- Clinical and anamnestic features of pollen-food syndrome in children
Clinical and anamnestic features of pollen-food syndrome in children
PERINATOLOGY AND PEDIATRIC. UKRAINE. 2018.3(75):88-93; doi 10.15574/PP.2018.75.88
Matvieieva S. Yu.
SI Institute of Pediatrics, Obstetrics and Gynecology named after academician O. Lukyanova of the National Academy of Medical Sciences of Ukraine, Kyiv
Objective: to study the clinical and anamnestic features of pollen-food allergy syndrome in children with pollinosis.
Materials and methods. In total 128 children with pollinosis were examined, who were divided into 2 groups: the main group consisted of 48 children with pollinosis and cross-reactive food allergies and the group of comparison included 80 children with pollinosis. All children were provided with questionnaire survey, allergological and clinical examinations.
Results. It was established that in 37.5% of children with pollinosis, a pollen-food syndrome was also formed, represented predominantly by the association of birch-plant food syndrome (in 77.0% of children). In 100.0% children, the pollen-food allergy syndrome is accompanied by oral allergy syndrome, which is combined with urticaria in 39.5% of children and anaphylaxis in 10.4% of patients. Among the offending plant food allergens caused the pollen-food allergy syndrome were as follows: nuts, apple, peach, carrot, banana, tomato, melon, chamomile and celery. It was proved that the specific risk factors for the pollen-food allergy syndrome in children are the age of children with pollinosis over 14 years old, a combination of a remarkable family history for allergic reactions and birth during the pollination period.
Conclusions. The study outcomes obtained allow distinguishing among children with pollinosis a high risk group for the cross-reactive food allergy formation and timely administration of the prevention-care interventions.
Key words: pollinosis, allergens, pollen-food allergy syndrome, food allergy, risk factors, children.
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Article received: May 15, 2018. Accepted for publication: Sep 06, 2018.