Food-Induced Anaphylaxis: Data From the European Anaphylaxis Registry

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Sabine Dölle-Bierke - , Charité – Universitätsmedizin Berlin (Autor:in)
  • Veronika Höfer - , Charité – Universitätsmedizin Berlin (Autor:in)
  • Wojciech Francuzik - , Charité – Universitätsmedizin Berlin (Autor:in)
  • Anatol Fiete Näher - , Charité – Universitätsmedizin Berlin, Robert Koch-Institut (Autor:in)
  • Maria Beatrice Bilo - , Marche Polytechnic University (Autor:in)
  • Ewa Cichocka-Jarosz - , Jagiellonian University in Kraków (Autor:in)
  • Lucila C. Lopes de Oliveira - , Universidade Federal de São Paulo (Autor:in)
  • Montserrat Fernandez-Rivas - , Complutense University (Autor:in)
  • Blanca E. García - , Universidad de Navarra (Autor:in)
  • Karin Hartmann - , Universität Basel (Autor:in)
  • Uta Jappe - , Forschungszentrum Borstel- Leibniz Lungenzentrum, Universität zu Lübeck (Autor:in)
  • Alice Köhli - , Universität Zürich, Luzerner Kantonsspital (Autor:in)
  • Lars Lange - , GFO Kliniken Bonn (Autor:in)
  • Ioana Maris - , Bon Secours Hospital, University College Cork (Autor:in)
  • Tihomir Bogdanov Mustakov - , Medical University Sofia (Autor:in)
  • Katja Nemat - , Städtisches Klinikum Dresden, Technische Universität Dresden (Autor:in)
  • Hagen Ott - , Kinder- und Jugendkrankenhaus Auf der Bult (Autor:in)
  • Nikolaos G. Papadopoulos - , National and Kapodistrian University of Athens (Autor:in)
  • Claudia Pföhler - , Universität des Saarlandes (Autor:in)
  • Franziska Ruëff - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Dominique Sabouraud-Leclerc - , CHU de Reims (Autor:in)
  • Thomas Spindler - , Fachklinik Prinzregent Luitpold (Autor:in)
  • Philippe Stock - , Universität Hamburg (Autor:in)
  • Regina Treudler - , Universität Leipzig (Autor:in)
  • Christian Vogelberg - , Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Carl Gustav Carus Dresden (Autor:in)
  • Nicola Wagner - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Margitta Worm - , Charité – Universitätsmedizin Berlin (Autor:in)

Abstract

Background: Food is one of the most common elicitors of anaphylaxis, with an increasing incidence over recent years. Objectives: To characterize elicitor-specific phenotypes and identify factors enhancing the risk or severity of food-induced anaphylaxis (FIA). Methods: We analyzed data from the European Anaphylaxis Registry applying an age- and sex-matched analysis of associations (Cramer's V) for single food triggers and calculated odds ratios (ORs) for severe FIA. Results: We identified 3,427 cases of confirmed FIA showing an age-dependent elicitor ranking (for children: peanut, cow's milk, cashew, and hen's egg; and for adults: wheat flour, shellfish, hazelnut, and soy). The age- and sex-matched analysis revealed defined symptom patterns for wheat and cashew. Wheat-induced anaphylaxis was more frequently associated with cardiovascular symptoms (75.7%; Cramer's V = 0.28) and cashew-induced anaphylaxis with gastrointestinal symptoms (73.9%; Cramer's V = 0.20). Furthermore, concomitant atopic dermatitis was slightly associated with anaphylaxis to hen's egg (Cramer's V = 0.19) and exercise was strongly associated with anaphylaxis to wheat (Cramer's V = 0.56). Additional factors influencing the severity were alcohol intake in wheat anaphylaxis (OR = 3.23; CI, 1.31-8.83) and exercise in peanut anaphylaxis (OR = 1.78; CI, 1.09-2.95). Conclusions: Our data show that FIA is age-dependent. In adults, the range of elicitors inducing FIA is broader. For some elicitors, the severity of FIA seems to be related to the elicitor. These data require confirmation in future studies considering a clear differentiation between augmentation and risk factors in FIA.

Details

OriginalspracheEnglisch
Seiten (von - bis)2069-2079.e7
FachzeitschriftJournal of Allergy and Clinical Immunology: In Practice
Jahrgang11
Ausgabenummer7
PublikationsstatusVeröffentlicht - Juli 2023
Peer-Review-StatusJa

Externe IDs

PubMed 36990430

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • Cashew, Food anaphylaxis, Hazelnut, Peanut, Phenotype, Risk factors, Shellfish, Wheat, Allergens, Humans, Anaphylaxis/diagnosis, Flour, Triticum, Animals, Cattle, Chickens, Female, Registries, Arachis, Food Hypersensitivity/diagnosis

Bibliotheksschlagworte