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Pouessel G, Sabouraud-Leclerc D, Beaumont P, Divaret-Chauveau A, Bradatan E, Dumond P, Karaca Y, Renaudin JM, Metz-Favre C, Delalande D, Correard AK, Tscheiller S, Van der Brempt X. Lupin, a potential "hidden" food anaphylaxis allergen: An alert from the Allergy-Vigilance Network®. Allergy 2024. [PMID: 38516981 DOI: 10.1111/all.16107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Revised: 03/08/2024] [Accepted: 03/13/2024] [Indexed: 03/23/2024]
Affiliation(s)
- Guillaume Pouessel
- CH Roubaix, Department of Pediatrics, Children's Hospital, Roubaix, France
- CHU Lille, Pediatric Pulmonology and Allergy Department, Pôle Enfant, Hôpital Jeanne de Flandre, Lille, France
- Univ Lille, ULR 2694: METRICS, Lille, France
- Allergy-Vigilance Network®, Vandoeuvre-les-Nancy, France
| | | | - Pascale Beaumont
- Allergy-Vigilance Network®, Vandoeuvre-les-Nancy, France
- Medical Office, Saint Maur des Fossés, France
| | - Amandine Divaret-Chauveau
- Allergy-Vigilance Network®, Vandoeuvre-les-Nancy, France
- Paediatric Allergology, Children's Medicine, CHRU, Nancy, France
| | - Eléna Bradatan
- Allergy-Vigilance Network®, Vandoeuvre-les-Nancy, France
- Department of Paediatrics, CHRU, Namur, Belgium
| | - Pascale Dumond
- Allergy-Vigilance Network®, Vandoeuvre-les-Nancy, France
- Paediatric Allergology, Children's Medicine, CHRU, Nancy, France
| | - Yasemin Karaca
- CH Roubaix, Department of Pediatrics, Children's Hospital, Roubaix, France
| | - Jean-Marie Renaudin
- Allergy-Vigilance Network®, Vandoeuvre-les-Nancy, France
- Allergology Department, CH Durkheim, Epinal, France
| | - Carine Metz-Favre
- Allergy-Vigilance Network®, Vandoeuvre-les-Nancy, France
- Department of Pneumology and Allergology, Strasbourg University Hospital, Strasbourg, France
| | - Delphine Delalande
- Allergy-Vigilance Network®, Vandoeuvre-les-Nancy, France
- Departement of Pediatrics, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Anne-Karine Correard
- Allergy-Vigilance Network®, Vandoeuvre-les-Nancy, France
- Pediatric Pulmonology and Allergology Department, Pediatric Cystic Fibrosis Center, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France
| | | | - Xavier Van der Brempt
- Allergy-Vigilance Network®, Vandoeuvre-les-Nancy, France
- Allergopôle, Clinique Saint-Luc, Namur, Belgium
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El Hanache H, Perennec T, Beaumont P, Puillandre E, Schwender D, Louis Donguy F, Froidefond C, Jarlot S, Petit N, Nootens C, Pirson F, Sullerot I, Nicolie B, Van der Brempt X, Morisset M. Food anaphylaxis in the elderly: Analysis of allergy vigilance network data from 2002 to 2021. Clin Exp Allergy 2023; 53:561-572. [PMID: 36811252 DOI: 10.1111/cea.14297] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Revised: 01/28/2023] [Accepted: 01/31/2023] [Indexed: 02/24/2023]
Abstract
BACKGROUND Few studies have focused on food allergies in the elderly, even though it may persist or appear de novo. METHODS We reviewed data for all cases of food-induced anaphylaxis in people age ≥ 60 reported to the French "Allergy Vigilance Network" (RAV) between 2002 and 2021. RAV collates data reported by French-speaking allergists regarding cases of anaphylaxis graded II to IV according to the Ring and Messmer classification. RESULTS In total, 191 cases were reported, with an even sex distribution and mean age was 67.4 years (range 60 to 93). The most frequent allergens were mammalian meat and offal (31 cases, 16.2%), often associated with IgE to α-Gal. Legumes were reported in 26 cases (13.6%), fruits and vegetables in 25 cases (13.1%), shellfish 25 cases (13.1%), nuts 20 cases (10.5%), cereals 18 cases (9.4%), seeds 10 cases (5.2%), fish 8 cases (4.2%) and anisakis 8 cases (4.2%). Severity was grade II in 86 cases (45%), grade III in 98 cases (52%) and grade IV in 6 cases (3%) with one death. Most episodes occurred at home or in a restaurant and in most cases adrenaline was not used to treat the acute episode. Potentially relevant cofactors such as beta-blocker, alcohol or non-steroidal anti-inflammatory drug intake were present in 61% of cases. Chronic cardiomyopathy, present in 11.5% of the population, was associated with greater, grade III or IV reaction severity (OR 3.4; 1.24-10.95). CONCLUSION Anaphylaxis in the elderly has different causes to younger people and requires detailed diagnostic testing and individualized care plans.
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Affiliation(s)
- Hassan El Hanache
- Allergy Unit, Nantes University Hospital, Nantes, France.,Allergy Unit, Angers University Hospital, Angers, France
| | | | | | | | | | | | | | | | - Nicolas Petit
- Allergy unit, Verdun Hospital Center, Verdun, France
| | | | - Françoise Pirson
- Pneumology Unit, Saint-Luc University Clinics, Brussels, Belgium
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Francuzik W, Ruëff F, Bauer A, Bilò MB, Cardona V, Christoff G, Dölle-Bierke S, Ensina L, Fernández Rivas M, Hawranek T, O'B Hourihane J, Jakob T, Papadopoulos NG, Pföhler C, Poziomkowska-Gęsicka I, Van der Brempt X, Scherer Hofmeier K, Treudler R, Wagner N, Wedi B, Worm M. Phenotype and risk factors of venom-induced anaphylaxis: A case-control study of the European Anaphylaxis Registry. J Allergy Clin Immunol 2021; 147:653-662.e9. [DOI: 10.1016/j.jaci.2020.06.008] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Revised: 05/27/2020] [Accepted: 06/02/2020] [Indexed: 12/12/2022]
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Pouessel G, Jean-Bart C, Deschildre A, Van der Brempt X, Tanno LK, Beaumont P, Dumond P, Sabouraud-Leclerc D, Beaudouin E, Ramdane N, Liabeuf V, Renaudin JM. Food-induced anaphylaxis in infancy compared to preschool age: A retrospective analysis. Clin Exp Allergy 2019; 50:74-81. [PMID: 31651059 DOI: 10.1111/cea.13519] [Citation(s) in RCA: 43] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Revised: 09/17/2019] [Accepted: 09/17/2019] [Indexed: 01/01/2023]
Abstract
OBJECTIVE Little is known regarding food anaphylaxis in infancy. We aimed to describe specificities of food anaphylaxis in infants (≤12 months) as compared to preschool children (1-6 years). METHODS We conducted a retrospective study of all food anaphylaxis cases recorded by the Allergy Vigilance Network from 2002 to 2018, in preschool children focusing on infants. RESULTS Of 1951 food anaphylaxis reactions, 61 (3%) occurred in infants and 386 (20%) in preschool children. Two infants had two anaphylaxis reactions; thus, we analyzed data among 59 infants (male: 51%; mean age: 6 months [SD: 2.9]); 31% had a history of atopic dermatitis, 11% of previous food allergy. The main food allergens were cow's milk (59%), hen's egg (20%), wheat (7%) and peanut (3%) in infants as compared with peanut (27%) and cashew (23%) in preschool children. Anaphylaxis occurred in 28/61 (46%) cases at the first cow's milk intake after breastfeeding discontinuation. Clinical manifestations were mainly mucocutaneous (79%), gastrointestinal (49%), respiratory (48%) and cardiovascular (21%); 25% of infants received adrenaline. Hives, hypotension and neurologic symptoms were more likely to be reported in infants than in preschool children (P = .02; P = .004; P = .002, respectively). Antihistamines and corticosteroids were more often prescribed in preschool children than in infants (P = .005; P = .025, respectively). CONCLUSION Our study found that in infants presenting with their first food allergy, in a setting with a high rate of infant formula use, the most predominant trigger was cow's milk. As compared to older preschool children, hives, hypotonia and hypotension were more likely to be reported in infants. We believe that this represents a distinct food anaphylaxis phenotype that can further support developing the clinical anaphylaxis criteria in infants.
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Affiliation(s)
- Guillaume Pouessel
- Department of Pediatrics, Children's Hospital, Roubaix, France.,Pediatric Pulmonology and Allergy Department, CHU Lille, Lille, France.,Allergy Vigilance Network, Vandoeuvre-lès-Nancy, France
| | | | - Antoine Deschildre
- Pediatric Pulmonology and Allergy Department, CHU Lille, Lille, France.,Allergy Vigilance Network, Vandoeuvre-lès-Nancy, France
| | - Xavier Van der Brempt
- Allergy Vigilance Network, Vandoeuvre-lès-Nancy, France.,Allergopôle, Clinique Saint-Luc, Bouge, Belgium
| | - Luciana Kase Tanno
- Allergy Vigilance Network, Vandoeuvre-lès-Nancy, France.,University Hospital, Montpellier, France.,INSERM UMR-S 1136, IPLESP, Equipe EPAR, Sorbonne Université, Paris, France.,Hospital Sírio Libanês, São Paulo, Brazil
| | - Pascale Beaumont
- Allergy Vigilance Network, Vandoeuvre-lès-Nancy, France.,Medical office, Saint-Maur des Fossés, France
| | - Pascale Dumond
- Allergy Vigilance Network, Vandoeuvre-lès-Nancy, France.,Pediatric Allergology Department, Children's hospital, University Hospital Nancy, Vandoeuvre-lès-Nancy, France
| | - Dominique Sabouraud-Leclerc
- Allergy Vigilance Network, Vandoeuvre-lès-Nancy, France.,Pediatric Department, American Memorial Hospital, Reims, France
| | - Etienne Beaudouin
- Department of Allergology and Clinical Immunology, Mercy Hospital, Metz-Thionville, France
| | - Nassima Ramdane
- EA 2694, Public health epidemiology and quality of care, University of Lille, Lille, France
| | - Valérie Liabeuf
- Department of Dermatology, La Timone Hospital, Aix-Marseille University, Marseille, France
| | - Jean-Marie Renaudin
- Allergy Vigilance Network, Vandoeuvre-lès-Nancy, France.,Pediatric Allergy Care Unit University Hospital, Vandoeuvre-lès-Nancy, France
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- Allergy Vigilance Network, Vandoeuvre-lès-Nancy, France
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Pouessel G, Dumond P, Liabeuf V, Kase Tanno L, Deschildre A, Beaumont P, Van der Brempt X, Beaudouin E, Labreuche J, Renaudin JM, Sabouraud-Leclerc D. Gaps in the management of food-induced anaphylaxis reactions at school. Pediatr Allergy Immunol 2019; 30:767-770. [PMID: 31172595 DOI: 10.1111/pai.13091] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Guillaume Pouessel
- Department of Pediatrics, Children's Hospital, Roubaix, France.,Pediatric Pulmonology and Allergy Department, Jeanne de Flandre Hospital, CHRU de Lille and Nord de France University, Lille, France.,Allergy Vigilance Network, Vandoeuvre les Nancy, France
| | - Pascale Dumond
- Allergy Vigilance Network, Vandoeuvre les Nancy, France.,Pediatric Allergology Department, Children's hospital, University Hospital Nancy, Vandoeuvre les Nancy, France
| | - Valérie Liabeuf
- Allergy Vigilance Network, Vandoeuvre les Nancy, France.,Department of Dermatology, La Timone Hospital, Aix-Marseille University, Marseille, France
| | - Luciana Kase Tanno
- Allergy Vigilance Network, Vandoeuvre les Nancy, France.,University Hospital, Montpellier, Montpellier, France.,INSERM UMR-S 1136, IPLESP, Equipe EPAR, Sorbonne Université, Paris, France.,Hospital Sírio Libanês, São Paulo, Brazil
| | - Antoine Deschildre
- Pediatric Pulmonology and Allergy Department, Jeanne de Flandre Hospital, CHRU de Lille and Nord de France University, Lille, France.,Allergy Vigilance Network, Vandoeuvre les Nancy, France
| | - Pascale Beaumont
- Allergy Vigilance Network, Vandoeuvre les Nancy, France.,Medical office, Saint-Maur des Fossés, France
| | - Xavier Van der Brempt
- Allergy Vigilance Network, Vandoeuvre les Nancy, France.,Allergopôle, Clinique Saint-Luc Bouge, Namur, Belgium
| | - Etienne Beaudouin
- Allergy Vigilance Network, Vandoeuvre les Nancy, France.,Department of Allergology and Clinical Immunology, Mercy Hospital, Metz-Thionville, France
| | | | - Jean-Marie Renaudin
- Allergy Vigilance Network, Vandoeuvre les Nancy, France.,Pediatric Allergy Care Unit University Hospital, Vandoeuvre-lès-Nancy, France
| | - Dominique Sabouraud-Leclerc
- Allergy Vigilance Network, Vandoeuvre les Nancy, France.,Pediatric Department, American Memorial Hospital, Reims, France
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- Allergy Vigilance Network, Vandoeuvre les Nancy, France
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