The interplay between risk and preventive factors explains why some children develop allergies to certain foods and others show tolerance.

Acta Paediatr

PEDEGO Research Unit and Medical Research Center (MRC) Oulu, University of Oulu, Oulu University Hospital, Oulu, Finland.

Published: October 2018

AI Article Synopsis

  • The study looked at how food allergies show symptoms in different parts of the body and what causes them, plus how to prevent allergies and help kids become tolerant to them.
  • It found that food allergies can affect the skin, mouth, stomach, and even breathing or heart in serious cases, and there are two types of reactions: fast ones from IgE and slower ones that scientists don't fully understand yet.
  • Eating a variety of foods is really important for kids, even if their families have a history of allergies.

Article Abstract

Aim: A number of studies have clarified the tolerance mechanisms and risk factors for food allergies. Our aim was to explore food allergy symptoms by target organs, together with the risk factors and how to prevent food allergies and induce tolerance.

Methods: We carried out a thorough review of studies on paediatric food allergies published in the last decade.

Results: Food allergy symptoms may affect the skin, nasal and oral mucosa, conjunctivae, gastrointestinal tract or, in severe cases, the respiratory tract and cardiovascular organs. Immunoglobulin E (IgE)-mediated symptoms appear rapidly after exposure to the offending allergen, whereas non-IgE-mediated symptoms are typically delayed. The immunological processes involved in non-IgE-mediated allergic reactions are poorly understood, but T-cell activation is probably involved. There are several factors that influence the food sensitisation process: genetic predisposition, disruption of oral tolerance development, impaired skin barriers in atopic eczema and the influence of microbiomes.

Conclusion: The symptoms and intensity of reactions vary considerably with regard to food allergies, and these depend on the individual's concomitant immunological and regulatory mechanisms. There is strong evidence that dietary diversity is important for children, even when they come from families with high allergy risks.

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Source
http://dx.doi.org/10.1111/apa.14391DOI Listing

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