Nickel allergy in lipid transfer protein sensitized patients: Prevalence and clinical features

Nickel (Ni), the main responsible for allergic contact dermatitis worldwide, is also involved in systemic condition called “Systemic Nickel Sulfate Allergy Syndrome (SNAS).” Likewise, IgE-mediated reactivity to Lipid Transfer Protein (LTP) represents the main cause of primary food allergy in adults...

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Published inInternational journal of immunopathology and pharmacology Vol. 34; p. 2058738420974895
Main Authors Rizzi, Angela, Chini, Raffaella, Inchingolo, Riccardo, Carusi, Valentina, Pandolfi, Franco, Gasbarrini, Antonio, Nucera, Eleonora
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 2020
Sage Publications Ltd
Subjects
Adult
Allergens
Antigens, Plant - adverse effects
Antigens, Plant - immunology
Biomarkers - blood
Carrier Proteins - adverse effects
Carrier Proteins - immunology
Contact dermatitis
Female
Food allergies
Food Hypersensitivity - diagnosis
Food Hypersensitivity - epidemiology
Food Hypersensitivity - immunology
Fruit - adverse effects
Fruit - immunology
Humans
Hypersensitivity - diagnosis
Hypersensitivity - epidemiology
Hypersensitivity - immunology
Immunoglobulin E
Immunoglobulin E - blood
Intradermal Tests
Italy - epidemiology
Male
Middle Aged
Nickel
Nickel - adverse effects
Nickel - immunology
Original
Plant Proteins - adverse effects
Plant Proteins - immunology
Prevalence
Retrospective Studies
Risk Assessment
Risk Factors
Skin tests
Syndrome
Young Adult
Italy
prevalence
Nickel
rPru p3
food allergy
lipid transfer protein
systemic Nickel sulfate allergy syndrome
Online AccessGet full text
ISSN0394-6320
2058-7384
2058-7384
DOI10.1177/2058738420974895

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Abstract Nickel (Ni), the main responsible for allergic contact dermatitis worldwide, is also involved in systemic condition called “Systemic Nickel Sulfate Allergy Syndrome (SNAS).” Likewise, IgE-mediated reactivity to Lipid Transfer Protein (LTP) represents the main cause of primary food allergy in adults of Mediterranean countries. We evaluated the prevalence of SNAS in LTP allergic patients and investigated patients’ clinical features with double sensitization (LTP and Ni). A retrospective, single-center, observational study was conducted performing a complete allergological work-up including: (1) skin prick tests; (2) serum specific IgE for plant food allergens and rPru p3 (LTP); (3) patch test with 5% Ni sulfate in petrolatum. We enrolled 140 LTP allergic patients of which 36 patients (25.7% of sample) showed additional positivity to Ni patch test. Patients with double sensitization were more frequently females and reported fewer cutaneous symptoms. Higher values of sIgE for peach, apple, peanut, walnut, grain, corn, and garlic were found in LTP allergic patients, while higher values for hazelnut in the other subgroup. The prevalence of SNAS in the LTP allergic population is clinically relevant. Moreover, the clinical and immunological profiles of patients with double sensitization were different from patients monosensitized to LTP.
AbstractList Nickel (Ni), the main responsible for allergic contact dermatitis worldwide, is also involved in systemic condition called “Systemic Nickel Sulfate Allergy Syndrome (SNAS).” Likewise, IgE-mediated reactivity to Lipid Transfer Protein (LTP) represents the main cause of primary food allergy in adults of Mediterranean countries. We evaluated the prevalence of SNAS in LTP allergic patients and investigated patients’ clinical features with double sensitization (LTP and Ni). A retrospective, single-center, observational study was conducted performing a complete allergological work-up including: (1) skin prick tests; (2) serum specific IgE for plant food allergens and rPru p3 (LTP); (3) patch test with 5% Ni sulfate in petrolatum. We enrolled 140 LTP allergic patients of which 36 patients (25.7% of sample) showed additional positivity to Ni patch test. Patients with double sensitization were more frequently females and reported fewer cutaneous symptoms. Higher values of sIgE for peach, apple, peanut, walnut, grain, corn, and garlic were found in LTP allergic patients, while higher values for hazelnut in the other subgroup. The prevalence of SNAS in the LTP allergic population is clinically relevant. Moreover, the clinical and immunological profiles of patients with double sensitization were different from patients monosensitized to LTP.
Nickel (Ni), the main responsible for allergic contact dermatitis worldwide, is also involved in systemic condition called "Systemic Nickel Sulfate Allergy Syndrome (SNAS)." Likewise, IgE-mediated reactivity to Lipid Transfer Protein (LTP) represents the main cause of primary food allergy in adults of Mediterranean countries. We evaluated the prevalence of SNAS in LTP allergic patients and investigated patients' clinical features with double sensitization (LTP and Ni). A retrospective, single-center, observational study was conducted performing a complete allergological work-up including: (1) skin prick tests; (2) serum specific IgE for plant food allergens and rPru p3 (LTP); (3) patch test with 5% Ni sulfate in petrolatum. We enrolled 140 LTP allergic patients of which 36 patients (25.7% of sample) showed additional positivity to Ni patch test. Patients with double sensitization were more frequently females and reported fewer cutaneous symptoms. Higher values of sIgE for peach, apple, peanut, walnut, grain, corn, and garlic were found in LTP allergic patients, while higher values for hazelnut in the other subgroup. The prevalence of SNAS in the LTP allergic population is clinically relevant. Moreover, the clinical and immunological profiles of patients with double sensitization were different from patients monosensitized to LTP.Nickel (Ni), the main responsible for allergic contact dermatitis worldwide, is also involved in systemic condition called "Systemic Nickel Sulfate Allergy Syndrome (SNAS)." Likewise, IgE-mediated reactivity to Lipid Transfer Protein (LTP) represents the main cause of primary food allergy in adults of Mediterranean countries. We evaluated the prevalence of SNAS in LTP allergic patients and investigated patients' clinical features with double sensitization (LTP and Ni). A retrospective, single-center, observational study was conducted performing a complete allergological work-up including: (1) skin prick tests; (2) serum specific IgE for plant food allergens and rPru p3 (LTP); (3) patch test with 5% Ni sulfate in petrolatum. We enrolled 140 LTP allergic patients of which 36 patients (25.7% of sample) showed additional positivity to Ni patch test. Patients with double sensitization were more frequently females and reported fewer cutaneous symptoms. Higher values of sIgE for peach, apple, peanut, walnut, grain, corn, and garlic were found in LTP allergic patients, while higher values for hazelnut in the other subgroup. The prevalence of SNAS in the LTP allergic population is clinically relevant. Moreover, the clinical and immunological profiles of patients with double sensitization were different from patients monosensitized to LTP.
Nickel (Ni), the main responsible for allergic contact dermatitis worldwide, is also involved in systemic condition called “Systemic Nickel Sulfate Allergy Syndrome (SNAS).” Likewise, IgE-mediated reactivity to Lipid Transfer Protein (LTP) represents the main cause of primary food allergy in adults of Mediterranean countries. We evaluated the prevalence of SNAS in LTP allergic patients and investigated patients’ clinical features with double sensitization (LTP and Ni). A retrospective, single-center, observational study was conducted performing a complete allergological work-up including: (1) skin prick tests; (2) serum specific IgE for plant food allergens and rPru p3 (LTP); (3) patch test with 5% Ni sulfate in petrolatum. We enrolled 140 LTP allergic patients of which 36 patients (25.7% of sample) showed additional positivity to Ni patch test. Patients with double sensitization were more frequently females and reported fewer cutaneous symptoms. Higher values of sIgE for peach, apple, peanut, walnut, grain, corn, and garlic were found in LTP allergic patients, while higher values for hazelnut in the other subgroup. The prevalence of SNAS in the LTP allergic population is clinically relevant. Moreover, the clinical and immunological profiles of patients with double sensitization were different from patients monosensitized to LTP.
Author Gasbarrini, Antonio
Nucera, Eleonora
Chini, Raffaella
Carusi, Valentina
Inchingolo, Riccardo
Pandolfi, Franco
Rizzi, Angela
AuthorAffiliation 3 UOC Pneumologia, Dip. Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy
2 Università Cattolica del Sacro Cuore, Roma, Italy
1 UOSD Allergologia e Immunologia Clinica, Dip. Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy
4 UOC Gastroenterologia, Dip. Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy
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– name: 4 UOC Gastroenterologia, Dip. Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy
– name: 2 Università Cattolica del Sacro Cuore, Roma, Italy
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Keywords prevalence
Nickel
rPru p3
food allergy
lipid transfer protein
systemic Nickel sulfate allergy syndrome
Language English
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Snippet Nickel (Ni), the main responsible for allergic contact dermatitis worldwide, is also involved in systemic condition called “Systemic Nickel Sulfate Allergy...
Nickel (Ni), the main responsible for allergic contact dermatitis worldwide, is also involved in systemic condition called "Systemic Nickel Sulfate Allergy...
Nickel (Ni), the main responsible for allergic contact dermatitis worldwide, is also involved in systemic condition called “Systemic Nickel Sulfate Allergy...
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proquest
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StartPage 2058738420974895
SubjectTerms Adult
Allergens
Antigens, Plant - adverse effects
Antigens, Plant - immunology
Biomarkers - blood
Carrier Proteins - adverse effects
Carrier Proteins - immunology
Contact dermatitis
Female
Food allergies
Food Hypersensitivity - diagnosis
Food Hypersensitivity - epidemiology
Food Hypersensitivity - immunology
Fruit - adverse effects
Fruit - immunology
Humans
Hypersensitivity - diagnosis
Hypersensitivity - epidemiology
Hypersensitivity - immunology
Immunoglobulin E
Immunoglobulin E - blood
Intradermal Tests
Italy - epidemiology
Male
Middle Aged
Nickel
Nickel - adverse effects
Nickel - immunology
Original
Plant Proteins - adverse effects
Plant Proteins - immunology
Prevalence
Retrospective Studies
Risk Assessment
Risk Factors
Skin tests
Syndrome
Young Adult
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  priority: 102
  providerName: SAGE Publications
Title Nickel allergy in lipid transfer protein sensitized patients: Prevalence and clinical features
URI https://journals.sagepub.com/doi/full/10.1177/2058738420974895
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