Co-factor-enhanced food allergy

Background Alcohol, exercise or non‐steroidal anti‐inflamatory drugs (NSAID) are frequently mentioned as amplifiers of food allergic reactions but only individual cases or small series have been previously published. Methods Descriptive study including 74 cases of suspected co‐factor enhanced food a...

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Bibliographic Details
Published in:Allergy (Copenhagen) 2012-10, Vol.67 (10), p.1316-1318
Main Authors: Cardona, V., Luengo, O., Garriga, T., Labrador-Horrillo, M., Sala-Cunill, A., Izquierdo, A., Soto, L., Guilarte, M.
Format: Article
Language:English
Subjects:
Adult
Alcohol
Allergens - adverse effects
Allergens - immunology
Allergic diseases
anaphylaxis
Anaphylaxis - etiology
Anaphylaxis - immunology
Anti-Inflammatory Agents, Non-Steroidal - adverse effects
Anti-Inflammatory Agents, Non-Steroidal - immunology
Biological and medical sciences
Carrier Proteins - adverse effects
Carrier Proteins - immunology
co-factor
Dermatology
Digestive allergic diseases
Exercise
Food allergies
food allergy
Food Hypersensitivity - etiology
Food Hypersensitivity - immunology
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Immunoglobulin E - blood
Immunopathology
Medical sciences
Nonsteroidal anti-inflammatory drugs
Plant Proteins - adverse effects
Plant Proteins - immunology
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Skin Tests
Citations: Items that this one cites
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Summary:Background Alcohol, exercise or non‐steroidal anti‐inflamatory drugs (NSAID) are frequently mentioned as amplifiers of food allergic reactions but only individual cases or small series have been previously published. Methods Descriptive study including 74 cases of suspected co‐factor enhanced food allergy, assessed by skin‐prick tests, specific IgE and oral challenges. Results Anaphylaxis accounted for 85.1% of reactions. In 99% of cases culprit food allergens were plant‐derived, mainly vegetables and cereals. NSAID were involved in 58%, exercise in 52.7% and alcohol in 12.2%. Lipid transfer protein was the most frequently involved allergen. Conclusions Co‐factor enhanced food allergy should be considered when assessing food, alcohol, exercise and NSAID allergic reactions.
ISSN:0105-4538
1398-9995
DOI:10.1111/j.1398-9995.2012.02877.x.