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Not Just a Banana: The Extent of Fruit Cross-Reactivity and Reaction Severity in Adults with Banana Allergy

This cross-sectional study aimed to investigate the prevalence and clinical characteristics of cross-reactivity and co-allergy to other plant foods among adult patients with IgE-mediated banana allergy in Thailand. A structured questionnaire was used to assess clinical reactivity, and cross-reactivi...

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Autores principales: Julanon, Narachai, Thiravetyan, Ben, Unhapipatpong, Chanita, Xanthavanij, Nutchapon, Krikeerati, Thanachit, Thongngarm, Torpong, Wongsa, Chamard, Songnuan, Wisuwat, Naiyanetr, Phornnop, Sompornrattanaphan, Mongkhon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10340651/
https://www.ncbi.nlm.nih.gov/pubmed/37444194
http://dx.doi.org/10.3390/foods12132456
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author Julanon, Narachai
Thiravetyan, Ben
Unhapipatpong, Chanita
Xanthavanij, Nutchapon
Krikeerati, Thanachit
Thongngarm, Torpong
Wongsa, Chamard
Songnuan, Wisuwat
Naiyanetr, Phornnop
Sompornrattanaphan, Mongkhon
author_facet Julanon, Narachai
Thiravetyan, Ben
Unhapipatpong, Chanita
Xanthavanij, Nutchapon
Krikeerati, Thanachit
Thongngarm, Torpong
Wongsa, Chamard
Songnuan, Wisuwat
Naiyanetr, Phornnop
Sompornrattanaphan, Mongkhon
author_sort Julanon, Narachai
collection PubMed
description This cross-sectional study aimed to investigate the prevalence and clinical characteristics of cross-reactivity and co-allergy to other plant foods among adult patients with IgE-mediated banana allergy in Thailand. A structured questionnaire was used to assess clinical reactivity, and cross-reactivity diagnoses were based on reactions occurring within 2 years of banana allergy onset, within 3 h of intake, and confirmed by allergists. Among the 133 participants, the most commonly associated plant foods with clinical reactions were kiwi (83.5%), avocado (71.1%), persimmon (58.8%), grapes (44.0%), and durian (43.6%). Notably, 26.5% of the reported reactions to other plant foods were classified as severe. These findings highlight the common occurrence of cross-reactivity/co-allergy to other plant foods in banana-allergic patients, with a significant proportion experiencing severe reactions. Travelers to tropical regions should be aware of this risk and advised to avoid specific banana cultivars and plant foods with reported high cross-reactivity. The inclusion of self-injectable epinephrine in the management plan for patients with primary banana allergy should be considered due to the substantial proportion of reported severe reactions and the wide range of clinical cross-reactivity and co-allergy observed.
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spelling pubmed-103406512023-07-14 Not Just a Banana: The Extent of Fruit Cross-Reactivity and Reaction Severity in Adults with Banana Allergy Julanon, Narachai Thiravetyan, Ben Unhapipatpong, Chanita Xanthavanij, Nutchapon Krikeerati, Thanachit Thongngarm, Torpong Wongsa, Chamard Songnuan, Wisuwat Naiyanetr, Phornnop Sompornrattanaphan, Mongkhon Foods Article This cross-sectional study aimed to investigate the prevalence and clinical characteristics of cross-reactivity and co-allergy to other plant foods among adult patients with IgE-mediated banana allergy in Thailand. A structured questionnaire was used to assess clinical reactivity, and cross-reactivity diagnoses were based on reactions occurring within 2 years of banana allergy onset, within 3 h of intake, and confirmed by allergists. Among the 133 participants, the most commonly associated plant foods with clinical reactions were kiwi (83.5%), avocado (71.1%), persimmon (58.8%), grapes (44.0%), and durian (43.6%). Notably, 26.5% of the reported reactions to other plant foods were classified as severe. These findings highlight the common occurrence of cross-reactivity/co-allergy to other plant foods in banana-allergic patients, with a significant proportion experiencing severe reactions. Travelers to tropical regions should be aware of this risk and advised to avoid specific banana cultivars and plant foods with reported high cross-reactivity. The inclusion of self-injectable epinephrine in the management plan for patients with primary banana allergy should be considered due to the substantial proportion of reported severe reactions and the wide range of clinical cross-reactivity and co-allergy observed. MDPI 2023-06-23 /pmc/articles/PMC10340651/ /pubmed/37444194 http://dx.doi.org/10.3390/foods12132456 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Julanon, Narachai
Thiravetyan, Ben
Unhapipatpong, Chanita
Xanthavanij, Nutchapon
Krikeerati, Thanachit
Thongngarm, Torpong
Wongsa, Chamard
Songnuan, Wisuwat
Naiyanetr, Phornnop
Sompornrattanaphan, Mongkhon
Not Just a Banana: The Extent of Fruit Cross-Reactivity and Reaction Severity in Adults with Banana Allergy
title Not Just a Banana: The Extent of Fruit Cross-Reactivity and Reaction Severity in Adults with Banana Allergy
title_full Not Just a Banana: The Extent of Fruit Cross-Reactivity and Reaction Severity in Adults with Banana Allergy
title_fullStr Not Just a Banana: The Extent of Fruit Cross-Reactivity and Reaction Severity in Adults with Banana Allergy
title_full_unstemmed Not Just a Banana: The Extent of Fruit Cross-Reactivity and Reaction Severity in Adults with Banana Allergy
title_short Not Just a Banana: The Extent of Fruit Cross-Reactivity and Reaction Severity in Adults with Banana Allergy
title_sort not just a banana: the extent of fruit cross-reactivity and reaction severity in adults with banana allergy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10340651/
https://www.ncbi.nlm.nih.gov/pubmed/37444194
http://dx.doi.org/10.3390/foods12132456
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