A Patient Having Multiple Fruit-Vegetable Allergies Presenting with Abdominal Pain

Allergy to fruits and vegetables are the most frequent food allergies in adolescents and adults. The most common phenotypes of fruit and vegetable allergy are pollen-food allergy syndrome (PFAS) (oral allergy syndrome) and lipid transfer protein (LTP) syndrome. In PFAS, fruit and vegetable allergy i...

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Autor principal:	Öner Özdemir
Formato:	article
Lenguaje:	EN
Publicado:	Galenos Yayinevi 2021
Materias:	abdominal pain vegetable fruit profilin food allergy Medicine R
Acceso en línea:	https://doaj.org/article/6538bcddba02453e91e57102b36a9a1a
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spelling	oai:doaj.org-article:6538bcddba02453e91e57102b36a9a1a2021-11-23T10:25:26ZA Patient Having Multiple Fruit-Vegetable Allergies Presenting with Abdominal Pain2619-97932148-094X10.4274/imj.galenos.2021.59002https://doaj.org/article/6538bcddba02453e91e57102b36a9a1a2021-11-01T00:00:00Z http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/a-patient-having-multiple-fruit-vegetable-allergie/49719 https://doaj.org/toc/2619-9793https://doaj.org/toc/2148-094XAllergy to fruits and vegetables are the most frequent food allergies in adolescents and adults. The most common phenotypes of fruit and vegetable allergy are pollen-food allergy syndrome (PFAS) (oral allergy syndrome) and lipid transfer protein (LTP) syndrome. In PFAS, fruit and vegetable allergy is caused by a prime sensitization to labile pollen allergens, e.g. Bet v 1 or profilin, and yielding generally mild phenotype, is made of local oropharyngeal symptoms. However, LTP syndrome occurs from a sensitization to LTPs, which are stable plant food allergens, often resulting systemic allergic reactions and moreover anaphylaxis. Component-resolved molecular diagnosis is crucial in directing the treatment of these patients. Existing therapeutic policies involve prevention and salvage medication, including epinephrine, for life-threatening LTP allergic reactions. Allergen specific pollen immunotherapy is not found to be helpful to manage PFAS, nevertheless sublingual immunotherapy against LTPs appears to be an encouraging treatment. Here, an interesting patient having abdominal pain for a long period of time whom later diagnosed by us with PFAS is discussed under the light of recent literature.Öner ÖzdemirGalenos Yayineviarticleabdominal painvegetablefruitprofilinfood allergyMedicineRENİstanbul Medical Journal, Vol 22, Iss 4, Pp 332-335 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	abdominal pain vegetable fruit profilin food allergy Medicine R
spellingShingle	abdominal pain vegetable fruit profilin food allergy Medicine R Öner Özdemir A Patient Having Multiple Fruit-Vegetable Allergies Presenting with Abdominal Pain
description	Allergy to fruits and vegetables are the most frequent food allergies in adolescents and adults. The most common phenotypes of fruit and vegetable allergy are pollen-food allergy syndrome (PFAS) (oral allergy syndrome) and lipid transfer protein (LTP) syndrome. In PFAS, fruit and vegetable allergy is caused by a prime sensitization to labile pollen allergens, e.g. Bet v 1 or profilin, and yielding generally mild phenotype, is made of local oropharyngeal symptoms. However, LTP syndrome occurs from a sensitization to LTPs, which are stable plant food allergens, often resulting systemic allergic reactions and moreover anaphylaxis. Component-resolved molecular diagnosis is crucial in directing the treatment of these patients. Existing therapeutic policies involve prevention and salvage medication, including epinephrine, for life-threatening LTP allergic reactions. Allergen specific pollen immunotherapy is not found to be helpful to manage PFAS, nevertheless sublingual immunotherapy against LTPs appears to be an encouraging treatment. Here, an interesting patient having abdominal pain for a long period of time whom later diagnosed by us with PFAS is discussed under the light of recent literature.
format	article
author	Öner Özdemir
author_facet	Öner Özdemir
author_sort	Öner Özdemir
title	A Patient Having Multiple Fruit-Vegetable Allergies Presenting with Abdominal Pain
title_short	A Patient Having Multiple Fruit-Vegetable Allergies Presenting with Abdominal Pain
title_full	A Patient Having Multiple Fruit-Vegetable Allergies Presenting with Abdominal Pain
title_fullStr	A Patient Having Multiple Fruit-Vegetable Allergies Presenting with Abdominal Pain
title_full_unstemmed	A Patient Having Multiple Fruit-Vegetable Allergies Presenting with Abdominal Pain
title_sort	patient having multiple fruit-vegetable allergies presenting with abdominal pain
publisher	Galenos Yayinevi
publishDate	2021
url	https://doaj.org/article/6538bcddba02453e91e57102b36a9a1a
work_keys_str_mv	AT onerozdemir apatienthavingmultiplefruitvegetableallergiespresentingwithabdominalpain AT onerozdemir patienthavingmultiplefruitvegetableallergiespresentingwithabdominalpain
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A Patient Having Multiple Fruit-Vegetable Allergies Presenting with Abdominal Pain

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