensitization to foods.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>19494524</pmid><doi>10.1159/000222679</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1018-2438 |
| ispartof | International archives of allergy and immunology, 2009-01, Vol.150 (3), p.271-277 |
| issn | 1018-2438 1423-0097 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_734087759 |
| source | MEDLINE; Karger Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Age Factors Age of Onset Aged Allergens - immunology Allergic diseases Anaphylaxis - immunology Animals Anisakis Arachis hypogaea Biological and medical sciences Carrier Proteins - immunology Child Digestive allergic diseases Female Food allergies Food Hypersensitivity - diagnosis Food Hypersensitivity - epidemiology Food Hypersensitivity - immunology Food Hypersensitivity - physiopathology Fundamental and applied biological sciences. Psychology Fundamental immunology Humans Immunopathology Incidence Italy Lycopersicon esculentum Male Medical sciences Middle Aged Nuts - adverse effects Original Paper Persea americana Prunus Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Seafood - adverse effects Spinacia oleracea Triticum aestivum Vegetables - adverse effects |
| title | Causes of Food-Induced Anaphylaxis in Italian Adults: A Multi-Centre Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-22T19%3A13%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_karge&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Causes%20of%20Food-Induced%20Anaphylaxis%20in%20Italian%20Adults:%20A%20Multi-Centre%20Study&rft.jtitle=International%20archives%20of%20allergy%20and%20immunology&rft.au=Asero,%20R.&rft.date=2009-01-01&rft.volume=150&rft.issue=3&rft.spage=271&rft.epage=277&rft.pages=271-277&rft.issn=1018-2438&rft.eissn=1423-0097&rft_id=info:doi/10.1159/000222679&rft_dat=%3Cproquest_karge%3E734087759%3C/proquest_karge%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=221853462&rft_id=info:pmid/19494524&rfr_iscdi=true |