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Clinical Features and Culprit Food Allergens of Korean Adult Food Allergy Patients: A Cross-Sectional Single-Institute Study.


ABSTRACT:

Purpose

To investigate the causative allergens and clinical characteristics of Korean adult patients with food allergy (FA).

Methods

This retrospective, cross-sectional single-institutional study enrolled Korean adult patients (n = 812) suspected of having FA. For diagnosis, causality assessment history taking, ImmunoCAP specific immunoglobulin E measurement and/or skin prick test were performed.

Results

Among 812 patients, 415 were diagnosed as having FA. The most common causative allergen was fruit, with a diagnosis of pollen food allergy syndrome (PFAS: 155, 37.3%), followed by crustaceans (111, 26.7%), wheat (63, 15.1%), fruits in patients without PFAS(43, 10.3%), buckwheat (31, 7.4%), peanut (31, 7.4%), walnut (25, 6.0%), red meat due to reaction to galactose-?-1,3-galactose (?-Gal) (8, 1.9%), and silkworm pupa (13, 3.1%). Allergy to egg, milk, fish, or shellfish was rare in Korean adults. One-third of patients with FA exhibited multiple FAs (238/415, 57.3%); the average number of causative allergens was 2.39. About 129 patients (31.0%) were diagnosed as having anaphylaxis; in these patients, wheat was the most frequent causative food. Twenty patients were further diagnosed with food-dependent exercise-induced anaphylaxis (FDEIA); all were due to wheat. In particular, crustaceans, wheat, PFAS, buckwheat, and red meat (?-Gal) were also frequent causes of anaphylaxis.

Conclusions

Wheat, fruits with or without PFAS, and crustaceans are important and frequent causative allergens in Korean adult FA; these allergens differ from those found in childhood FA. It is notable that non-classic allergies, such as PFAS, FDEIA, and ?-Gal allergy, are the important causes of anaphylaxis in Korean adult FA.

SUBMITTER: Lee SC 

PROVIDER: S-EPMC6658406 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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Publications

Clinical Features and Culprit Food Allergens of Korean Adult Food Allergy Patients: A Cross-Sectional Single-Institute Study.

Lee Sang Chul SC   Kim Sung Ryeol SR   Park Kyung Hee KH   Lee Jae Hyun JH   Park Jung Won JW  

Allergy, asthma & immunology research 20190901 5


<h4>Purpose</h4>To investigate the causative allergens and clinical characteristics of Korean adult patients with food allergy (FA).<h4>Methods</h4>This retrospective, cross-sectional single-institutional study enrolled Korean adult patients (n = 812) suspected of having FA. For diagnosis, causality assessment history taking, ImmunoCAP specific immunoglobulin E measurement and/or skin prick test were performed.<h4>Results</h4>Among 812 patients, 415 were diagnosed as having FA. The most common c  ...[more]

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