PMID- 32542909 OWN - NLM STAT- MEDLINE DCOM- 20210921 LR - 20210921 IS - 2050-4527 (Electronic) IS - 2050-4527 (Linking) VI - 8 IP - 3 DP - 2020 Sep TI - Prevalence of IgE-mediated sensitization in patients with suspected food allergic reactions in Jordan. PG - 384-392 LID - 10.1002/iid3.320 [doi] AB - BACKGROUND: Despite the recognition of food allergies as a significant cause of morbidity and a growing public health burden worldwide, there are no epidemiological studies addressing food sensitization and allergy in Jordan. OBJECTIVE: To conduct an epidemiological study that retrospectively analyzes sensitization data from 3463 patients with suspected immunoglobulin E (IgE)-mediated food allergic reactions who performed specific IgE tests in our laboratories in Jordan. METHODS: Specific IgE (s-IgE) tests were analyzed for patients who performed enzyme allegro-sorbent testing based on either self-reported food allergy or upon physician's request. RESULTS: 2.3% of the analyzed samples were cross-reactive to carbohydrate determinants. A quarter of the patients were sensitized to one or more food allergens, with males having higher odds of being s-IgE positive. Furthermore, a higher prevalence of sensitization was seen in infants and children compared with adults. s-IgE was most frequently found against cow milk (11.2%), pistachio (4.9%), soybean (4.6%), cherry (4.4%), and orange (4.4%). Interestingly, the s-IgE class distribution profile of pistachio differed from the rest of the top hits being skewed away from the weak class 1 leaning more towards higher IgE classes. Food allergen sensitization was age group-dependent: milk, tree nuts, and eggs were the main food groups causing sensitization in infants, while it was fruits followed by milk in children and adults. CONCLUSIONS: Our work represents the first epidemiological study addressing food sensitization in Jordan. This study lays a solid foundation for future studies that can help better guide food allergy diagnosis, patient dietary modifications, and food elimination plans, as well as assist decision-makers in the region to develop national strategies for an efficient and sustainable healthcare system. CI - (c) 2020 The Authors. Immunity, Inflammation and Disease published by John Wiley & Sons Ltd. FAU - Abu-Dayyeh, Issa AU - Abu-Dayyeh I AUID- ORCID: 0000-0003-0224-2292 AD - Biolab Diagnostic Laboratories, Amman, Jordan. AD - Department of Basic Research, Cell Therapy Center, University of Jordan, Amman, Jordan. FAU - Abu-Kwaik, Jumana AU - Abu-Kwaik J AD - Biolab Diagnostic Laboratories, Amman, Jordan. FAU - Weimann, Alf AU - Weimann A AD - Euroimmun AG, Lubeck, Germany. FAU - Abdelnour, Amid AU - Abdelnour A AD - Biolab Diagnostic Laboratories, Amman, Jordan. LA - eng PT - Journal Article DEP - 20200615 PL - England TA - Immun Inflamm Dis JT - Immunity, inflammation and disease JID - 101635460 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Animals MH - Female MH - Flour MH - *Food Hypersensitivity MH - Humans MH - Immunoglobulin E MH - Jordan MH - Male MH - Prevalence MH - Retrospective Studies MH - Triticum PMC - PMC7416048 OTO - NOTNLM OT - Jordan OT - epidemiological study OT - food allergy OT - food sensitization OT - specific IgE test EDAT- 2020/06/17 06:00 MHDA- 2021/09/22 06:00 PMCR- 2020/06/15 CRDT- 2020/06/17 06:00 PHST- 2020/04/08 00:00 [received] PHST- 2020/05/14 00:00 [revised] PHST- 2020/06/03 00:00 [accepted] PHST- 2020/06/17 06:00 [pubmed] PHST- 2021/09/22 06:00 [medline] PHST- 2020/06/17 06:00 [entrez] PHST- 2020/06/15 00:00 [pmc-release] AID - IID3320 [pii] AID - 10.1002/iid3.320 [doi] PST - ppublish SO - Immun Inflamm Dis. 2020 Sep;8(3):384-392. doi: 10.1002/iid3.320. Epub 2020 Jun 15.