Fish Allergy and Related Conditions in Children: A Review

IF 1.3 Q3 PEDIATRICS

Current Pediatric Reviews Pub Date : 2023-10-17 DOI:10.2174/0115733963267330230919094037

Arianna Giannetti, Irene Bettini, Eleonora Alfieri, Amina De Bona, Giuliana Giannì, Giampaolo Ricci, Carlo Caffarelli

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引用次数: 0

Abstract

Abstract: Fish allergy is the important food allergies in childhood, often persisting into adulthood. It can cause severe hypersensitivity reactions, including fatal anaphylaxis; furthermore, avoiding-fish diet has negative nutritional and psychological effects. Recent research studies focus on epitope structures and aim to develop sensitive and specific diagnostic tools, which have a better correlation with clinical reactions. Protocols with hypoallergenic parvalbumin or other recombinant antigens are also under study and will likely lead to new immunotherapy protocols. IgE-mediated fish allergy differs substantially from other forms of immunological adverse reactions to fish, such as Food Protein-Induced Enterocolitis Syndrome and eosinophilic esophagitis. In addition, fish ingestion can cause non-immunological adverse reactions, such as in the case of scombroid poisoning, anisakiasis and toxic poisoning. This review aims to summarize the characteristics of the main immunological and non-immunological fish reactions, analyzing the epidemiology, clinical manifestations, diagnosis and therapy, with a particular focus on clinical management.

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鱼类过敏和儿童相关疾病:综述

摘要:鱼类过敏是儿童期重要的食物过敏，常持续到成年期。它可以引起严重的超敏反应，包括致命的过敏反应;此外，不吃鱼对营养和心理都有负面影响。最近的研究主要集中在表位结构上，旨在开发与临床反应有更好相关性的敏感和特异性的诊断工具。低过敏性小白蛋白或其他重组抗原的方案也在研究中，可能会产生新的免疫治疗方案。ige介导的鱼类过敏与其他形式的鱼类免疫不良反应(如食物蛋白诱导的小肠结肠炎综合征和嗜酸性粒细胞性食管炎)有很大不同。此外，食用鱼类可引起非免疫性不良反应，如鲭鱼中毒、异烟线虫病和中毒。本文综述了鱼类主要免疫和非免疫反应的特点，分析了其流行病学、临床表现、诊断和治疗方法，并着重介绍了临床管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Pediatric Reviews PEDIATRICS-

CiteScore

4.30

自引率

0.00%

发文量

期刊介绍： Current Pediatric Reviews publishes frontier reviews on all the latest advances in pediatric medicine. The journal’s aim is to publish the highest quality review articles dedicated to clinical research in the field. The journal is essential reading for all researchers and clinicians in pediatric medicine.