IgE-mediated food allergy throughout life

Turk J Med Sci. 2021 Feb 26;51(1):49-60. doi: 10.3906/sag-2006-95.

Abstract

Food allergy (FA) has become an increasing problem throughout the world. Over the last 2 decades, the frequency of FA has increased in both children and adults. The prevalence differs according to the research methodology, age, and geographic regions, ranging between 2.0% and 10.0%. The most common form of FA is immunoglobulin E (IgE)-mediated FA. In this form, patients may present with life-threatening conditions, such as anaphylaxis, or milder conditions, such as urticaria, angioedema, sneezing, and nausea alone. The gold standard in the diagnosis of FA is oral provocation tests. Epidermal skin prick tests and specific IgE measurements, as well as component-resolved diagnostic techniques are helpful in the diagnosis and follow-up of patients. In this review, the epidemiology, diagnosis, follow-up, and prognosis of IgE-mediated FA in children and adults were discussed and some specific forms of FA, such as pollen FA syndrome, alpha-gal allergy, and food-dependent exercise-induced anaphylaxis were explained.

Keywords: IgE; anaphylaxis; food allergy; food challenge; pollen food allergy; skin prick test; Alpha-gal allergy.

Publication types

  • Review

MeSH terms

  • Anaphylaxis
  • Food Hypersensitivity / blood
  • Food Hypersensitivity / complications
  • Food Hypersensitivity / diagnosis*
  • Galactose
  • Humans
  • Immunoglobulin E / blood*
  • Pollen

Substances

  • Immunoglobulin E
  • Galactose

Supplementary concepts

  • red meat allergy