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Contents »

Lipid transfer protein sensitization in an apple-allergic patient: a case report from northern Europe


A. Gülsen1,2 askingulsen@hotmail.com, U. Jappe1,2

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Doi
https://doi.org/10.23822/EurAnnACI.1764-1489.63

Summary
We describe a case of a woman who developed three separate episodes of urticaria and anaphylaxis during exercise after consuming an apple, with immunological evidence that nonspecific lipid transfer proteins (LTP) may have been responsible for these reactions. LTP sensitivity can cause life-threatening allergies and anaphylaxis. Although LTP sensitization is common in Mediterranean countries, the frequency of knowledge and diagnoses is increasing in Europe. Despite the geographic differences, LTP allergy should be kept on sight when facing severe anaphylaxis after consuming LTP-included food.

Key words
apple; anaphylaxis; exercise-induced; FDEIA; lipid transfer protein