Article: Peanut allergy and oral immunotherapy.
Hong Kong medical journal = Xianggang yi xue za zhi
2019 Volume 25, Issue 3, Page(s) 228–234
Abstract: Peanut allergy is the commonest cause of food-induced anaphylaxis in the world, and it can be fatal. There have been many recent improvements to achieve safe methods of peanut desensitisation, one of which is to use a combination of anti-immunoglobulin E ...
Abstract | Peanut allergy is the commonest cause of food-induced anaphylaxis in the world, and it can be fatal. There have been many recent improvements to achieve safe methods of peanut desensitisation, one of which is to use a combination of anti-immunoglobulin E and oral immunotherapy. We have treated 27 patients with anti-immunoglobulin E and oral immunotherapy, and report on the outcomes and incidence of adverse reactions encountered during treatment. The dose of peanut protein tolerated increased from a median baseline of 5 to 2000 mg after desensitisation, which is substantially more than would be encountered through accidental ingestion. The incidence of adverse reactions during the escalation phase of oral immunotherapy was 1.8%, and that during the maintenance phase was 0.6%. Most adverse reactions were mild; three episodes were severe enough to warrant withdrawal from oral immunotherapy, but none required epinephrine injection. Preliminary data suggest that unresponsiveness is lost when daily ingestion of peanuts is stopped after the maintenance period. |
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MeSH term(s) | Administration, Oral ; Adolescent ; Allergens/administration & dosage ; Allergens/immunology ; Arachis/immunology ; Child ; Desensitization, Immunologic/adverse effects ; Desensitization, Immunologic/methods ; Epinephrine/therapeutic use ; Female ; Histamine H1 Antagonists/therapeutic use ; Humans ; Immunologic Factors/adverse effects ; Male ; Peanut Hypersensitivity/immunology ; Peanut Hypersensitivity/therapy |
Chemical Substances | Allergens ; Histamine H1 Antagonists ; Immunologic Factors ; Epinephrine (YKH834O4BH) |
Language | English |
Publishing date | 2019-06-10 |
Publishing country | China |
Document type | Journal Article |
ZDB-ID | 1239255-8 |
ISSN | 1024-2708 |
ISSN | 1024-2708 |
DOI | 10.12809/hkmj187743 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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