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논문 기본 정보

자료유형
학술저널
저자정보
Somoza Maria Luisa (Department of Allergy Infanta Leonor University Hospital Madrid Spain.) Prieto-Moreno Pfeifer Ana (Department of Allergy Infanta Leonor University Hospital Madrid Spain.) Martín-Pedraza Laura (Department of Allergy Fundación para la Investigación e Innovación Biomédica (FIIB) de los Hospital) Victorio Puche Laura (Department of Allergy Morales Meseguer General University Hospital Murcia Spain.) Esteban Rodríguez Angel (Department of Clinical Analysis General University Hospital of Alicante Alicante Spain.) Blanca-López Natalia (Department of Allergy Infanta Leonor University Hospital Madrid Spain.) Eva Fernández González Abel (R&D Department Inmunotek Laboratories Madrid Spain) Fernández-Caldas Enrique (R&D Department Inmunotek Laboratories Madrid Spain) Morán Morales Miriam (R&D Department Inmunotek Laboratories Madrid Spain) Fernández-Sánchez Francisco Javier (Department of Allergy General University Hospital of Alicante-ISABIAL Alicante Spain.Department of) López Sánchez José Damián (Department of Allergy Virgen de la Arrixaca Clinical University Hospital Murcia Spain.) Garrido-Lestache José Luis Subiza (R&D Department Inmunotek Laboratories Madrid Spain) Canto Gabriela (Department of Allergy Infanta Leonor University Hospital Madrid Spain.School of Medicine Universida) Blanca Miguel (Department of Allergy Infanta Leonor University Hospital Madrid Spain.)
저널정보
대한천식알레르기학회(구 대한알레르기학회) Allergy, Asthma & Immunology Research Allergy, Asthma & Immunology Research Vol.13 No.6
발행연도
2021.11
수록면
922 - 932 (11page)
DOI
10.4168/aair.2021.13.6.922

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The most important peach fruit allergen is Pru p 3, followed by Pru p 1, Pru p 4, and Pru p 7. We aimed to assess their role in subjects with peach fruit-induced allergy (anaphylaxis and OAS) and compare skin prick tests (SPT) vs. specific immunoglobulin E (sIgE) for predicting anaphylaxis. We also selected a control group. SPT included prevalent inhalant and plant food allergens plus peach peel extract. The sIgE to Pru p 1, Pru p 3, Pru p 4, and Pru p 7 were quantified. Compared with controls (n = 42), cases (n = 41) were younger (P = 0.003), more frequently female (P < 0.05) and had higher SPT positivity to peach peel (44% vs. 2.4%, P < 0.0001). There were significant differences in sensitization to several pollens: Olea europaea, Artemisia vulgaris, Prunus persica, Platanus acerifolia (all P < 0.001); and fruits: apple (P < 0.04), peanut (P < 0.002), tomato (P < 0.005), and melon (P < 0.05). Pru p 3 sIgE was detected in 61% of all cases (85% anaphylaxis and 38% OAS; P < 0.01 each) and 5% of controls (P < 0.001). Pru p 4 sIgE was present in 19% of cases and 7% of controls. The sIgE to Pru p 1 and Pru p 7 were not found. The odds ratio to predict anaphylaxis for peach peel SPT was 113 (confidence interval [CI], 20?613; P < 0.0001); for sIgE to Pru p 3, 22 (CI, 5.3?93; P < 0.0001); and for SPT positivity to selected plant food allergens, 5 (CI, 1?19; P < 0.05). In our study group, SPT with peel peach extract was a better predictor of anaphylaxis than Pru p 3 sIgE or other variables considered. The role of sIgE to Pru p 1, Pru p 4, and Pru p 7 seemed negligible.

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