{"title":"Allergie aux fruits à coque chez l’enfant : quelle prise en charge en pratique","authors":"F. Amat , E. Michaud","doi":"10.1016/j.reval.2024.104167","DOIUrl":null,"url":null,"abstract":"<div><div>Tree nuts are plant allergens frequently involved in allergic reactions to food in children. Among them, cashew, walnut, hazelnut, pistachio and almond are the most implicated, with sometimes anaphylactic reactions. The diagnosis of an allergy to nuts is simple and is based on history, skin tests, and biological assessment (specific IgE, molecular allergology). Cross-reactivity should be searched, between nuts but also with peanuts and sesame. It should be possible not to perform an oral food challenge in all cases to explore these potential cross-reactivities. Oral immunotherapy protocols, especially for hazelnuts, cashews, pistachio and walnuts are being developed.</div></div>","PeriodicalId":49130,"journal":{"name":"Revue Francaise d Allergologie","volume":"65 1","pages":"Article 104167"},"PeriodicalIF":0.3000,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revue Francaise d Allergologie","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1877032024003889","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Tree nuts are plant allergens frequently involved in allergic reactions to food in children. Among them, cashew, walnut, hazelnut, pistachio and almond are the most implicated, with sometimes anaphylactic reactions. The diagnosis of an allergy to nuts is simple and is based on history, skin tests, and biological assessment (specific IgE, molecular allergology). Cross-reactivity should be searched, between nuts but also with peanuts and sesame. It should be possible not to perform an oral food challenge in all cases to explore these potential cross-reactivities. Oral immunotherapy protocols, especially for hazelnuts, cashews, pistachio and walnuts are being developed.
期刊介绍：
La Revue Française d''Allergologie : un véritable forum pour faire connaître des travaux originaux et permettre la diffusion de l''information auprès de toutes les spécialités concernées par les pathologies allergiques. La Revue Française d''Allergologie (8 numéros par an) est au carrefour de nombreuses spécialités - dermatologie, pédiatrie, ORL, pneumologie, ophtalmologie, médecine interne - qui, toutes, ont à traiter des maladies allergiques. Les symptômes des allergies fondés sur des mécanismes communs sont le plus souvent associés et se succèdent chez un même patient. En forte progression depuis 20 ans, les maladies allergiques sont dans l''attente de perfectionnements et d''avancées thérapeutiques qui permettront aux nombreux patients qui en sont atteints de mieux vivre avec leurs allergies. La Revue Française d''Allergologie se veut donc un véritable forum de discussions et d''échanges entre tous les spécialistes confrontés aux pathologies
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