向日葵(Helianthus annuus)种子过敏。

IF 6.1 3区 医学 Q1 ALLERGY Journal of Investigational Allergology and Clinical Immunology Pub Date : 2025-02-18 Epub Date: 2023-12-12 DOI:10.18176/jiaci.0965
C Galleani, M C Diéguez, B Cabanillas, C Martín-Arriscado Arroba, A Enríquez-Matas, J F Crespo
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引用次数: 0

摘要

背景和目的:葵花籽是最常见的食用种子之一,其消费量正在不断增长。自 20 世纪 70 年代以来,就有关于葵花籽过敏的病例报告。然而,有关葵花籽过敏的发病率和临床表现的数据却很少。为了加深对葵花籽过敏的了解:方法:我们评估了马德里一家三甲医院过敏科在 5 年内确诊的葵花籽过敏患者的临床和免疫学特征:结果:47 名患者在摄入葵花籽后出现不良反应,并通过皮肤点刺试验(中位数为 8 mm)或特异性 IgE(中位数为 1.10 kUA/L)确定对葵花籽有特异性过敏反应。他们中的大多数人在成年后对葵花籽产生过敏反应,之前曾有过过敏史和其他食物过敏史,主要是对桃、花生和坚果过敏。葵花籽过敏的临床表现从轻微到严重不等,严重反应的患者比例很高,而且往往治疗不足。同一患者在反复接触葵花籽后,症状的严重程度也不尽相同。葵花籽 IgE 的水平与非特异性脂质转移蛋白的 IgE 水平密切相关,但根据对这些蛋白的致敏程度,反应的严重程度并无明显差异:我们的研究结果表明,反复接触葵花籽过敏的临床表现存在差异,过敏性休克时肾上腺素的使用不足。我们强调,过敏患者必须严格避免食用葵花籽,并准确开具处方和使用肾上腺素。
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Sunflower (Helianthus annuus) Seed Allergy.

Background and objectives: Sunflower seed is one of the most common edible seeds. Its consumption is growing. Cases of sunflower seed allergy have been reported since the 1970s. However, there are few data on the prevalence and clinical manifestations of sunflower seed allergy. To improve our understanding of sunflower seed allergy.

Methods: We evaluated the clinical and immunological features of patients with sunflower seed allergy diagnosed in the allergy department of a tertiary hospital in Madrid over a 5-year period.

Results: Forty-seven patients reported adverse reactions after ingestion of sunflower seed and were sensitized specifically to sunflower seed, as determined by skin prick test (median, 8 mm) or specific IgE (median, 1.10 kUA/L). Most reactions were adult-onset and were preceded by a history of atopy and other food allergies, predominantly to peach, peanut, and nuts. The clinical presentation of sunflower seed allergy ranged from mild to severe, with many patients experiencing severe reactions, in which epinephrine was underused. Repeated exposures to sunflower seed in the same patient showed severity of symptoms to vary. Levels of sunflower seed IgE were strongly correlated with levels of IgE to nonspecific lipid transfer proteins, while the severity of the reactions did not differ significantly according to sensitization to the proteins.

Conclusion: Our findings reveal variability in the clinical presentations of sunflower seed allergy on repeated exposures and underuse of epinephrine in anaphylaxis. We highlight the importance of strict avoidance of sunflower seed and accurate prescription and administration of epinephrine in allergic patients.

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来源期刊
CiteScore
7.10
自引率
9.70%
发文量
135
审稿时长
6-12 weeks
期刊介绍: The Journal of Investigational Allergology and Clinical Immunology (J Investig Allergol Clin Immunol) provides an attractive and very active forum for basic and clinical research in allergology and clinical immunology.Journal of Investigational Allergology and Clinical Immunology publishes original works, reviews, short communications and opinions.
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