ArticleThe World Allergy Organization journal2026
Food-induced anaphylaxis to plant allergens in adolescents and adults: Data from the allergy Vigilance Network (2002-2024).
Article in The World Allergy Organization journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: There is a growing interest in plant-based diets (PBDs) owing to their health benefits and environmental sustainability. However, plant proteins commonly consumed in PBDs are recognized allergens and are known triggers of food-induced anaphylaxis (FIA). Aim: To characterize the clinical phenotypes of FIA due to plant allergens relevant to PBDs ("PAs") reported to the Allergy-Vigilance Network in adolescents and adults. Methods: Anaphylaxis cases attributed to plant allergens in individuals ≥13 years of age were retrospectively analyzed (2002-2024). Cases were identified by culprit allergen, irrespective of dietary patterns, and assessed for time trends, eliciting dose, cofactors, and component-resolved diagnostics. Age-specific phenotypes were compared between adolescents and adults. Results: 753 plant allergen-related FIA cases were recorded, 237 (31.5%) occurred in adolescents and 516 (68.5%) in adults. Eleven allergens (wheat, peanut, buckwheat, soy, hazelnut, sesame, lupin, cashew, pine nut, walnut and almond) accounted for 85% of all PBD-related FIA. Wheat was the main elicitor in adults (26.9% adults vs 7.6% adolescents; Conclusion: Several plant allergens displayed distinct age-specific clinical phenotypes, which may be relevant for dietary counseling in food-allergic or atopic individuals considering adoption of PBDs.
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