Evidence map›Paper›PMID 39339801›Full record

ReviewNutrients2024

Transplant-Acquired Food Allergy in Children.

Cristiana Indolfi, Angela Klain, Giulio Dinardo, Carolina Grella, Alessandra Perrotta, Simone Colosimo, Fabio Decimo, Michele Miraglia Del Giudice

Abstract readReview
In one paragraph

Review in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Prevalence and risk factors ofThe World Allergy Organization journal · 2025
    Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Cristiana IndolfiDepartment of Woman, Child and of General and Specialized Surgery, University of Campania Luigi, Vanvitelli, 80138 Naples, Italy.
Angela KlainDepartment of Woman, Child and of General and Specialized Surgery, University of Campania Luigi, Vanvitelli, 80138 Naples, Italy.ORCID 0000-0001-7823-2125
Giulio DinardoDepartment of Woman, Child and of General and Specialized Surgery, University of Campania Luigi, Vanvitelli, 80138 Naples, Italy.ORCID 0000-0002-9952-1206
Carolina GrellaDepartment of Woman, Child and of General and Specialized Surgery, University of Campania Luigi, Vanvitelli, 80138 Naples, Italy.
Alessandra PerrottaDepartment of Woman, Child and of General and Specialized Surgery, University of Campania Luigi, Vanvitelli, 80138 Naples, Italy.
Simone ColosimoDepartment of Woman, Child and of General and Specialized Surgery, University of Campania Luigi, Vanvitelli, 80138 Naples, Italy.ORCID 0000-0001-5598-7883
Fabio DecimoDepartment of Woman, Child and of General and Specialized Surgery, University of Campania Luigi, Vanvitelli, 80138 Naples, Italy.
Michele Miraglia Del GiudiceDepartment of Woman, Child and of General and Specialized Surgery, University of Campania Luigi, Vanvitelli, 80138 Naples, Italy.ORCID 0000-0002-8369-5957

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOrgan transplantation in children is a vital procedure for those with end-stage organ failure, but it has been linked to the development of post-transplant allergies, especially food allergies. This phenomenon, known as transplant-acquired food allergy (TAFA), is becoming increasingly recognized, though its mechanisms remain under investigation. Pediatric transplant recipients often require lifelong immunosuppressive therapy to prevent graft rejection, which can alter immune function and heighten the risk of allergic reactions. Our review aimed to gather the latest evidence on TAFA.

methodsWe conducted a PubMed search from 25 June to 5 July 2024, using specific search terms, identifying 143 articles. After screening, 36 studies were included: 24 retrospective studies, 1 prospective study, 2 cross-sectional researches, and 9 case reports/series.

resultsMost studies focused on liver transplants in children. The prevalence of food allergies ranged from 3.3% to 54.3%. Tacrolimus, alongside corticosteroids, was the most commonly used immunosuppressive therapy. In addition to food allergies, some patients developed atopic dermatitis, asthma, and rhinitis. Allergic symptoms typically emerged within a year post-transplant, with common allergens including milk, eggs, fish, nuts, soy, wheat, and shellfish. Both IgE-mediated and non-IgE-mediated reactions were observed, with treatment often involving the removal of offending foods and the use of adrenaline when necessary.

conclusionsConsistent immunological monitoring, such as skin prick tests and IgE level assessments, is essential for early detection and management of allergies in these patients. Understanding the link between transplantation and allergy development is crucial for improving long-term outcomes for pediatric transplant recipients.

Indexed as

Food HypersensitivityAdolescentAllergensChildChild, PreschoolFemaleHumansImmunoglobulin EImmunosuppressive AgentsMaleOrgan TransplantationPrevalenceSkin TestsTransplant RecipientsAllergensImmunoglobulin EImmunosuppressive Agentscyclosporinefood allergiesfood allergies post-transplantfood hypersensitivitygraft rejectionimmunosuppressive agentsintestinal permeabilityorgan transplantationpediatric transplantationtacrolimus

Identifiers

PMID39339801
PMCPMC11434934

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.