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Vol. 133, No. 2, 2004
Issue release date: February 2004
Section title: Original Paper
Int Arch Allergy Immunol 2004;133:168–173
(DOI:10.1159/000076623)

Wheat Allergy: Clinical and Laboratory Findings

Pourpak Z. · Mansouri M. · Mesdaghi M. · Kazemnejad A. · Farhoudi A.
aImmunology, Asthma and Allergy Research Institute, Tehran University of Medical Sciences, and bDepartment of Biostatistics, School of Medicine, Tarbiat Modares University, Tehran, Iran

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 6/16/2003
Accepted: 11/18/2003
Published online: 2/27/2004

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 2

ISSN: 1018-2438 (Print)
eISSN: 1423-0097 (Online)

For additional information: http://www.karger.com/IAA

Abstract

Background: Food allergy affects 6–8% of infants and wheat allergy is one of the common food allergies among children. The clinical and laboratory manifestations of wheat allergy were evaluated in this study. Methods: Thirty-two children (≤12 years old) with suspected wheat allergy were evaluated for wheat allergy. The patients underwent wheat skin prick test (SPT), measurement of wheat-specific IgE and wheat challenge test. The patients with a convincing history of anaphylaxis following ingestion of wheat or with a positive challenge test, and those with a history of immediate hypersensitivity reaction following ingestion of wheat in addition to a positive wheat SPT and/or positive wheat-specific IgE were considered wheat allergic. Then, the laboratory and clinical manifestations of their disease were studied. Results: Among patients with suspected wheat allergy, 24 patients with definite wheat allergy were identified. Anaphylaxis was a dominant clinical feature, accounting for 54.1% of acute symptoms. Chronic allergy symptoms like asthma and eczema were noted in 50% of the patients. Wheat-specific IgE was higher in patients with anaphylaxis (p < 0.02) and the risk of anaphylaxis was 14.4 times more in patients with wheat-specific IgE equal to or more than 3+. Conclusions: Anaphylaxis had occurred in a remarkable number of patients repeatedly, which demonstrates the severity of the reactions, poor knowledge of the disease and probable existence of more patients with mild reactions. Regarding the higher level of wheat-specific IgE in patients with anaphylaxis, wheat-specific IgE could be used to predict the severity of symptoms.


  

Author Contacts

Correspondence to: Dr. Zahra Pourpak
Immunology, Asthma and Allergy Research Institute
Children Medical Center, No. 62, Gharib St, Keshavarz Blvd
PO Box 14185-863, Tehran 14194 (Iran)
Tel. +98 21 693 5855, Fax +98 21 642 8995, E-Mail zpourpak@hbi.ir

  

Article Information

Received: June 16, 2003
Accepted after revision: November 18, 2003
Published online: February 5, 2004
Number of Print Pages : 6
Number of Figures : 0, Number of Tables : 2, Number of References : 34

  

Publication Details

International Archives of Allergy and Immunology
Founded 1950
Official Journal of the Collegium Internationale Allergologicum

Vol. 133, No. 2, Year 2004 (Cover Date: February 2004)

Journal Editor: R. Valenta, Vienna
ISSN: 1018–2438 (print), 1423–0097 (Online)

For additional information:http://www.karger.com/iaa


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 6/16/2003
Accepted: 11/18/2003
Published online: 2/27/2004

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 2

ISSN: 1018-2438 (Print)
eISSN: 1423-0097 (Online)

For additional information: http://www.karger.com/IAA


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