Follow-Up of the Wheat Allergy in Children; Consequences and Outgrowing the Allergy

Allergy to wheat is a common food allergy. In spite of this fact, there is not enough literature regarding the features and outgrowing of this allergy. The objective of this study was to evaluate the manifestations of this allergy and to follow the patients to evaluate whether outgrowing allergy hap...

Full description

Bibliographic Details
Main Authors: Mahboubeh Mansouri, Zahra Pourpak, Habibeh Mozafari, Fatemeh Abdollah Gorji, Raheleh Shokouhi Shoormasti
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2012-06-01
Series:Iranian Journal of Allergy, Asthma and Immunology
Subjects:
Online Access:https://ijaai.tums.ac.ir/index.php/ijaai/article/view/340
_version_ 1818127287145463808
author Mahboubeh Mansouri
Zahra Pourpak
Habibeh Mozafari
Fatemeh Abdollah Gorji
Raheleh Shokouhi Shoormasti
author_facet Mahboubeh Mansouri
Zahra Pourpak
Habibeh Mozafari
Fatemeh Abdollah Gorji
Raheleh Shokouhi Shoormasti
author_sort Mahboubeh Mansouri
collection DOAJ
description Allergy to wheat is a common food allergy. In spite of this fact, there is not enough literature regarding the features and outgrowing of this allergy. The objective of this study was to evaluate the manifestations of this allergy and to follow the patients to evaluate whether outgrowing allergy happens again and when it occurs. Eight wheat allergic patients diagnosed between 2000 and 2001 were re-evaluated together  with 13 other  new cases of  wheat allergy referred to  the  Immunology and Allergy Pediatric  Department   from  June  2004  to  March  2006.  For  all  cases,  the demographic data along with a complete history regarding allergy to wheat and other types of allergy were collected in questionnaires. The specific IgE measurements (in vivo and in vitro) and oral food challenge (in the absence of a relevant history related to allergy to wheat) were performed. Severe anaphylaxis was seen after wheat ingestion in more than 90% of the patients. Oral tolerance to wheat developed in three patients (37.5%) out of 8 known previous cases who had been followed for eight years, the mean age of oral tolerance to wheat was 68±6.36 (range; 36 months to 108 months). Clinical reactions in our wheat-allergic patients were more severe than those reported before. These patients were at risk for developing chronic allergic symptoms such as asthma. We also found that oral tolerance to wheat was happening in a minority of our patients.
first_indexed 2024-12-11T07:14:57Z
format Article
id doaj.art-76f86f487fe04fa2b9148d4386edde6b
institution Directory Open Access Journal
issn 1735-1502
1735-5249
language English
last_indexed 2024-12-11T07:14:57Z
publishDate 2012-06-01
publisher Tehran University of Medical Sciences
record_format Article
series Iranian Journal of Allergy, Asthma and Immunology
spelling doaj.art-76f86f487fe04fa2b9148d4386edde6b2022-12-22T01:16:16ZengTehran University of Medical SciencesIranian Journal of Allergy, Asthma and Immunology1735-15021735-52492012-06-01112340Follow-Up of the Wheat Allergy in Children; Consequences and Outgrowing the AllergyMahboubeh Mansouri0Zahra Pourpak1Habibeh Mozafari2Fatemeh Abdollah Gorji3Raheleh Shokouhi Shoormasti4Department of Immunology and Allergy, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranImmunology, Asthma and Allergy Research Institute, Tehran University of Medical Sciences, Tehran, IranAllergy, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranAllergy, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranImmunology, Asthma and Allergy Research Institute, Tehran University of Medical Sciences, Tehran, IranAllergy to wheat is a common food allergy. In spite of this fact, there is not enough literature regarding the features and outgrowing of this allergy. The objective of this study was to evaluate the manifestations of this allergy and to follow the patients to evaluate whether outgrowing allergy happens again and when it occurs. Eight wheat allergic patients diagnosed between 2000 and 2001 were re-evaluated together  with 13 other  new cases of  wheat allergy referred to  the  Immunology and Allergy Pediatric  Department   from  June  2004  to  March  2006.  For  all  cases,  the demographic data along with a complete history regarding allergy to wheat and other types of allergy were collected in questionnaires. The specific IgE measurements (in vivo and in vitro) and oral food challenge (in the absence of a relevant history related to allergy to wheat) were performed. Severe anaphylaxis was seen after wheat ingestion in more than 90% of the patients. Oral tolerance to wheat developed in three patients (37.5%) out of 8 known previous cases who had been followed for eight years, the mean age of oral tolerance to wheat was 68±6.36 (range; 36 months to 108 months). Clinical reactions in our wheat-allergic patients were more severe than those reported before. These patients were at risk for developing chronic allergic symptoms such as asthma. We also found that oral tolerance to wheat was happening in a minority of our patients.https://ijaai.tums.ac.ir/index.php/ijaai/article/view/340AnaphylaxisIgE mediated hypersensitivityOral toleranceWheat allergy
spellingShingle Mahboubeh Mansouri
Zahra Pourpak
Habibeh Mozafari
Fatemeh Abdollah Gorji
Raheleh Shokouhi Shoormasti
Follow-Up of the Wheat Allergy in Children; Consequences and Outgrowing the Allergy
Iranian Journal of Allergy, Asthma and Immunology
Anaphylaxis
IgE mediated hypersensitivity
Oral tolerance
Wheat allergy
title Follow-Up of the Wheat Allergy in Children; Consequences and Outgrowing the Allergy
title_full Follow-Up of the Wheat Allergy in Children; Consequences and Outgrowing the Allergy
title_fullStr Follow-Up of the Wheat Allergy in Children; Consequences and Outgrowing the Allergy
title_full_unstemmed Follow-Up of the Wheat Allergy in Children; Consequences and Outgrowing the Allergy
title_short Follow-Up of the Wheat Allergy in Children; Consequences and Outgrowing the Allergy
title_sort follow up of the wheat allergy in children consequences and outgrowing the allergy
topic Anaphylaxis
IgE mediated hypersensitivity
Oral tolerance
Wheat allergy
url https://ijaai.tums.ac.ir/index.php/ijaai/article/view/340
work_keys_str_mv AT mahboubehmansouri followupofthewheatallergyinchildrenconsequencesandoutgrowingtheallergy
AT zahrapourpak followupofthewheatallergyinchildrenconsequencesandoutgrowingtheallergy
AT habibehmozafari followupofthewheatallergyinchildrenconsequencesandoutgrowingtheallergy
AT fatemehabdollahgorji followupofthewheatallergyinchildrenconsequencesandoutgrowingtheallergy
AT rahelehshokouhishoormasti followupofthewheatallergyinchildrenconsequencesandoutgrowingtheallergy