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Cerecedo I, López-Picado A, Hernández-Núñez MG, Rubio-Herrera MA, de la Hoz B, Infante S, Vázquez-Cortés S, Ruano FJ, Gómez-Traseira C, Freundt-Serpa NP, Martínez-Botas J, Fernández-Rivas M. Milk Ladder for Reintroduction of Cow's Milk in Infants With IgE-Mediated Cow's Milk Allergy: Version Adapted to the Spanish Population. J Investig Allergol Clin Immunol 2024; 34:51-53. [PMID: 37357578 DOI: 10.18176/jiaci.0919] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/27/2023] Open
Affiliation(s)
- I Cerecedo
- Servicio de Alergología, Hospital Clínico San Carlos, Madrid, Spain
- Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, Spain
- ARADyAL, Center RD16/0006/0009, Madrid, Spain
- Allergy & Immunology Department, Respiratory Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - A López-Picado
- Unidad de Investigación Clínica y Ensayos Clínicos-UICEC, Hospital Clínico San Carlos, Madrid, Spain
- Facultad de Salud, Universidad Internacional de la Rioja, Logroño, Spain
| | - M G Hernández-Núñez
- Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, Spain
- Servicio de Endocrinología y Nutrición, Hospital Clínico San Carlos, Madrid, Spain
| | - M A Rubio-Herrera
- Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, Spain
- Servicio de Endocrinología y Nutrición, Hospital Clínico San Carlos, Madrid, Spain
- Facultad de Medicina, Universidad Complutense, Madrid, Spain
| | - B de la Hoz
- ARADyAL, Center RD16/0006/0009, Madrid, Spain
- Servicio de Alergología, Hospital Universitario Ramon y Cajal, Madrid, Spain
- Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - S Infante
- Unidad de Alergia Pediátrica, Servicio de Alergología, Hospital General Universitario Gregorio Marañón, Madrid, Spain
- Instituto de Investigación Sanitaria Gregorio Marañón (IISGM), Madrid, Spain
| | - S Vázquez-Cortés
- Servicio de Alergología, Hospital Clínico San Carlos, Madrid, Spain
- Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, Spain
- ARADyAL, Center RD16/0006/0009, Madrid, Spain
| | - F J Ruano
- Unidad de Alergología, Hospital Universitario Infanta Leonor, Madrid, Spain
| | - C Gómez-Traseira
- Servicio de Alergología, Hospital Universitario La Paz, Madrid, Spain
- Instituto de Investigación Hospital Universitario La Paz (IdiPAZ), Madrid, Spain
| | - N P Freundt-Serpa
- Servicio de Alergología, Hospital Clínico San Carlos, Madrid, Spain
- Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, Spain
| | - J Martínez-Botas
- Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
- Servicio de Bioquímica-Investigación, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - M Fernández-Rivas
- Servicio de Alergología, Hospital Clínico San Carlos, Madrid, Spain
- Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, Spain
- ARADyAL, Center RD16/0006/0009, Madrid, Spain
- Facultad de Medicina, Universidad Complutense, Madrid, Spain
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Bueno-Díaz C, Biserni C, Martín-Pedraza L, de Las Heras M, Blanco C, Vázquez-Cortés S, Fernández-Rivas M, Batanero E, Cuesta-Herranz J, Villalba M. Seed Storage Proteins, 2S Albumin And 11S Globulin, Associated to Severe Allergic Reactions after Flaxseed Intake. J Investig Allergol Clin Immunol 2021; 32:375-382. [PMID: 34085936 DOI: 10.18176/jiaci.0713] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Given the increased popularity of flaxseed in meals, several cases of allergy to these seeds have been reported. Little is known about allergens implicated in hypersensitivity reactions to these seeds. The present work aimed to identify the allergens involved in IgE-mediated reactions in five patients with a clinical history of severe systemic symptoms after flaxseed consumption. METHODS Proteins susceptible to be allergens with IgE-binding capacity were purified from flaxseed extract by chromatographic techniques. Their identification was achieved via MALDI-TOF mass spectrometry. Immunoassays were performed using the five allergic patient's era either by testing them individually or as a pool. RESULTS Proteins susceptible to be allergens with IgE-binding capacity were purified from flaxseed extract by chromatographic techniques. Their identification was achieved via MALDI-TOF mass spectrometry. Immunoassays were performed using the five allergic patient's era either by testing them individually or as a pool. Results: Four out of five patients recognized a low-molecular-mass protein (around 13kDa) by immunoblotting of the flaxseed extract, while two patients recognized a protein of approximately 55 kDa. They were identified by mass spectrometry as flaxseed 2S albumin, included into WHO/IUIS allergen nomenclature as Lin u 1,and 11S globulin, respectively. Inhibition assays revealed in vitro IgE-cross-reactivity of Lin u 1 with peanut and cashew nut proteins, while IgE recognition of 11S globulin by patients' sera was partially inhibited by several plant-derived sources. CONCLUSIONS Seed storage proteins from flaxseed were involved in the development of severe symptoms in five individuals and exhibited cross-reactivity with other allergenic sources. Besides the severity of flaxseed allergy in patients sensitized to 2S albumin, it is the first time that the 11S globulin is identified as a potential allergen. We consider that these data should be taken into account for a more accurate diagnosis of patients.
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Affiliation(s)
- C Bueno-Díaz
- Department of Biochemistry and Molecular Biology, Chemistry Faculty, Complutense University of Madrid, Madrid, Spain
| | - C Biserni
- Department of Food, Environmental and Nutritional Sciences DEFENS, University of Milan, Milan, Italy
| | - L Martín-Pedraza
- Allergy Department, Hospital Universitario Infanta Leonor, Madrid, Spain
| | - M de Las Heras
- Hospital Universitario Fundación Jiménez Díaz, Instituto de Investigación Sanitaria Fundación Jiménez Díaz (IIS-FJD, UAM), RETIC ARADyAL, Instituto de Salud Carlos III, Madrid, Spain
| | - C Blanco
- Allergy Department, Hospital Universitario La Princesa, Instituto de Investigación Sanitaria Princesa (IP), Madrid, Spain
| | - S Vázquez-Cortés
- Allergy Department, Hospital Clínico San Carlos, IdISSC, ARADyAL, Madrid, Spain
| | - M Fernández-Rivas
- Allergy Department, Hospital Clínico San Carlos, IdISSC, ARADyAL, Madrid, Spain
| | - E Batanero
- Department of Biochemistry and Molecular Biology, Chemistry Faculty, Complutense University of Madrid, Madrid, Spain
| | - J Cuesta-Herranz
- Hospital Universitario Fundación Jiménez Díaz, Instituto de Investigación Sanitaria Fundación Jiménez Díaz (IIS-FJD, UAM), RETIC ARADyAL, Instituto de Salud Carlos III, Madrid, Spain
| | - M Villalba
- Department of Biochemistry and Molecular Biology, Chemistry Faculty, Complutense University of Madrid, Madrid, Spain
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Larco-Rojas X, González-Gutiérrez ML, Vázquez-Cortés S, Bartolomé B, Pastor-Vargas C, Fernández-Rivas M. Occupational Asthma and Urticaria in a Fishmonger Due to Creatine Kinase, a Cross-Reactive Fish Allergen. J Investig Allergol Clin Immunol 2019; 27:386-388. [PMID: 29199966 DOI: 10.18176/jiaci.0195] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- X Larco-Rojas
- Allergy Department, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | | | - S Vázquez-Cortés
- Allergy Department, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | | | - C Pastor-Vargas
- Immunology Department, IIS-Fundación Jimenez Díaz, UAM, Madrid, Spain
| | - M Fernández-Rivas
- Allergy Department, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
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Fernández-Rivas M, Barreales L, Mackie AR, Fritsche P, Vázquez-Cortés S, Jedrzejczak-Czechowicz M, Kowalski ML, Clausen M, Gislason D, Sinaniotis A, Kompoti E, Le TM, Knulst AC, Purohit A, de Blay F, Kralimarkova T, Popov T, Asero R, Belohlavkova S, Seneviratne SL, Dubakiene R, Lidholm J, Hoffmann-Sommergruber K, Burney P, Crevel R, Brill M, Fernández-Pérez C, Vieths S, Clare Mills EN, van Ree R, Ballmer-Weber BK. The EuroPrevall outpatient clinic study on food allergy: background and methodology. Allergy 2015; 70:576-84. [PMID: 25640688 DOI: 10.1111/all.12585] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/26/2015] [Indexed: 01/22/2023]
Abstract
BACKGROUND The EuroPrevall project aimed to develop effective management strategies in food allergy through a suite of interconnected studies and a multidisciplinary integrated approach. To address some of the gaps in food allergy diagnosis, allergen risk management and socio-economic impact and to complement the EuroPrevall population-based surveys, a cross-sectional study in 12 outpatient clinics across Europe was conducted. We describe the study protocol. METHODS Patients referred for immediate food adverse reactions underwent a consistent and standardized allergy work-up that comprised collection of medical history; assessment of sensitization to 24 foods, 14 inhalant allergens and 55 allergenic molecules; and confirmation of clinical reactivity and food thresholds by standardized double-blind placebo-controlled food challenges (DBPCFCs) to milk, egg, fish, shrimp, peanut, hazelnut, celeriac, apple and peach. RESULTS A standardized methodology for a comprehensive evaluation of food allergy was developed and implemented in 12 outpatient clinics across Europe. A total of 2121 patients (22.6% <14 years) reporting 8257 reactions to foods were studied, and 516 DBPCFCs were performed. CONCLUSIONS This is the largest multicentre European case series in food allergy, in which subjects underwent a comprehensive, uniform and standardized evaluation including DBPCFC, by a methodology which is made available for further studies in food allergy. The analysis of this population will provide information on the different phenotypes of food allergy across Europe, will allow to validate novel in vitro diagnostic tests, to establish threshold values for major allergenic foods and to analyse the socio-economic impact of food allergy.
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Affiliation(s)
| | - L. Barreales
- Clinical Epidemilogy Unit; Preventive Medicine Department; Hospital Clínico San Carlos; IdISSC; Madrid Spain
| | - A. R. Mackie
- Institute of Food Research; Norwich Research Park; Colney Norwich UK
| | - P. Fritsche
- Allergy Unit; Department of Dermatology; University Hospital Zürich; Zürich Switzerland
| | - S. Vázquez-Cortés
- Allergy Department; Hospital Clínico San Carlos; IdISSC; Madrid Spain
| | | | - M. L. Kowalski
- Department of Immunology, Rheumatology and Allergy; Medical University of Lodz; Lodz Poland
| | - M. Clausen
- Department of Allergy, Respiratory Medicine and Sleep; Landspitali University Hospital; Reykjavik Iceland
| | - D. Gislason
- Department of Allergy, Respiratory Medicine and Sleep; Landspitali University Hospital; Reykjavik Iceland
| | - A. Sinaniotis
- Allergy Department; Laiko General Hospital; Athens Greece
| | - E. Kompoti
- Allergy Department; Laiko General Hospital; Athens Greece
| | - T.-M. Le
- Department of Dermatology/Allergology; University Medical Center Utrecht; Utrecht The Netherlands
| | - A. C. Knulst
- Department of Dermatology/Allergology; University Medical Center Utrecht; Utrecht The Netherlands
| | - A. Purohit
- Division of Asthma and Allergy; Department of Chest Diseases; University Hospital; Strasbourg France
| | - F. de Blay
- Division of Asthma and Allergy; Department of Chest Diseases; University Hospital; Strasbourg France
| | - T. Kralimarkova
- Clinical Centre of Allergology and Asthma; Medical University Sofia; Sofia Bulgaria
| | - T. Popov
- Clinical Centre of Allergology and Asthma; Medical University Sofia; Sofia Bulgaria
| | - R. Asero
- Ambulatorio di Allergologia; Clinica San Carlo; Paderno Dugnano Milano Italy
| | - S. Belohlavkova
- Department of Pediatrics; Faculty Hospital Bulovka; Charles University; Prague Czech Republic
| | - S. L. Seneviratne
- Department of Clinical Immunology and Allergy; Central Manchester and Manchester Children's University Hospitals NHS Trust; Manchester UK
| | - R. Dubakiene
- Allergy Centre; Vilnius University; Vilnius Lithuania
| | - J. Lidholm
- Thermo Fisher Scientific; Uppsala Sweden
| | - K. Hoffmann-Sommergruber
- Department of Pathophysiology and Allergy Research; Medical University of Vienna; Vienna Austria
| | - P. Burney
- Department of Respiratory Epidemiology and Public Health; National Heart and Lung Institute; Imperial College London; London UK
| | - R. Crevel
- Unilever Safety and Environmental Assurance Centre; Colworth Science Park; Sharnbrook Bedfordshire UK
| | - M. Brill
- Thermo Fisher Scientific; Uppsala Sweden
- VBC Genomics Biosciences Research GmbH; Vienna Austria
| | - C. Fernández-Pérez
- Clinical Epidemilogy Unit; Preventive Medicine Department; Hospital Clínico San Carlos; IdISSC; Madrid Spain
| | - S. Vieths
- Division of Allergologie; Paul Ehrlich Institute; Langen Germany
| | - E. N. Clare Mills
- Institute of Food Research; Norwich Research Park; Colney Norwich UK
- Institute of Inflammation and Repair; Manchester Academic Health Science Centre; Manchester Institute of Biotechnology; The University of Manchester; Manchester UK
| | - R. van Ree
- Department of Experimental Immunology; Academic Medical Center; University of Amsterdam; Amsterdam The Netherlands
- Department of Otorhinolaryngology; Academic Medical Center; University of Amsterdam; Amsterdam The Netherlands
| | - B. K. Ballmer-Weber
- Allergy Unit; Department of Dermatology; University Hospital Zürich; Zürich Switzerland
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Vázquez-Cortés S, Davila Fernández G, Elices Apellaniz A, Nieto Llanos S, Chamorro Gómez M. Eczematous dermatitis caused by tetrazepam. Allergol Immunopathol (Madr) 2013; 41:64-5. [PMID: 21968006 DOI: 10.1016/j.aller.2011.06.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2011] [Accepted: 06/24/2011] [Indexed: 11/26/2022]
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Davila-Fernández G, Vázquez-Cortés S, Moreno-De Vega MJ, Chamorro-Gómez M, Elices-Apellániz A. Fixed drug eruption due to dextromethorphan with tolerance to other opioids. J Investig Allergol Clin Immunol 2013; 23:281-282. [PMID: 23964559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023] Open
Affiliation(s)
- G Davila-Fernández
- Hospital Universitario del Henares, Department of Allergy, Madrid, Spain
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Griesmeier U, Vázquez-Cortés S, Bublin M, Radauer C, Ma Y, Briza P, Fernández-Rivas M, Breiteneder H. Expression levels of parvalbumins determine allergenicity of fish species. Allergy 2010; 65:191-8. [PMID: 19796207 DOI: 10.1111/j.1398-9995.2009.02162.x] [Citation(s) in RCA: 78] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
BACKGROUND Parvalbumins are the most important fish allergens. Polysensitization to various fish species is frequently reported and linked to the cross-reactivity of their parvalbumins. Studies on cross-reactivity and its association to the allergenicity of purified natural parvalbumins from different fish species are still lacking. In addition, some studies indicate that dark muscled fish such as tuna are less allergenic. METHODS Total protein extracts and purified parvalbumins from cod, whiff, and swordfish, all eaten frequently in Spain, were tested for their IgE-binding properties with 16 fish allergic patients' sera from Madrid. The extent of cross-reactivity of these parvalbumins was investigated by IgE ELISA inhibition assays. Additionally, the cDNA sequences of whiff and swordfish parvalbumins were determined. RESULTS Extractable amounts of parvalbumins from cod were 20 times and from whiff 30 times higher than from swordfish. Parvalbumins were recognized by 94% of the patients in extracts of cod and whiff, but only by 60% in swordfish extracts. Nevertheless, a high cross-reactivity was determined for all purified parvalbumins by IgE inhibition. The amino acid sequence identities of the three parvalbumins were in a range of 62-74%. CONCLUSIONS The parvalbumins of cod, whiff and swordfish are highly cross-reactive. The high amino acid sequence identity among cod, whiff and swordfish parvalbumins results in the observed IgE cross-reactivity. The low allergenicity of swordfish is due to the low expression levels of its parvalbumin.
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Affiliation(s)
- U Griesmeier
- Department of Pathophysiology, Center for Physiology, Pathophysiology and Immunology, Medical University of Vienna, Austria
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Rincón de Arellano IR, Vázquez-Cortés S, Sinaniotis AC, Fernández-Rivas M. False positive placebo reaction in a double-blind placebo-controlled food challenge. J Investig Allergol Clin Immunol 2009; 19:241-242. [PMID: 19610272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
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Vázquez-Cortés S, Vázquez-Fuertes L, Rodríguez-Alvarez M, Reig Rincón de Arellano I, Martínez-Cócera C. [Tolerance to celecoxib and meloxicam in patients with intolerance to nonsteroidal anti-inflammatory drugs]. An Med Interna 2008; 25:163-7. [PMID: 18604331 DOI: 10.4321/s0212-71992008000400003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
INTRODUCTION Hypersensitive reactions to analgesics in the general population are less than 1%. Previous studies have demonstrated that cyclooxigenase 2 (COX-2) inhibitors are an efficient alternative in patients with non-steroidal anti-inflammatory drugs (NSAIDs) intolerance. The aim of our study is to test the tolerance to celecoxib and meloxicam in patients with NSAIDs intolerance, upto dosages higher than those used in previous studies. MATERIAL AND METHODS The subjects of the study were 38 NSAID-sensitive patients from September 2004 to June 2005. The diagnosis of intolerance to NSAIDs was carried out by means of single-blind placebo-controlled oral challenge with aspirin. We performed single-blind placebo controlled oral challenge tests with celecoxib (accumulated dose of 400 mg) and meloxicam (accumulated dose of 15 mg). RESULTS There was only one reaction with celecoxib (97.3%) which was generalised urticaria after the dose of 400 mg accumulated, it should be pointed out that this patient tolerated perfectly the dose of 200 mg. For meloxicam, we found 100% tolerance at a dosage of 15 mg, including the patient who showed a reaction to the celecoxib. CONCLUSION We consider that there are patients with tolerance to low dosages of COX-2 inhibitors who show a reaction on increasing the administered dosage, which means that their tolerance should be taken into account and checked in the long term.
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Affiliation(s)
- S Vázquez-Cortés
- Servicio de Alergia, Hospital Clínico San Carlos, Madrid, Spain.
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Vázquez-Cortés S, Robledo Echarren T, Bartolomé B, García-Rubio I, González Gutiérrez ML, Martínez-Cócera C. [Anaphylaxis after carrying out prick tests]. ACTA ACUST UNITED AC 2007; 24:72-4. [PMID: 17590092 DOI: 10.4321/s0212-71992007000200005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The skin prick test (SPT) is a simple and fast method used routinely in allergology practice. Systemic reactions have been described with this technique on few occasions. We are presenting a case of anaphylaxis with hemodynamic consequences after carrying out skin prick test with a cat dander extract. A 23 years old female who suffered rhinoconjunctivitis and asthma following contact with cats. We performed skin prick test with a battery of the usual inhalants. Twenty minutes after carrying out the prick test the patient showed intense ocular irritation and reddening followed by dysphonia and a feeling of pharyngeal occupation. Although skin prick test is a safe diagnostic approach, it should be performed only in places equipped to treat anaphylaxis and for trained specialists .
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Affiliation(s)
- S Vázquez-Cortés
- Servicio de Alegia, Hospital Clínico Universitario San Carlos, Madrid.
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