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Article Synopsis
  • Lipid transfer protein (LTP) is a key protein linked to food-induced anaphylaxis, particularly in Mediterranean European countries, but this was the first reported case in China.
  • A 12-year-old boy in China suffered from recurrent anaphylaxis triggered by intense exercise and showed high immunoglobulin E levels sensitized to various foods and pollens, especially mugwort and multiple grains and fruits.
  • After receiving guidance on avoiding certain foods before exercise and carrying an epinephrine auto-injector, the boy experienced no further episodes over a 6-month follow-up, highlighting the need for awareness of LTP in similar cases.
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A vegan diet is increasingly en vogue, i.e., a diet based on plants, in which animal products are completely avoided, often for health and environmental reasons.

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Vegan diets are currently attracting a great deal of attention. However, avoiding animal-based foods restricts the diet and is associated with risks, the extent and medical implications of which are at present not sufficiently understood. Elimination diets represent the usual therapeutic long-term management in the presence of food allergy.

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Food protein-induced enterocolitis syndrome is a non-IgE-mediated reaction to food that is poorly understood, and underdiagnosed. Trigger foods can belong to any food group, but are most commonly milk, soy, rice, oat, egg, and fish. In this retrospective study (2015-2020), we describe the clinical presentations and triggers of 37 children referred to tertiary hospital with a confirmed or suspected diagnosis of food protein-inducted enterocolitis.

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