Publications

Authors:

Mastrorilli, Carla; Arasi, Stefania; Barni, Simona; Caimmi, Davide; Chiera, Fernanda; Comberiati, Pasquale; Dinardo, Giulio; Giannetti, Arianna; Gismondi, Marco; Gracci, Serena; Paravati, Francesco; Pelosi, Umberto; MIRAGLIA DEL GIUDICE, Michele; Bernardini, Roberto; Pecoraro, Luca

Title:

IgE-Mediated and Non-IgE-Mediated Fish Allergy in Pediatric Age: A Holistic Approach—A Consensus by Diagnostic Commission of the Italian Society of Pediatric Allergy and Immunology

Year:

2023

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Referee:

No

Name of journal:

MEDICINA

ISSN of journal:

1648-9144

N° Volume:

59

Number or Folder:

9

Page numbers:

1651-1669

Keyword:

N/A

Short description of contents:

Fish is one of the “big nine” foods triggering allergic reactions. For this reason, fish allergens must be accurately specified on food labels. Fish allergy affects less than 1% of the world population, but a higher prevalence is observed in pediatric cohorts, up to 7%. Parvalbumin is the main fish allergen found in the muscles. In childhood, sensitization to fish allergens occurs most frequently through the ingestion of fish, rarely transcutaneously or by inhalation. Fish allergy symptoms usually appear within two hours of the allergen contact. The diagnosis beginswith the collection of the history. If it is suggestive of fish allergy, prick tests or the measurement of serum-specific IgE should be performed to confirm the suspicion. The oral food challenge is the gold standard for the diagnosis. It is not recommended in case of a severe allergic reaction. It is important tomake a differential diagnosis with anisakiasis or scombroid poisoning, which have overlapping clinical features but differ in pathogenesis. Traditionally, managing fish allergy involves avoiding the triggering species (sometimes all bony fish species) and requires an action plan for accidental exposures. The present review will analyze IgE- and non-IgE-mediated fish allergy in children from epidemiology, pathogenesis to clinical features. Moreover, clinical management will be addressed with a particular focus on potential nutritional deficiencies

Product ID:

135429

Handle IRIS:

11562/1107026

Last Modified:

October 30, 2024

Bibliographic citation:

Mastrorilli, Carla; Arasi, Stefania; Barni, Simona; Caimmi, Davide; Chiera, Fernanda; Comberiati, Pasquale; Dinardo, Giulio; Giannetti, Arianna; Gismondi, Marco; Gracci, Serena; Paravati, Francesco; Pelosi, Umberto; MIRAGLIA DEL GIUDICE, Michele; Bernardini, Roberto; Pecoraro, Luca, IgE-Mediated and Non-IgE-Mediated Fish Allergy in Pediatric Age: A Holistic Approach—A Consensus by Diagnostic Commission of the Italian Society of Pediatric Allergy and Immunology «MEDICINA» , vol. 59 , n. 9 , 2023 , pp. 1651-1669

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