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Medline ® Abstract for Reference 49

of 'Clinical manifestations and diagnosis of oral allergy syndrome (pollen-food allergy syndrome)'

49
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Correlation of oral allergy syndrome due to plant-derived foods with pollen sensitization in Japan.
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Maeda N, Inomata N, Morita A, Kirino M, Ikezawa Z
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Ann Allergy Asthma Immunol. 2010;104(3):205.
 
BACKGROUND: The clinical features of patients with oral allergy syndrome (OAS) due to plant-derived foods related to pollen allergy have been rarely reported in Japan.
OBJECTIVES: To evaluate the characteristics of OAS and to investigate whether pollen sensitizations are correlated with the prevalence of OAS in Japan.
METHODS: We measured specific IgE antibodies against 5 pollens in 622 outpatients (277 males and 345 females; mean age, 37 years) with atopic dermatitis, urticaria, angioedema, and food allergy during a 2-year period. Furthermore, OAS is diagnosed based on anamnesis and positive skin prick test reactions to suspected foods.
RESULTS: Eighteen of the 436 patients (4.1%) sensitized to pollens were diagnosed as having OAS. Rates of specific IgE antibody-positive responses against Japanese cedar, ragweed, orchard grass, mugwort, and alder pollen were 69.8%, 35.3%, 29.1%, 24.1%, and 19.6%, respectively. The prevalence of OAS showed a significant positive correlation with sensitization to alder (P<.001). In addition, the most frequent causative foods were found to be apple, peach, and melon. The prevalence of OAS due to apple showed a significant positive correlation with sensitization to alder (P<.001) pollen, due to peach showed a significant positive correlation with sensitization to alder (P<.001) and orchard grass (P<.05) pollen, and due to melon showed a significant positive correlation with sensitization to alder (P<.005), orchard grass (P<.05), and ragweed (P<.05) pollen.
CONCLUSION: Sensitization to pollens from species in the Betulaceae family is most strongly implicated in causing OAS in Japan.
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Department of Dermatology, Yokohama City University Hospital, Yokohama, Japan. nobukonaka1@hotmail.com
PMID