Food-Induced Anaphylaxis: Data From the European Anaphylaxis Registry
Publikation: Beitrag in Fachzeitschrift › Forschungsartikel › Beigetragen › Begutachtung
Beitragende
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
Originalsprache | Englisch |
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Seiten (von - bis) | 2069-2079.e7 |
Fachzeitschrift | Journal of Allergy and Clinical Immunology: In Practice |
Jahrgang | 11 |
Ausgabenummer | 7 |
Publikationsstatus | Veröffentlicht - Juli 2023 |
Peer-Review-Status | Ja |
Externe IDs
PubMed | 36990430 |
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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