Prevalence, molecular characterization, and clinical relevance of sensitization to Anisakis simplex in children with sensitization and/or allergy to Dermatophagoides pteronyssinus

Eur Ann Allergy Clin Immunol. 2017 Nov;49(6):270-275. doi: 10.23822/EurAnnACI.1764-1489.26.

Abstract

Prevalence of the Anisakis Simplex's (AS) sensitization in children sensitized to Dermatophagoides pteronissynus (DP) is not known, neither it is to which percentage it might be due to cross-reactivity. The primary objective of the present retrospective cross-sectional study is to evaluate the prevalence of sensitization to AS in children sensitized or allergic to DP. Secondary outcomes were the prevalence of cross-reactivity and clinical relevance of the condition. The prevalence of sensitization to AS differs significantly among patients sensitized and not to DP (13.43% vs. 3.80%; p=0.019). The higher prevalence is mainly due to cross-reactivity with Der p10 (OR=8.86; 95% CI=4.33-40.74; p=0.0001). Currently, the sensitization to AS seems to have no clinical relevance in the pediatric population.

Keywords: Anisakis simplex; Dermatophagoides pteronyssinus; allergy; prevalence; sensitization.

MeSH terms

  • Adolescent
  • Animals
  • Anisakiasis / diagnosis
  • Anisakiasis / immunology*
  • Anisakis / immunology*
  • Antigens, Dermatophagoides / immunology*
  • Antigens, Helminth / immunology*
  • Arthropod Proteins / immunology*
  • Child
  • Child, Preschool
  • Cross Reactions*
  • Cross-Sectional Studies
  • Dermatophagoides pteronyssinus / immunology*
  • Female
  • Humans
  • Hypersensitivity / diagnosis
  • Hypersensitivity / epidemiology
  • Hypersensitivity / immunology*
  • Infant
  • Italy / epidemiology
  • Male
  • Prevalence
  • Retrospective Studies
  • Tropomyosin / immunology*

Substances

  • Antigens, Dermatophagoides
  • Antigens, Helminth
  • Arthropod Proteins
  • Tropomyosin
  • der p 10 protein, Dermatophagoides pteronyssinus