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Revisiting Fruit Allergy: Prevalence across the Globe, Diagnosis, and Current Management

Fruit allergies manifest with a diverse array of clinical presentations, ranging from localized contact allergies and oral allergy syndrome to the potential for severe systemic reactions including anaphylaxis. The scope of population-level prevalence studies remains limited, largely derived from sin...

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Autores principales: Krikeerati, Thanachit, Rodsaward, Pongsawat, Nawiboonwong, Jutamard, Pinyopornpanish, Kanokkarn, Phusawang, Songwut, Sompornrattanaphan, Mongkhon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10670478/
https://www.ncbi.nlm.nih.gov/pubmed/38002141
http://dx.doi.org/10.3390/foods12224083
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author Krikeerati, Thanachit
Rodsaward, Pongsawat
Nawiboonwong, Jutamard
Pinyopornpanish, Kanokkarn
Phusawang, Songwut
Sompornrattanaphan, Mongkhon
author_facet Krikeerati, Thanachit
Rodsaward, Pongsawat
Nawiboonwong, Jutamard
Pinyopornpanish, Kanokkarn
Phusawang, Songwut
Sompornrattanaphan, Mongkhon
author_sort Krikeerati, Thanachit
collection PubMed
description Fruit allergies manifest with a diverse array of clinical presentations, ranging from localized contact allergies and oral allergy syndrome to the potential for severe systemic reactions including anaphylaxis. The scope of population-level prevalence studies remains limited, largely derived from single-center or hospital-based investigations. In this comprehensive review, we conducted a systematic literature search spanning the years 2009 to 2023, with full acknowledgment of potential analytical biases, to provide a global overview of fruit allergy prevalence. The primary mechanistic underpinning of fruit allergies stems from cross-reactivity between aeroallergens and food allergens, a consequence of structurally similar epitopes—a phenomenon recognized as pollen food allergy syndrome (PFAS). In the era of molecular allergology, numerous studies have dissected allergen components with substantial clinical relevance. Within this review, we explore important allergenic molecules found in plant-based foods, scrutinize pertinent cross-reactivity patterns, and offer insights into management recommendations. Additionally, we compare guideline recommendations to enhance clinical understanding and inform decision making.
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spelling pubmed-106704782023-11-10 Revisiting Fruit Allergy: Prevalence across the Globe, Diagnosis, and Current Management Krikeerati, Thanachit Rodsaward, Pongsawat Nawiboonwong, Jutamard Pinyopornpanish, Kanokkarn Phusawang, Songwut Sompornrattanaphan, Mongkhon Foods Review Fruit allergies manifest with a diverse array of clinical presentations, ranging from localized contact allergies and oral allergy syndrome to the potential for severe systemic reactions including anaphylaxis. The scope of population-level prevalence studies remains limited, largely derived from single-center or hospital-based investigations. In this comprehensive review, we conducted a systematic literature search spanning the years 2009 to 2023, with full acknowledgment of potential analytical biases, to provide a global overview of fruit allergy prevalence. The primary mechanistic underpinning of fruit allergies stems from cross-reactivity between aeroallergens and food allergens, a consequence of structurally similar epitopes—a phenomenon recognized as pollen food allergy syndrome (PFAS). In the era of molecular allergology, numerous studies have dissected allergen components with substantial clinical relevance. Within this review, we explore important allergenic molecules found in plant-based foods, scrutinize pertinent cross-reactivity patterns, and offer insights into management recommendations. Additionally, we compare guideline recommendations to enhance clinical understanding and inform decision making. MDPI 2023-11-10 /pmc/articles/PMC10670478/ /pubmed/38002141 http://dx.doi.org/10.3390/foods12224083 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 Review
Krikeerati, Thanachit
Rodsaward, Pongsawat
Nawiboonwong, Jutamard
Pinyopornpanish, Kanokkarn
Phusawang, Songwut
Sompornrattanaphan, Mongkhon
Revisiting Fruit Allergy: Prevalence across the Globe, Diagnosis, and Current Management
title Revisiting Fruit Allergy: Prevalence across the Globe, Diagnosis, and Current Management
title_full Revisiting Fruit Allergy: Prevalence across the Globe, Diagnosis, and Current Management
title_fullStr Revisiting Fruit Allergy: Prevalence across the Globe, Diagnosis, and Current Management
title_full_unstemmed Revisiting Fruit Allergy: Prevalence across the Globe, Diagnosis, and Current Management
title_short Revisiting Fruit Allergy: Prevalence across the Globe, Diagnosis, and Current Management
title_sort revisiting fruit allergy: prevalence across the globe, diagnosis, and current management
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10670478/
https://www.ncbi.nlm.nih.gov/pubmed/38002141
http://dx.doi.org/10.3390/foods12224083
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