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Journal Information
Vol. 45. Issue 1.
Pages 48-54 (January - February 2017)
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Vol. 45. Issue 1.
Pages 48-54 (January - February 2017)
Original Article
DOI: 10.1016/j.aller.2016.06.004
Food allergy in Catalonia: Clinical manifestations and its association with airborne allergens
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J. Sánchez-Lópeza, V. Gázquezb, N. Rubirac, L. Valdesoirod, M. Guilartee, A. Garcia-Morala, N. Depreuxf, L. Soto-Retesg, M. De Molinah, O. Luengoi, R. Lleonarti, M. Basagañaf,
Corresponding author
a Unitat d’Al·lèrgia, Institut Clínic del Tòrax (ICT), Hospital Clínic, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain
b Allergy Department, Hospital Universitari Joan XXIII, IISPV, Universitat Rovira i Virgili, Tarragona, Spain
c Allergy Department, Hospital Platón, Barcelona, Spain
d Pediatric Allergy Department, Corporació Sanitària Parc Taulí, Sabadell, Spain
e Allergy Section, Medicine Department, Hospital Vall d’Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain
f Allergy Unit, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Spain
g Servei de Pneumologia i Al·lèrgia, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
h Allergy Unit, Hospital General de l’Hospitalet, Consorci Sanitari Integral, L’Hospitalet de Llobregat, Spain
i Allergy Unit, Medicine Department, IDIBELL, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Spain
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Table 1. Demographic characteristics.
Table 2. Food allergy frequency clustered age groups.
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Abstract
Background

Food allergy affects around 6% of the European population and its prevalence worldwide has been increasing in the last decades, but studies focused on investigating food allergy epidemiology in Europe are lacking.

Objective

The Cibus project was created to register the main culprit foods and their clinical manifestations in food allergic patients in Catalonia.

Methods

A specific online database was designed. Allergists from eight different Catalan hospitals registered the new diagnoses of food allergy.

Results

618 food allergic patients were included. Egg and milk were the main elicitors in the early ages, while fruits and nuts were the most frequent in patients >14 years old. Fish was more frequent in children, while seafood and Anisakis allergy were more frequent in the >14-year-old group. Overall, peach was the most prevalent food eliciting an allergic reaction (10%). Food allergy diagnosis was reached using compatible clinical history and positive skin prick test to the involved food in 98% of cases. Globally, urticaria was the most frequently reported manifestation in our population (48.2%), followed by oral allergy syndrome (25.6%) and anaphylaxis (24.8%).

Conclusions

The Cibus project gives a full overview of the profile of food allergic patients in Catalonia and reinforces the predominance of plant food allergies in the Mediterranean area.

Keywords:
Allergy diagnosis
Cross-sectional study
Food allergy
Food epidemiology
Online database

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