Evidence map›Paper›PMID 41822063›Full record

ArticleFrontiers in gastroenterology (Lausanne, Switzerland)2022

The α-Gal mammalian meat allergy as a cause of isolated gastrointestinal symptoms.

Nathan E Richards, Tom A Makin, Anna R Smith, Thomas A E Platts-Mills, Robert D Richards, Jeffrey M Wilson

Abstract read
In one paragraph

Article in Frontiers in gastroenterology (Lausanne, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

6 authors.

Nathan E RichardsDivision of Allergy and Clinical Immunology, University of Virginia, Charlottesville, VA, United States.
Tom A MakinDivision of Allergy and Clinical Immunology, University of Virginia, Charlottesville, VA, United States.
Anna R SmithDivision of Allergy and Clinical Immunology, University of Virginia, Charlottesville, VA, United States.
Thomas A E Platts-MillsDivision of Allergy and Clinical Immunology, University of Virginia, Charlottesville, VA, United States.
Robert D RichardsGastroenterology Associates of Central Virginia, Lynchburg, VA, United States.
Jeffrey M WilsonDivision of Allergy and Clinical Immunology, University of Virginia, Charlottesville, VA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The α-Gal mammalian meat allergy classically presents with urticaria, with or without gastrointestinal (GI) symptoms or anaphylaxis, but increasingly we are aware of patients with only GI symptoms. Here we describe patients presenting with isolated GI symptoms who had detectable IgE antibodies to α-Gal and reported symptom improvement on a mammal-restricted diet. Forty patients in the practice of a single gastroenterologist, and 35 patients in one allergy clinic were identified, with abdominal pain, diarrhea, and nausea the most common symptoms. Alpha-Gal IgE levels were lower than in a previously described cohort of patients who exhibited classic allergic reactions. This large case series suggests that α-Gal IgE is an important contributor to GI morbidity in areas where lone star tick bites are common. Symptom presentations in GI-AGS can be easily confused with other common GI conditions, and α-Gal IgE levels are often lower than those in patients with classic AGS.

Indexed as

alpha-galalpha-gal syndromefood allergyGERDGI-AGSIBSIgE

Identifiers

PMID41822063
PMCPMC12952419

What OpenQuestion holds

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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.