IgE-mediated Anisakis allergy in children

• Matteo Pontone ^[1] ; Mattia Giovannini ^[1] ; Simona Barni ^[5] ; Francesca Mori ^[5] ; Elisabetta Venturini ^[6] ; Luisa Galli ^[1] ; Claudia Valleriani ^[1] ; Leticia De las Vecillas ^[2] ; Cansin Sackesen ^[3] ; Andreas Ludwig Lopata ^[4] ; Betul Buyuktiryaki ^[3]
  1. [1] University of Florence

     University of Florence

     Firenze, Italia

     
  2. [2] Hospital Universitario La Paz

     Hospital Universitario La Paz

     Madrid, España

     
  3. [3] Koç University

     Koç University

     Turquía

     
  4. [4] Australian Institute of Tropical Health and Medicine

     Australian Institute of Tropical Health and Medicine

     Australia

     
  5. [5] Allergy Unit, Department of Pediatrics, Meyer Children’s Hospital, Florence, Italy.
  6. [6] Infectious Diseases Unit, Meyer Children’s Hospital, Florence, Italy.

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• Localización: Allergologia et immunopathologia: International journal for clinical and investigate allergology and clinical immunology, ISSN-e 1578-1267, ISSN 0301-0546, Vol. 51, Nº. 1, 2023, págs. 98-109
• Idioma: inglés
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• Resumen

  • Anisakids are nematodes responsible for different clinical patterns in humans. The well-known human-infecting Anisakis species include members of the Anisakis simplex (AS) complex. Humans usually contract anisakiasis through ingestion of raw or undercooked seafood containing Anisakis larvae. Once Anisakis has been ingested, patients may develop disease driven directly by Anisakis larvae and/or by allergic reaction due to this nematode. The capability of inducing allergic reactions depends on the expression of specific antigens by nematodes and host factors. This study aims to resume actual knowledge about AS and Anisakiasis with regard to epidemiology, pathophysiology, clinical presentation, diagnosis, and treatment. Particular attention is paid to Anisakis allergens and their cross-reactivity on available diagnostic methods, and defining a diagnostic pathway for Anisakis allergy. Because only a few data are available in the literature about pediatric population, we focus on this group of patients specifically.