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IgE mediated legume allergy in east Mediterranean children: A reflection of multiple food allergies

IgE mediated legume allergy in east Mediterranean children: A reflection of multiple food allergies Key MessageLegume allergy is more likely among children with multiple food group allergies, and a majority of the patients are allergic to more than one legume. In the Eastern Mediterranean region, in contrast to Western countries and the United States, lentil allergy is much more frequent than peanut allergy, and lupine and soybean allergies are scarce. One in three of the lentil‐allergic patients have a history of lentil tolerance before an allergic reaction with lentils occurred. Although chickpea, pea, and bean allergies are the less frequently encountered legume allergies, the most frequent legume co‐allergy is observed in these children. Lip dose challenge with paste form appears as a promising tool in predicting an oral food challenge outcome.INTRODUCTIONLegumes belonging to the Fabaceae (or Leguminosae) family are an inexpensive and important protein source for a considerable portion of the world. Commonly consumed legumes include beans, soybeans, peas, chickpeas, peanuts, lentils, and lupines.Legumes were reported to cause IgE‐mediated allergies. However, legume allergy (LA) is not yet fully characterized due to the paucity of literature with small samples of studies with suspected, self‐reported, and probable food allergies. The spectrum of LA differs between regions; peanut and soybean are the legumes most commonly implicated in http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Pediatric Allergy and Immunology Wiley

IgE mediated legume allergy in east Mediterranean children: A reflection of multiple food allergies

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References (30)

Publisher
Wiley
Copyright
Copyright © 2022 John Wiley & Sons A/S
ISSN
0905-6157
eISSN
1399-3038
DOI
10.1111/pai.13775
Publisher site
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Abstract

Key MessageLegume allergy is more likely among children with multiple food group allergies, and a majority of the patients are allergic to more than one legume. In the Eastern Mediterranean region, in contrast to Western countries and the United States, lentil allergy is much more frequent than peanut allergy, and lupine and soybean allergies are scarce. One in three of the lentil‐allergic patients have a history of lentil tolerance before an allergic reaction with lentils occurred. Although chickpea, pea, and bean allergies are the less frequently encountered legume allergies, the most frequent legume co‐allergy is observed in these children. Lip dose challenge with paste form appears as a promising tool in predicting an oral food challenge outcome.INTRODUCTIONLegumes belonging to the Fabaceae (or Leguminosae) family are an inexpensive and important protein source for a considerable portion of the world. Commonly consumed legumes include beans, soybeans, peas, chickpeas, peanuts, lentils, and lupines.Legumes were reported to cause IgE‐mediated allergies. However, legume allergy (LA) is not yet fully characterized due to the paucity of literature with small samples of studies with suspected, self‐reported, and probable food allergies. The spectrum of LA differs between regions; peanut and soybean are the legumes most commonly implicated in

Journal

Pediatric Allergy and Immunology – Wiley

Published: Apr 1, 2022

Keywords: bean; chickpea; legume allergy; lentil; Mediterranean region; pea; peanut

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