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Erschienen in: Allergo Journal 7/2017

02.11.2017 | Nahrungsmittelallergien | Übersicht

Pollenassoziierte Nahrungsmittelallergie aktuell sortiert

verfasst von: Prof. Dr. Regina Treudler, Jan-Christoph Simon

Erschienen in: Allergo Journal | Ausgabe 7/2017

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Zusammenfassung

Hintergrund

Der Großteil der IgE-vermittelten Nahrungsmittelallergien bei Erwachsenen basiert auf einer Sensibilisierung gegenüber Pollen mit anschließenden Reaktionen auf strukturverwandte, häufig instabile Allergene insbesondere in Obst (inklusive Schalenfrüchten), Gemüse und Gewürzen.

Material und Methoden

Diese Arbeit ist ein aktueller Überblick ausgewählter, wissenschaftlichen Arbeiten über pollenassoziierte Nahrungsmittelallergie und wurde durch Recherchen in Pubmed, der Studie zur Gesundheit Erwachsener in Deutschland (DEGS) des Robert Koch-Instituts sowie den nationalen und internationalen Leitlinienregistern erstellt.

Ergebnisse

Als häufigste Form pollenassoziierter Nahrungsmittelallergien werden in Nordeuropa zumeist birkenpollenassoziierte Beschwerden beobachtet. Die Obstsorten, die am häufigsten zu Symptomen führen, gehören zur Familie der Rosaceae (zum Beispiel Äpfel, Kirschen) und der Fagales (Haselnuss). Ebenfalls hervorzuheben sind Reaktionen auf Leguminosen (zum Beispiel Erdnüsse, Soja) und auf die Gemüsesorten Sellerie, Karotte, Tomate und Paprika. Die klinischen Symptome der pollenassoziierten Nahrungsmittelallergie können neben einer oropharyngealen Kontakturtikaria auch eine Beteiligung weiterer Organsysteme bis hin zum anaphylaktischen Schock umfassen. Die wesentlichen pflanzlichen Nahrungsmittelallergene gehören zu wenigen Proteinfamilien (Bet-v-1-Homologe, Profiline, Lipidtransferproteine, Speicherproteine und Thaumatinartige Proteine).

Schlussfolgerung

Die Diagnostik pollenassozierter Nahrungsmittelallergie hat sich auch unter Einbeziehung der komponentenaufgelösten/molekularen Allergologie in den letzten Jahren stark erweitert und ermöglicht so einen sicheren Nachweis. Die Therapie umfasst eine diätetische Beratung und die Verordnung von Notfallmedikamenten. Zudem scheint eine allergenspezifische Immuntherapie auf kreuzreagierende Pollenallergene bei einem Teil der Patienten positive Aspekte auf die begleitende Nahrungsmittelallergie zu entfalten.
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Metadaten
Titel
Pollenassoziierte Nahrungsmittelallergie aktuell sortiert
verfasst von
Prof. Dr. Regina Treudler
Jan-Christoph Simon
Publikationsdatum
02.11.2017
Verlag
Springer Medizin
Erschienen in
Allergo Journal / Ausgabe 7/2017
Print ISSN: 0941-8849
Elektronische ISSN: 2195-6405
DOI
https://doi.org/10.1007/s15007-017-1418-5

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