IgE-Mediated and Non-IgE-Mediated Fish Allergy in Pediatric Age: A Holistic Approach—A Consensus by Diagnostic Commission of the Italian Society of Pediatric Allergy and Immunology
Fish is one of the “big nine” foods triggering allergic reactions. For this reason, fish allergens must be accurately specified on food labels. Fish allergy affects less than 1% of the world population, but a higher prevalence is observed in pediatric cohorts, up to 7%. Parvalbumin is the main fish...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Carla Mastrorilli [verfasserIn] Stefania Arasi [verfasserIn] Simona Barni [verfasserIn] Davide Caimmi [verfasserIn] Fernanda Chiera [verfasserIn] Pasquale Comberiati [verfasserIn] Giulio Dinardo [verfasserIn] Arianna Giannetti [verfasserIn] Marco Gismondi [verfasserIn] Serena Gracci [verfasserIn] Francesco Paravati [verfasserIn] Umberto Pelosi [verfasserIn] Michele Miraglia Del Giudice [verfasserIn] Roberto Bernardini [verfasserIn] Luca Pecoraro [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2023 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Medicina - MDPI AG, 2016, 59(2023), 1651, p 1651 |
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| Übergeordnetes Werk: |
volume:59 ; year:2023 ; number:1651, p 1651 |
| Links: |
Link aufrufen |
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| DOI / URN: |
10.3390/medicina59091651 |
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| Katalog-ID: |
DOAJ093355874 |
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| 520 | |a Fish is one of the “big nine” foods triggering allergic reactions. For this reason, fish allergens must be accurately specified on food labels. Fish allergy affects less than 1% of the world population, but a higher prevalence is observed in pediatric cohorts, up to 7%. Parvalbumin is the main fish allergen found in the muscles. In childhood, sensitization to fish allergens occurs most frequently through the ingestion of fish, rarely transcutaneously or by inhalation. Fish allergy symptoms usually appear within two hours of the allergen contact. The diagnosis begins with the collection of the history. If it is suggestive of fish allergy, prick tests or the measurement of serum-specific IgE should be performed to confirm the suspicion. The oral food challenge is the gold standard for the diagnosis. It is not recommended in case of a severe allergic reaction. It is important to make a differential diagnosis with anisakiasis or scombroid poisoning, which have overlapping clinical features but differ in pathogenesis. Traditionally, managing fish allergy involves avoiding the triggering species (sometimes all bony fish species) and requires an action plan for accidental exposures. The present review will analyze IgE- and non-IgE-mediated fish allergy in children from epidemiology, pathogenesis to clinical features. Moreover, clinical management will be addressed with a particular focus on potential nutritional deficiencies. | ||
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10.3390/medicina59091651 doi (DE-627)DOAJ093355874 (DE-599)DOAJ0de13a231d354215b8208af040ba1166 DE-627 ger DE-627 rakwb eng R5-920 Carla Mastrorilli verfasserin aut IgE-Mediated and Non-IgE-Mediated Fish Allergy in Pediatric Age: A Holistic Approach—A Consensus by Diagnostic Commission of the Italian Society of Pediatric Allergy and Immunology 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Fish is one of the “big nine” foods triggering allergic reactions. For this reason, fish allergens must be accurately specified on food labels. Fish allergy affects less than 1% of the world population, but a higher prevalence is observed in pediatric cohorts, up to 7%. Parvalbumin is the main fish allergen found in the muscles. In childhood, sensitization to fish allergens occurs most frequently through the ingestion of fish, rarely transcutaneously or by inhalation. Fish allergy symptoms usually appear within two hours of the allergen contact. The diagnosis begins with the collection of the history. If it is suggestive of fish allergy, prick tests or the measurement of serum-specific IgE should be performed to confirm the suspicion. The oral food challenge is the gold standard for the diagnosis. It is not recommended in case of a severe allergic reaction. It is important to make a differential diagnosis with anisakiasis or scombroid poisoning, which have overlapping clinical features but differ in pathogenesis. Traditionally, managing fish allergy involves avoiding the triggering species (sometimes all bony fish species) and requires an action plan for accidental exposures. The present review will analyze IgE- and non-IgE-mediated fish allergy in children from epidemiology, pathogenesis to clinical features. Moreover, clinical management will be addressed with a particular focus on potential nutritional deficiencies. fish allergy management molecular diagnostics pediatrics Medicine (General) Stefania Arasi verfasserin aut Simona Barni verfasserin aut Davide Caimmi verfasserin aut Fernanda Chiera verfasserin aut Pasquale Comberiati verfasserin aut Giulio Dinardo verfasserin aut Arianna Giannetti verfasserin aut Marco Gismondi verfasserin aut Serena Gracci verfasserin aut Francesco Paravati verfasserin aut Umberto Pelosi verfasserin aut Michele Miraglia Del Giudice verfasserin aut Roberto Bernardini verfasserin aut Luca Pecoraro verfasserin aut In Medicina MDPI AG, 2016 59(2023), 1651, p 1651 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:59 year:2023 number:1651, p 1651 https://doi.org/10.3390/medicina59091651 kostenfrei https://doaj.org/article/0de13a231d354215b8208af040ba1166 kostenfrei https://www.mdpi.com/1648-9144/59/9/1651 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei https://doaj.org/toc/1648-9144 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 59 2023 1651, p 1651 |
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10.3390/medicina59091651 doi (DE-627)DOAJ093355874 (DE-599)DOAJ0de13a231d354215b8208af040ba1166 DE-627 ger DE-627 rakwb eng R5-920 Carla Mastrorilli verfasserin aut IgE-Mediated and Non-IgE-Mediated Fish Allergy in Pediatric Age: A Holistic Approach—A Consensus by Diagnostic Commission of the Italian Society of Pediatric Allergy and Immunology 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Fish is one of the “big nine” foods triggering allergic reactions. For this reason, fish allergens must be accurately specified on food labels. Fish allergy affects less than 1% of the world population, but a higher prevalence is observed in pediatric cohorts, up to 7%. Parvalbumin is the main fish allergen found in the muscles. In childhood, sensitization to fish allergens occurs most frequently through the ingestion of fish, rarely transcutaneously or by inhalation. Fish allergy symptoms usually appear within two hours of the allergen contact. The diagnosis begins with the collection of the history. If it is suggestive of fish allergy, prick tests or the measurement of serum-specific IgE should be performed to confirm the suspicion. The oral food challenge is the gold standard for the diagnosis. It is not recommended in case of a severe allergic reaction. It is important to make a differential diagnosis with anisakiasis or scombroid poisoning, which have overlapping clinical features but differ in pathogenesis. Traditionally, managing fish allergy involves avoiding the triggering species (sometimes all bony fish species) and requires an action plan for accidental exposures. The present review will analyze IgE- and non-IgE-mediated fish allergy in children from epidemiology, pathogenesis to clinical features. Moreover, clinical management will be addressed with a particular focus on potential nutritional deficiencies. fish allergy management molecular diagnostics pediatrics Medicine (General) Stefania Arasi verfasserin aut Simona Barni verfasserin aut Davide Caimmi verfasserin aut Fernanda Chiera verfasserin aut Pasquale Comberiati verfasserin aut Giulio Dinardo verfasserin aut Arianna Giannetti verfasserin aut Marco Gismondi verfasserin aut Serena Gracci verfasserin aut Francesco Paravati verfasserin aut Umberto Pelosi verfasserin aut Michele Miraglia Del Giudice verfasserin aut Roberto Bernardini verfasserin aut Luca Pecoraro verfasserin aut In Medicina MDPI AG, 2016 59(2023), 1651, p 1651 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:59 year:2023 number:1651, p 1651 https://doi.org/10.3390/medicina59091651 kostenfrei https://doaj.org/article/0de13a231d354215b8208af040ba1166 kostenfrei https://www.mdpi.com/1648-9144/59/9/1651 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei https://doaj.org/toc/1648-9144 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 59 2023 1651, p 1651 |
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10.3390/medicina59091651 doi (DE-627)DOAJ093355874 (DE-599)DOAJ0de13a231d354215b8208af040ba1166 DE-627 ger DE-627 rakwb eng R5-920 Carla Mastrorilli verfasserin aut IgE-Mediated and Non-IgE-Mediated Fish Allergy in Pediatric Age: A Holistic Approach—A Consensus by Diagnostic Commission of the Italian Society of Pediatric Allergy and Immunology 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Fish is one of the “big nine” foods triggering allergic reactions. For this reason, fish allergens must be accurately specified on food labels. Fish allergy affects less than 1% of the world population, but a higher prevalence is observed in pediatric cohorts, up to 7%. Parvalbumin is the main fish allergen found in the muscles. In childhood, sensitization to fish allergens occurs most frequently through the ingestion of fish, rarely transcutaneously or by inhalation. Fish allergy symptoms usually appear within two hours of the allergen contact. The diagnosis begins with the collection of the history. If it is suggestive of fish allergy, prick tests or the measurement of serum-specific IgE should be performed to confirm the suspicion. The oral food challenge is the gold standard for the diagnosis. It is not recommended in case of a severe allergic reaction. It is important to make a differential diagnosis with anisakiasis or scombroid poisoning, which have overlapping clinical features but differ in pathogenesis. Traditionally, managing fish allergy involves avoiding the triggering species (sometimes all bony fish species) and requires an action plan for accidental exposures. The present review will analyze IgE- and non-IgE-mediated fish allergy in children from epidemiology, pathogenesis to clinical features. Moreover, clinical management will be addressed with a particular focus on potential nutritional deficiencies. fish allergy management molecular diagnostics pediatrics Medicine (General) Stefania Arasi verfasserin aut Simona Barni verfasserin aut Davide Caimmi verfasserin aut Fernanda Chiera verfasserin aut Pasquale Comberiati verfasserin aut Giulio Dinardo verfasserin aut Arianna Giannetti verfasserin aut Marco Gismondi verfasserin aut Serena Gracci verfasserin aut Francesco Paravati verfasserin aut Umberto Pelosi verfasserin aut Michele Miraglia Del Giudice verfasserin aut Roberto Bernardini verfasserin aut Luca Pecoraro verfasserin aut In Medicina MDPI AG, 2016 59(2023), 1651, p 1651 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:59 year:2023 number:1651, p 1651 https://doi.org/10.3390/medicina59091651 kostenfrei https://doaj.org/article/0de13a231d354215b8208af040ba1166 kostenfrei https://www.mdpi.com/1648-9144/59/9/1651 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei https://doaj.org/toc/1648-9144 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 59 2023 1651, p 1651 |
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10.3390/medicina59091651 doi (DE-627)DOAJ093355874 (DE-599)DOAJ0de13a231d354215b8208af040ba1166 DE-627 ger DE-627 rakwb eng R5-920 Carla Mastrorilli verfasserin aut IgE-Mediated and Non-IgE-Mediated Fish Allergy in Pediatric Age: A Holistic Approach—A Consensus by Diagnostic Commission of the Italian Society of Pediatric Allergy and Immunology 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Fish is one of the “big nine” foods triggering allergic reactions. For this reason, fish allergens must be accurately specified on food labels. Fish allergy affects less than 1% of the world population, but a higher prevalence is observed in pediatric cohorts, up to 7%. Parvalbumin is the main fish allergen found in the muscles. In childhood, sensitization to fish allergens occurs most frequently through the ingestion of fish, rarely transcutaneously or by inhalation. Fish allergy symptoms usually appear within two hours of the allergen contact. The diagnosis begins with the collection of the history. If it is suggestive of fish allergy, prick tests or the measurement of serum-specific IgE should be performed to confirm the suspicion. The oral food challenge is the gold standard for the diagnosis. It is not recommended in case of a severe allergic reaction. It is important to make a differential diagnosis with anisakiasis or scombroid poisoning, which have overlapping clinical features but differ in pathogenesis. Traditionally, managing fish allergy involves avoiding the triggering species (sometimes all bony fish species) and requires an action plan for accidental exposures. The present review will analyze IgE- and non-IgE-mediated fish allergy in children from epidemiology, pathogenesis to clinical features. Moreover, clinical management will be addressed with a particular focus on potential nutritional deficiencies. fish allergy management molecular diagnostics pediatrics Medicine (General) Stefania Arasi verfasserin aut Simona Barni verfasserin aut Davide Caimmi verfasserin aut Fernanda Chiera verfasserin aut Pasquale Comberiati verfasserin aut Giulio Dinardo verfasserin aut Arianna Giannetti verfasserin aut Marco Gismondi verfasserin aut Serena Gracci verfasserin aut Francesco Paravati verfasserin aut Umberto Pelosi verfasserin aut Michele Miraglia Del Giudice verfasserin aut Roberto Bernardini verfasserin aut Luca Pecoraro verfasserin aut In Medicina MDPI AG, 2016 59(2023), 1651, p 1651 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:59 year:2023 number:1651, p 1651 https://doi.org/10.3390/medicina59091651 kostenfrei https://doaj.org/article/0de13a231d354215b8208af040ba1166 kostenfrei https://www.mdpi.com/1648-9144/59/9/1651 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei https://doaj.org/toc/1648-9144 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 59 2023 1651, p 1651 |
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IgE-Mediated and Non-IgE-Mediated Fish Allergy in Pediatric Age: A Holistic Approach—A Consensus by Diagnostic Commission of the Italian Society of Pediatric Allergy and Immunology |
| abstract |
Fish is one of the “big nine” foods triggering allergic reactions. For this reason, fish allergens must be accurately specified on food labels. Fish allergy affects less than 1% of the world population, but a higher prevalence is observed in pediatric cohorts, up to 7%. Parvalbumin is the main fish allergen found in the muscles. In childhood, sensitization to fish allergens occurs most frequently through the ingestion of fish, rarely transcutaneously or by inhalation. Fish allergy symptoms usually appear within two hours of the allergen contact. The diagnosis begins with the collection of the history. If it is suggestive of fish allergy, prick tests or the measurement of serum-specific IgE should be performed to confirm the suspicion. The oral food challenge is the gold standard for the diagnosis. It is not recommended in case of a severe allergic reaction. It is important to make a differential diagnosis with anisakiasis or scombroid poisoning, which have overlapping clinical features but differ in pathogenesis. Traditionally, managing fish allergy involves avoiding the triggering species (sometimes all bony fish species) and requires an action plan for accidental exposures. The present review will analyze IgE- and non-IgE-mediated fish allergy in children from epidemiology, pathogenesis to clinical features. Moreover, clinical management will be addressed with a particular focus on potential nutritional deficiencies. |
| abstractGer |
Fish is one of the “big nine” foods triggering allergic reactions. For this reason, fish allergens must be accurately specified on food labels. Fish allergy affects less than 1% of the world population, but a higher prevalence is observed in pediatric cohorts, up to 7%. Parvalbumin is the main fish allergen found in the muscles. In childhood, sensitization to fish allergens occurs most frequently through the ingestion of fish, rarely transcutaneously or by inhalation. Fish allergy symptoms usually appear within two hours of the allergen contact. The diagnosis begins with the collection of the history. If it is suggestive of fish allergy, prick tests or the measurement of serum-specific IgE should be performed to confirm the suspicion. The oral food challenge is the gold standard for the diagnosis. It is not recommended in case of a severe allergic reaction. It is important to make a differential diagnosis with anisakiasis or scombroid poisoning, which have overlapping clinical features but differ in pathogenesis. Traditionally, managing fish allergy involves avoiding the triggering species (sometimes all bony fish species) and requires an action plan for accidental exposures. The present review will analyze IgE- and non-IgE-mediated fish allergy in children from epidemiology, pathogenesis to clinical features. Moreover, clinical management will be addressed with a particular focus on potential nutritional deficiencies. |
| abstract_unstemmed |
Fish is one of the “big nine” foods triggering allergic reactions. For this reason, fish allergens must be accurately specified on food labels. Fish allergy affects less than 1% of the world population, but a higher prevalence is observed in pediatric cohorts, up to 7%. Parvalbumin is the main fish allergen found in the muscles. In childhood, sensitization to fish allergens occurs most frequently through the ingestion of fish, rarely transcutaneously or by inhalation. Fish allergy symptoms usually appear within two hours of the allergen contact. The diagnosis begins with the collection of the history. If it is suggestive of fish allergy, prick tests or the measurement of serum-specific IgE should be performed to confirm the suspicion. The oral food challenge is the gold standard for the diagnosis. It is not recommended in case of a severe allergic reaction. It is important to make a differential diagnosis with anisakiasis or scombroid poisoning, which have overlapping clinical features but differ in pathogenesis. Traditionally, managing fish allergy involves avoiding the triggering species (sometimes all bony fish species) and requires an action plan for accidental exposures. The present review will analyze IgE- and non-IgE-mediated fish allergy in children from epidemiology, pathogenesis to clinical features. Moreover, clinical management will be addressed with a particular focus on potential nutritional deficiencies. |
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| container_issue |
1651, p 1651 |
| title_short |
IgE-Mediated and Non-IgE-Mediated Fish Allergy in Pediatric Age: A Holistic Approach—A Consensus by Diagnostic Commission of the Italian Society of Pediatric Allergy and Immunology |
| url |
https://doi.org/10.3390/medicina59091651 https://doaj.org/article/0de13a231d354215b8208af040ba1166 https://www.mdpi.com/1648-9144/59/9/1651 https://doaj.org/toc/1010-660X https://doaj.org/toc/1648-9144 |
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Stefania Arasi Simona Barni Davide Caimmi Fernanda Chiera Pasquale Comberiati Giulio Dinardo Arianna Giannetti Marco Gismondi Serena Gracci Francesco Paravati Umberto Pelosi Michele Miraglia Del Giudice Roberto Bernardini Luca Pecoraro |
| author2Str |
Stefania Arasi Simona Barni Davide Caimmi Fernanda Chiera Pasquale Comberiati Giulio Dinardo Arianna Giannetti Marco Gismondi Serena Gracci Francesco Paravati Umberto Pelosi Michele Miraglia Del Giudice Roberto Bernardini Luca Pecoraro |
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10.3390/medicina59091651 |
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| up_date |
2024-07-03T16:49:55.128Z |
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