Research Article
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Determination of the frequency of food allergen sensitivity in children with atopic dermatitis

Year 2023, Volume: 6 Issue: 6, 1322 - 1326, 29.10.2023
https://doi.org/10.32322/jhsm.1341216

Abstract

Aims: We aimed to evaluate the frequency of food allergen sensitivity in children with atopic dermatitis (AD).
Methods: The study is a descriptive study in a retrospective design. Children aged 0-18 years with AD were included in the study. The sociodemographic characteristics, laboratory parameters and the frequency of food allergen sensitivity were evaluated. Allergen sensitization was defined as a positive allergen-specific IgE or skin prick test.
Results: The data of 295 patients with AD were evaluated. Food allergen sensitivity was detected in 34.2% (n=101) of them. Of the patients 21.4% (n=63) had a single food allergen sensitivity, whereas 12.9% (n=38) had multiple food allergen sensitivity. Egg was the most common food allergen (n=78, 26.4%). Patients with single food allergen sensitivity and multiple food allergen sensitivity were both significantly younger than those without food allergen sensitivity (p<0.001 for both). Total IgE values of AD patients with multiple food allergen sensitivity were significantly higher than those with single allergen sensitivity and those without food allergen sensitivity (p=0.002 and p=0.003, respectively).
Conclusion: A significant relationship was found between age, total IgE values and the presence of food allergen sensitivity in atopic dermatitis patients. Factors that may be associated with the development of food allergen sensitivity should be considered in the treatment and management of the disease in children with AD.

References

  • Trikamjee T, Comberiati P, D'Auria E, Peroni D, Zuccotti GV. Nutritional factors in the prevention of atopic dermatitis in children. Front Pediatr. 2021;8:577413.
  • Kolb L, Ferrer-Bruker SJ. Atopic Dermatitis. [Updated 2022 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448071/.
  • Weidinger S, Novak N. Atopic dermatitis. Lancet. 2016;387(10023):1109-1122.
  • Deckers IA, McLean S, Linssen S, Mommers M, Van Schayck C, Sheikh A. Investigating international time trends in the incidence and prevalence of atopic eczema 1990–2010: a systematic review of epidemiological studies. PloS One. 2012;7(7):e39803.
  • Lyons JJ, Milner JD, Stone KD. Atopic dermatitis in children: clinical features, pathophysiology, and treatment. Immunol Allergy Clin North Am. 2015;35(1):161-183.
  • Akan GE, Lemanske RF. Allergic disease: pathophysiology and immunopathology. allergic diseases: Diagnosis Treatment. 2007:1-14.
  • Paller AS, Spergel JM, Mina-Osorio P, Irvine AD. The atopic march and atopic multimorbidity: many trajectories, many pathways. J Allergy Clin Immunol. 2019;143(1): 46-55.
  • Öztürk M, Besler HT. Besin alerjileri. Ankara: Klasmat Matbaacılık. 2008.
  • Tercanlı E, Atasever M. Besin Alerjileri. Academic Platform Journal of Halal Lifestyle. 2021;3(1):31-53.
  • Spolidoro GC, Amera YT, Ali MM, et al. Frequency of food allergy in Europe: an updated systematic review and meta‐analysis. Allergy. 2023;78(2):351-368.
  • Tsakok T, Marrs T, Mohsin M, et al. Does atopic dermatitis cause food allergy? A systematic review. J Allergy Clin Immunol. 2016;137(4):1071–1078.
  • Graham F, Eigenmann PA. Atopic dermatitis and its relation to food allergy. Curr Opin Allergy Clin Immunol. 2020;20(3):305-310.
  • Christensen M, Barakji Y, Loft N, et al. Prevalence of and association between atopic dermatitis and food sensitivity, food allergy and challenge‐proven food allergy: a systematic review and meta‐analysis. J Eur Acad Dermatol Venereol. 2023;37(5):984-1003.
  • Hogan MB, Peele K, Wilson NW. Skin barrier function and its importance at the start of the atopic march. J Allergy. 2012;2012: 901940.
  • Venkataraman D, Soto-Ramírez N, Kurukulaaratchy RJ, et al. Filaggrin loss-of-function mutations are associated with food allergy in childhood and adolescence. J Allergy Clin Immunol. 2014;134(4):876-882. e4.
  • Hanifin JM, Rajka G. Diagnostic features of atopic dermatitis. Acta Derm Venereol Suppl (Stockh). 1980;92:44–47.
  • Chang A, Robison R, Cai M, Singh AM. Natural history of food-triggered atopic dermatitis and development of immediate reactions in children. J Allergy Clin Immunol Pract. 2016;4(2):229-36.e1.
  • Papapostolou N, Xepapadaki P, Gregoriou S, Makris M. Atopic Dermatitis and food allergy: a complex interplay what we know and what we would like to learn. J Clin Med. 2022;11(14):4232.
  • Tsakok T, Marrs T, Mohsin M, Baron S, du Toit G, Till S, et al. Does atopic dermatitis cause food allergy? a systematic review. J Allergy Clin Immunol. 2016(4);137:1071-1078.
  • Böhme M, Svensson Å, Kull I, Nordvall SL, Wahlgren C-F. Clinical features of atopic dermatitis at two years of age: a prospective, population-based case-control study. Acta Derm Venereol. 2001;81(3):193-197.
  • Atakul G, Çimen SS. The prevalence of sensitization to food allergens in children with atopic dermatitis. Allergol Immunopathol. 2023;51(3):85-90.
  • 22. Sampson HA, McCaskill CC. Food hypersensitivity and atopic dermatitis: evaluation of 113 patients. J Pediatr. 1985;107(5):669–675. .
  • Gray CL, Levin ME, Zar HJ, et al. Food allergy in South African children with atopic dermatitis. Pediatr Allergy Immunol. 2014;25(6):572-579.
  • Eigenmann PA, Sicherer SH, Borkowski TA, Cohen BA, Sampson HA. Prevalence of IgE-mediated food allergy among children with atopic dermatitis. Pediatrics. 1998;101(3):e8-e.
  • Michelet M, Balbino B, Guilleminault L, Reber LL. IgE in the pathophysiology and therapy of food allergy. Eur J Immunol. 2021;51(3):531-543.
Year 2023, Volume: 6 Issue: 6, 1322 - 1326, 29.10.2023
https://doi.org/10.32322/jhsm.1341216

Abstract

References

  • Trikamjee T, Comberiati P, D'Auria E, Peroni D, Zuccotti GV. Nutritional factors in the prevention of atopic dermatitis in children. Front Pediatr. 2021;8:577413.
  • Kolb L, Ferrer-Bruker SJ. Atopic Dermatitis. [Updated 2022 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448071/.
  • Weidinger S, Novak N. Atopic dermatitis. Lancet. 2016;387(10023):1109-1122.
  • Deckers IA, McLean S, Linssen S, Mommers M, Van Schayck C, Sheikh A. Investigating international time trends in the incidence and prevalence of atopic eczema 1990–2010: a systematic review of epidemiological studies. PloS One. 2012;7(7):e39803.
  • Lyons JJ, Milner JD, Stone KD. Atopic dermatitis in children: clinical features, pathophysiology, and treatment. Immunol Allergy Clin North Am. 2015;35(1):161-183.
  • Akan GE, Lemanske RF. Allergic disease: pathophysiology and immunopathology. allergic diseases: Diagnosis Treatment. 2007:1-14.
  • Paller AS, Spergel JM, Mina-Osorio P, Irvine AD. The atopic march and atopic multimorbidity: many trajectories, many pathways. J Allergy Clin Immunol. 2019;143(1): 46-55.
  • Öztürk M, Besler HT. Besin alerjileri. Ankara: Klasmat Matbaacılık. 2008.
  • Tercanlı E, Atasever M. Besin Alerjileri. Academic Platform Journal of Halal Lifestyle. 2021;3(1):31-53.
  • Spolidoro GC, Amera YT, Ali MM, et al. Frequency of food allergy in Europe: an updated systematic review and meta‐analysis. Allergy. 2023;78(2):351-368.
  • Tsakok T, Marrs T, Mohsin M, et al. Does atopic dermatitis cause food allergy? A systematic review. J Allergy Clin Immunol. 2016;137(4):1071–1078.
  • Graham F, Eigenmann PA. Atopic dermatitis and its relation to food allergy. Curr Opin Allergy Clin Immunol. 2020;20(3):305-310.
  • Christensen M, Barakji Y, Loft N, et al. Prevalence of and association between atopic dermatitis and food sensitivity, food allergy and challenge‐proven food allergy: a systematic review and meta‐analysis. J Eur Acad Dermatol Venereol. 2023;37(5):984-1003.
  • Hogan MB, Peele K, Wilson NW. Skin barrier function and its importance at the start of the atopic march. J Allergy. 2012;2012: 901940.
  • Venkataraman D, Soto-Ramírez N, Kurukulaaratchy RJ, et al. Filaggrin loss-of-function mutations are associated with food allergy in childhood and adolescence. J Allergy Clin Immunol. 2014;134(4):876-882. e4.
  • Hanifin JM, Rajka G. Diagnostic features of atopic dermatitis. Acta Derm Venereol Suppl (Stockh). 1980;92:44–47.
  • Chang A, Robison R, Cai M, Singh AM. Natural history of food-triggered atopic dermatitis and development of immediate reactions in children. J Allergy Clin Immunol Pract. 2016;4(2):229-36.e1.
  • Papapostolou N, Xepapadaki P, Gregoriou S, Makris M. Atopic Dermatitis and food allergy: a complex interplay what we know and what we would like to learn. J Clin Med. 2022;11(14):4232.
  • Tsakok T, Marrs T, Mohsin M, Baron S, du Toit G, Till S, et al. Does atopic dermatitis cause food allergy? a systematic review. J Allergy Clin Immunol. 2016(4);137:1071-1078.
  • Böhme M, Svensson Å, Kull I, Nordvall SL, Wahlgren C-F. Clinical features of atopic dermatitis at two years of age: a prospective, population-based case-control study. Acta Derm Venereol. 2001;81(3):193-197.
  • Atakul G, Çimen SS. The prevalence of sensitization to food allergens in children with atopic dermatitis. Allergol Immunopathol. 2023;51(3):85-90.
  • 22. Sampson HA, McCaskill CC. Food hypersensitivity and atopic dermatitis: evaluation of 113 patients. J Pediatr. 1985;107(5):669–675. .
  • Gray CL, Levin ME, Zar HJ, et al. Food allergy in South African children with atopic dermatitis. Pediatr Allergy Immunol. 2014;25(6):572-579.
  • Eigenmann PA, Sicherer SH, Borkowski TA, Cohen BA, Sampson HA. Prevalence of IgE-mediated food allergy among children with atopic dermatitis. Pediatrics. 1998;101(3):e8-e.
  • Michelet M, Balbino B, Guilleminault L, Reber LL. IgE in the pathophysiology and therapy of food allergy. Eur J Immunol. 2021;51(3):531-543.
There are 25 citations in total.

Details

Primary Language English
Subjects Pediatric Immunology and Allergic Diseases
Journal Section Original Article
Authors

Uğur Altaş 0000-0001-5871-2033

Elif Akman 0009-0005-8850-7782

Zeynep Meva Altaş 0000-0003-0475-8946

Fatih Çiçek 0000-0001-7348-7081

Mehmet Yaşar Özkars 0000-0003-1290-8318

Early Pub Date October 28, 2023
Publication Date October 29, 2023
Published in Issue Year 2023 Volume: 6 Issue: 6

Cite

AMA Altaş U, Akman E, Altaş ZM, Çiçek F, Özkars MY. Determination of the frequency of food allergen sensitivity in children with atopic dermatitis. J Health Sci Med / JHSM. October 2023;6(6):1322-1326. doi:10.32322/jhsm.1341216

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