Fish allergy constitutes a severe problem worldwide. Its prevalence has been calculated as high as 7% in paediatric populations, and in many cases, it persists into adulthood with life-threatening signs and symptoms. The following review focuses on the epidemiology of Immunoglobulin E (IgE)-mediated fish allergy, its pathogenesis, clinical manifestations, and a thorough approach to diagnosis and management in the paediatric population. The traditional approach for managing fish allergy is avoidance and rescue medication for accidental exposures. Food avoidance poses many obstacles and is not easily maintained. In the specific case of fish, food is also not the only source of allergens; aerosolisation of fish proteins when cooking is a common source of highly allergenic parvalbumin, and elimination diets cannot prevent these contacts. Novel management approaches based on immunomodulation are a promising strategy for the future of these patients.

IgE-Mediated Fish Allergy in Children / Buyuktiryaki, Betul; Masini, Marzio; Mori, Francesca; Barni, Simona; Liccioli, Giulia; Sarti, Lucrezia; Lodi, Lorenzo; Giovannini, Mattia; du Toit, George; Lopata, Andreas Ludwig; Marques-Mejias, Maria Andreina. - In: MEDICINA. - ISSN 1010-660X. - ELETTRONICO. - 57:(2021), pp. 1-22. [10.3390/medicina57010076]

IgE-Mediated Fish Allergy in Children

Masini, Marzio;Mori, Francesca;Barni, Simona;Liccioli, Giulia;Sarti, Lucrezia;Lodi, Lorenzo;Giovannini, Mattia
;
2021

Abstract

Fish allergy constitutes a severe problem worldwide. Its prevalence has been calculated as high as 7% in paediatric populations, and in many cases, it persists into adulthood with life-threatening signs and symptoms. The following review focuses on the epidemiology of Immunoglobulin E (IgE)-mediated fish allergy, its pathogenesis, clinical manifestations, and a thorough approach to diagnosis and management in the paediatric population. The traditional approach for managing fish allergy is avoidance and rescue medication for accidental exposures. Food avoidance poses many obstacles and is not easily maintained. In the specific case of fish, food is also not the only source of allergens; aerosolisation of fish proteins when cooking is a common source of highly allergenic parvalbumin, and elimination diets cannot prevent these contacts. Novel management approaches based on immunomodulation are a promising strategy for the future of these patients.
2021
57
1
22
Buyuktiryaki, Betul; Masini, Marzio; Mori, Francesca; Barni, Simona; Liccioli, Giulia; Sarti, Lucrezia; Lodi, Lorenzo; Giovannini, Mattia; du Toit, George; Lopata, Andreas Ludwig; Marques-Mejias, Maria Andreina
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Utilizza questo identificatore per citare o creare un link a questa risorsa: https://hdl.handle.net/2158/1308285
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