PMID- 19154253 OWN - NLM STAT- MEDLINE DCOM- 20090224 LR - 20220316 IS - 1399-3038 (Electronic) IS - 0905-6157 (Linking) VI - 20 IP - 1 DP - 2009 Feb TI - Mechanisms of food allergy. PG - 5-11 LID - 10.1111/j.1399-3038.2008.00847.x [doi] AB - Allergy type sensitization occurring in the gut results from a break in oral tolerance, mostly occurring in early childhood. In these patients, a minute amount of the large load of potential food allergens not only will result in immunoglobulin E (IgE) type sensitization mostly, but also in food allergies resulting from other mechanisms including eosinophil-driven disease or resulting from T-cell-mediated inflammation. Symptoms elicited by subsequent exposure to foods in these patients will be mostly in relation to the mechanism of the disease. In this educational review series, we described three cases of food allergy, first, a child with typical IgE-mediated food allergy, second, a child with eosinophilic proctocolitis and in the third patient, we will address tolerance acquisition mechanisms. These cases are discussed with regards to their specific immune events. FAU - Eigenmann, Philippe A AU - Eigenmann PA AD - Department of Pediatrics, Geneva University Hospitals and University of Geneva, Geneva, Switzerland. philippe.eigenmann@hcuge.ch LA - eng PT - Case Reports PT - Journal Article PL - England TA - Pediatr Allergy Immunol JT - Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology JID - 9106718 RN - 0 (Allergens) RN - 0 (Cytokines) RN - 0 (Egg Proteins) RN - 0 (Platelet Activating Factor) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Allergens/*immunology MH - Animals MH - Arachis/immunology MH - Breast Feeding MH - Cytokines/immunology MH - Egg Hypersensitivity/diagnosis/*immunology MH - Egg Proteins/immunology MH - Eosinophils/immunology MH - Humans MH - Immunoglobulin E/blood MH - Infant MH - Infant, Newborn MH - Intestinal Mucosa/*immunology MH - Male MH - Mast Cells/immunology MH - Milk/immunology MH - Milk Hypersensitivity/diagnosis/*immunology MH - Peanut Hypersensitivity/diagnosis/*immunology MH - Platelet Activating Factor/immunology MH - T-Lymphocytes, Regulatory/*immunology EDAT- 2009/01/22 09:00 MHDA- 2009/02/25 09:00 CRDT- 2009/01/22 09:00 PHST- 2009/01/22 09:00 [entrez] PHST- 2009/01/22 09:00 [pubmed] PHST- 2009/02/25 09:00 [medline] AID - PAI847 [pii] AID - 10.1111/j.1399-3038.2008.00847.x [doi] PST - ppublish SO - Pediatr Allergy Immunol. 2009 Feb;20(1):5-11. doi: 10.1111/j.1399-3038.2008.00847.x.