PMID- 19530417 OWN - NLM STAT- MEDLINE DCOM- 20090630 LR - 20130731 IS - 1018-9068 (Print) IS - 1018-9068 (Linking) VI - 19 Suppl 2 DP - 2009 TI - Food allergy in Alergologica-2005. PG - 37-44 AB - BACKGROUND: Alergologica-2005 is a cross-sectional study carried out in Spain in 4991 new patients prospectively recruited in allergy clinics. OBJECTIVE: To describe the characteristics of food allergic patients included in Alergologica-2005. RESULTS: Food allergy was diagnosed in 369 subjects (7.4%, 95% CI, 6.7%-8.1%). The most common offending foods were fruits (33.3% of cases), nuts (26%), shellfish (22%), egg (16%), milk (13.9%) and fish (9.8%). Rosaceae fruits and crustaceans elicited 23.6% and 18.7% of the reactions, respectively. Milk and egg were the most common foods in patients < 5 years of age, whereas fruits and nuts were the most prevalent foods in patients over 5 years. The most frequent manifestations included skin reactions (65.3%), oral allergy syndrome (33.6%), digestive symptoms (24.7%) and anaphylaxis (17.9%). The clinical presentation differed among foods. Prick-tests were carried out more frequently than serum immunoglobulin E (IgE) determinations (95.9% vs. 65%). Oral challenges were performed in 13% of patients, and 72.3% of these were open. Food allergy was diagnosed on the basis of medical history and positive IgE in 60.2% of the patients, ranging from 13.7% for milk to 75% for cereals. The self perception of patients' quality of life was lower than that of the 75% of Spanish reference population. CONCLUSION: Food allergy is diagnosed in 7.4% of the patients seen in allergy clinics across Spain, and has an important impact on the quality of life of patients. The foods involved in reactions change with age. The clinical presentation changes with the food, although the skin is the most frequently affected organ. FAU - Fernandez Rivas, M AU - Fernandez Rivas M AD - Allergology Service, Hospital Clinico San Carlos, Madrid, Spain. mfernandezri.hcsc@salud.madrid.org LA - eng PT - Journal Article PL - Spain TA - J Investig Allergol Clin Immunol JT - Journal of investigational allergology & clinical immunology JID - 9107858 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Breast Feeding MH - Child MH - Child, Preschool MH - Cross-Sectional Studies MH - Female MH - Food Hypersensitivity/diagnosis/epidemiology/*etiology/therapy MH - Health Care Costs MH - Humans MH - Infant MH - Male MH - Middle Aged MH - Prevalence MH - Quality of Life MH - Referral and Consultation MH - Spain/epidemiology EDAT- 2009/06/18 09:00 MHDA- 2009/07/01 09:00 CRDT- 2009/06/18 09:00 PHST- 2009/06/18 09:00 [entrez] PHST- 2009/06/18 09:00 [pubmed] PHST- 2009/07/01 09:00 [medline] PST - ppublish SO - J Investig Allergol Clin Immunol. 2009;19 Suppl 2:37-44.