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in\tfoods\tthat\ttrigger\tadverse\timmunologic\treactions;\tmost\toften\tare\nspecific\tproteins,\tglycoprotein,\tor\thaptens\tthat\tcan\tinteract\twith\tthe\tbody’s\timmune\tcells\tin\ta\nway\tthat\tleads\tto\tdevelopment\tof\ta\tfood\tallergy\n•\t\nAtopy:\n\ta\tcondition\tof\tgenetic\tpredisposition\tto\tproduce\texc...
[ 0.016950294375419617, -0.07848302274942398, 0.033647336065769196, -0.036443404853343964, -0.0824638158082962, 0.01284343097358942, 0.07292036712169647, 0.05278385058045387, 0.030219588428735733, 0.0866088941693306, 0.13201233744621277, -0.04654660448431969, 0.04723598435521126, 0.034518677...
an\tallergen\tthat\tresults\tin\tthe\tdevelopment\tof\ttypical\tsymptoms\tsuch\tas\tasthma,\trhinitis,\nconjunctivitis,\tor\teczema\n•\t\nCross-reactivity:\n\twhen\tan\tantibody\treacts\tnot\tonly\twith\tthe\toriginal\tallergen\tbut\talso\twith\ta\nsimilar\tallergen;\toccurs\twhen\ta\tfood\tallergen\tshares\tstructural...
[ 0.025443866848945618, -0.018373863771557808, 0.07049894332885742, -0.02404426410794258, -0.0776868686079979, 0.049956537783145905, 0.050885677337646484, 0.01840592920780182, -0.04595210775732994, 0.12327519804239273, 0.14389556646347046, -0.016355257481336594, 0.020062820985913277, 0.05725...
different\tfood\tallergen\tor\taeroallergen\t(i.e.,\ta\tpollen),\twhich\tmay\tthen\ttrigger\tan\tadverse\treaction\nsimilar\tto\tthat\ttriggered\tby\tthe\toriginal\tfood\tallergen;\tcross-reactivity\tis\tcommon,\n\tfor\texample,\namong\tdifferent\tshellfish\tand\tdifferent\ttree\tnuts,\tand\tin\tpollen-food\tallergy\ts...
[ 0.023876462131738663, -0.048643697053194046, 0.08173546195030212, -0.023430362343788147, -0.07053808122873306, 0.005868703126907349, 0.07771224528551102, 0.014395791105926037, -0.039597947150468826, 0.015160339884459972, 0.1331135779619217, -0.07240135967731476, 0.01504980493336916, 0.0157...
•\t\nDesensitization:\n\ta\tstate\tof\tclinical\tand\timmunologic\tnonresponsiveness\tto\ta\tfood\tallergen\tthat\ncan\tbe\tinduced\tby\tcareful,\tmedical-guided\tadministration\tof\tgradually\tincreasing\tamounts\tof\tthe\nallergen\tover\ta\tshort\tperiod\tof\ttime\t(hours\tto\tdays);\tthe\tmaintenance\tof\tsuch\tdese...
[ 0.042269859462976456, -0.04415462911128998, 0.06100980192422867, -0.012318397872149944, -0.08118421584367752, 0.006352299824357033, 0.08276792615652084, 0.021760065108537674, -0.0035307814832776785, 0.04908432438969612, 0.0726948007941246, -0.04175020009279251, 0.05626363679766655, 0.03413...
usually\n\trequires\tcontinued\tregular\texposure\tto\tthe\tallergen\n•\t\nDual-allergen\texposure:\n\thypothesis\tthat\tenvironmental\texposure\tto\tfood\tallergens\tthrough\tthe\nskin\tor\texposure\tto\tairborne\tparticles\tearly\tin\tlife\tcan\tlead\tto\tsensitization\tand\tallergy,\tand\tthat
[ 0.03150026127696037, -0.01765047386288643, 0.07741390913724899, -0.04776393994688988, -0.09203699976205826, 0.004452516790479422, 0.03379794582724571, 0.021725166589021683, 0.0015557982260361314, 0.05853653326630592, 0.0747113972902298, -0.07183818519115448, 0.015688279643654823, 0.0100121...
the\toral\tconsumption\tof\tthese\tsame\tfoods\tduring\ta\tdevelopmentally\tappropriate\tperiod,\talso\tearly\nin\tlife,\tresults\tin\ttolerance\n•\t\nFood\tallergy:\n\tan\n\tadverse\timmune-mediated\treaction\tto\ta\tfood,\tusually\ta\tfood\tprotein\tor\tspecific\nglycoprotein\tthat\tthe\tperson\thas\tbeen\tsensitized...
[ -0.009333942085504532, -0.09705372154712677, 0.03516509011387825, -0.011824946850538254, -0.09093082696199417, 0.02968934178352356, 0.09929069876670837, 0.04378471150994301, 0.012236458249390125, 0.08631513267755508, 0.1501212865114212, -0.031014397740364075, 0.032600607722997665, 0.027973...
inflammatory\tmediators\tor\tchemicals\tthat\tact\ton\tbody\ttissues\tand\tresult\tin\tsymptoms.\tThe\nreaction\tcan\tbe\teither\tIgE-mediated\tor\tnon–IgE-mediated\tand\toccurs\treproducibly\tupon\texposure\nto\tthat\tfood\n•\t\nFood\tautoimmune\tor\timmune\n\treactivity:\n\tthe\tconcept\tthat\twhen\tthe\tbody’s\tnorm...
[ 0.02391810528934002, -0.09474245458841324, 0.051361046731472015, 0.014056065119802952, -0.09829962998628616, 0.027354244142770767, 0.12080077826976776, 0.04234691336750984, -0.009666362777352333, 0.06961283832788467, 0.08232220262289047, -0.02046261541545391, 0.03580765798687935, 0.0647420...
reactivity:\n\tthe\tconcept\tthat\twhen\tthe\tbody’s\tnormal\ttolerance\nof\tfriendly\tantigenic\tsubstances\t(autoantigens\tproduced\tby\tan\tindividual’s\tbody)\tis\tdisrupted\nbecause\tof\tdisease,\tinjury,\tshock,\ttrauma,\tsurgery,\tdrugs,\tblood\ttransfusion,\tor\tenvironmental
[ 0.00010452442074893042, -0.044414181262254715, 0.031894709914922714, 0.015730302780866623, -0.061712246388196945, 0.10055749118328094, 0.07195553928613663, 0.03744111582636833, -0.03418676182627678, 0.0968267172574997, 0.08762484043836594, -0.03248201683163643, 0.018555162474513054, 0.0768...
triggers,\tthe\tingestion\tof\tfoods\tcontaining\tantigenic\tsubstances\twith\ta\tcomposition\tsimilar\tto\nthose\tof\tthe\tbody’s\tautoantigens\tcan\tresult\tin\tthe\n\tproduction\tof\tantibodies\tthat\treact\tto\tthe\tfood\nantigens\tand\tthe\tbody’s\town\ttissues\t(Vojdani,\t2015)\n•\t\nFood\tintolerance:\n\tan\tadv...
[ 0.029981223866343498, -0.044642772525548935, 0.043954044580459595, -0.016072476282715797, -0.032886795699596405, 0.028238028287887573, 0.11355193704366684, -0.02194998227059841, 0.01785845309495926, 0.04273582622408867, 0.12985242903232574, -0.05082244053483009, 0.0665043368935585, -0.0344...
immunologic\tpathophysiology\n•\t\nFood\tsensitivity:\n\ta\tterm\toften\tused\tto\tdescribe\ta\treaction\twhen\tit\tis\tunclear\twhether\tit\tis\nimmunologically\tmediated\tor\tnot\n•\t\nOral\ttolerance:\n\tthe\tprocess\tthat\tallows\tan\tindividual\n\tto\teat\tfood\tthat\tis\t“foreign”\twithout\tany\till\neffects\tor\...
[ 0.039016325026750565, -0.06660576164722443, 0.03484346717596054, -0.0114766675978899, -0.0974191427230835, 0.034563153982162476, 0.0881606712937355, 0.034757014364004135, -0.015073779970407486, 0.04821152985095978, 0.10551508516073227, -0.015708880499005318, 0.01662583090364933, 0.10391024...
effects\tor\treactions\tto\tit\n•\t\nSensitivity-related\tillness:\n\tthe\tconcept\tthat\tan\tindividual\twho\tis\texposed\tto\tsome\ttype\tof\ntoxicant\tor\tinsult\tmay\tthen,\tby\tas\tyet\tunclear\tmechanisms,\tbecome\tsensitive\tto\ta\tfood,\tinhalant,\nor\tchemical\t(Genuis,\t2010)
[ -0.014359001070261002, -0.03640782833099365, 0.06290887296199799, -0.0016331231454387307, -0.03741900250315666, 0.053527120500802994, 0.04051978513598442, 0.04111546277999878, 0.04256150871515274, 0.0630313903093338, 0.10982517153024673, 0.015331736765801907, -0.025508813560009003, 0.06190...
or\tchemical\t(Genuis,\t2010)\nSource:\tIOM\tGlobal\tReport:\tFinding\ta\tPath\tto\tSafety\tin\tFood\tAllergy:\tAssessment\tof\tthe\tGlobal\tBurden,\tCauses,\nPrevention,\tManagement\tand\tPublic\tPolicy.\nPrevalence\nThere\tis\tevidence\tthat\tadverse\tfood\treactions\tare\tmore\tprevalent\tthan\tin\tthe\tpast,\twith\...
[ 0.02659693732857704, -0.08276037126779556, 0.048590950667858124, -0.045232485979795456, -0.12397254258394241, 0.01001866813749075, 0.04595855623483658, 0.001583719509653747, 0.02239976078271866, 0.05878483131527901, 0.09461058676242828, -0.030516615137457848, 0.04646424949169159, 0.0381236...
increase\tin\tfood\tallergies\tin\trecent\tdecades.\tIt\tis\testimated\tthat\t10.8%\tof\tU.S.\tadults\thave\tat\tleast\tone\nfood\tallergy,\tas\tevidenced\tfrom\tsymptoms\ttypical\tof\tan\tIgE-mediated\treaction.\tBut\tonly\tabout\thalf\tof\nthose\tfood\tallergic\tadults\n\thave\tbeen\tdiagnosed\tby\ta\tphysician.\tOf\...
[ 0.0451875776052475, -0.07803917676210403, 0.012124449945986271, -0.03891345113515854, -0.1213565543293953, 0.009637895040214062, 0.0898992121219635, 0.040639013051986694, -0.04422134533524513, 0.09352598339319229, 0.11807206273078918, -0.047978248447179794, 0.05033489689230919, 0.003775880...
19%\tbelieve\tthey\thave\ta\tfood\tallergy\t(\nGupta\tet\tal,\t2019\n).\tIn\tAustralia\tit\tmay\tbe\tas\thigh\tas\t10%\t(\nRenz\tet\nal,\t2018\n).\tThere\tare\talso\tdocumented\tworldwide\tincreases\tin\tfood\tallergy\tin\trapidly\temerging\tareas\tof\nAsia,\tsuch\tas\tChina.\tEstimates\tsuggest\tthat\t20%\tof\tthe\tpo...
[ 0.04239188879728317, -0.05479516088962555, 0.03291742131114006, -0.029140830039978027, -0.0966368094086647, -0.006528639700263739, 0.06768760830163956, 0.06811334192752838, -0.01755979098379612, 0.0839948058128357, 0.12445799261331558, -0.05891069024801254, 0.03330583497881889, 0.044316451...
adverse\tfood\n\treactions\t(\nTurnbull\tet\tal,\t2015\n).\nHowever,\tthere\tare\tgaps\tin\tthe\tprecise\tprevalence\tof\tadverse\tfood\treactions\tdue\tto\tmisuse\tof\tthe\tterms\n“food\tallergy”\tand\t“food\tintolerance,”\tvariations\tin\tstudy\tdesign\tand\tmethodologies,\tand\tinflated\tself-
[ 0.015992529690265656, 0.005445417016744614, 0.06597768515348434, 0.008002221584320068, -0.08244996517896652, 0.005406935699284077, 0.09548578411340714, 0.057383421808481216, -0.00904971081763506, 0.011389805004000664, 0.10319708287715912, -0.01297837309539318, 0.018942920491099358, -0.0012...
reporting.\tGeographic\tvariations;\tdiet\texposure\teffects;\tdifferences\tin\tage,\trace,\tand\tethnicity;\tand\tother\nfactors\talso\tcomplicate\tdata\treporting.\tDespite\n\tthe\tlack\tof\tprecise\tprevalence\tdata,\tthere\tis\tagreement\nthat\tchanges\tin\tdiet,\tlifestyle,\tand\tenvironmental\tinfluences,\tintera...
[ 0.0011522776912897825, -0.011040154844522476, 0.021660150960087776, -0.014348680153489113, -0.048331405967473984, 0.004213659092783928, 0.06449170410633087, -0.002048179507255554, -0.02060449682176113, 0.061642587184906006, 0.08874230086803436, -0.066444993019104, 0.0557931624352932, 0.047...
microbiome\talterations,\tcan\tbe\timplicated\tin\tthe\tescalation\tof\tadverse\tfood\treactions\tand\tthe\tparallel\trise\nin\tother\tchronic\tdisorders\tsuch\tas\tasthma\tand\tautoimmune\tdiseases\t(\nSicherer\tand\tSampson,\t2018\n;\nNASEM,\t2017\n).\nEtiology\nAdverse\n\tfood\treactions\tillustrate\tthe\tcritical\t...
[ -0.011476529762148857, -0.08495979011058807, 0.03424318507313728, -0.05796962231397629, -0.042000722140073776, 0.025452032685279846, 0.006052399054169655, 0.025381863117218018, -0.004869381431490183, 0.1085997000336647, 0.12277835607528687, -0.1087355986237526, -0.0034816041588783264, 0.07...
core\tclinical\tconcept\tin\tnutrition\tassessment.\tNumerous\tfactors\thave\tbeen\tidentified\tthat\tplay\ta\trole\tin\ninfluencing\timmune-\tand\tnonimmune-mediated\tresponses\tto\tfood\tor\tfood\tcomponents\tand\ttheir\tultimate\ninterpretation\tby\tthe\tbody\tas\teither\t“friend”\tor\t“foe,”\tincluding:\nIndividual...
[ 0.01282317191362381, -0.07740301638841629, 0.06437482684850693, -0.03524460643529892, -0.08876810222864151, 0.01706363819539547, 0.08714167773723602, 0.01126274187117815, 0.0020724358037114143, 0.08311746269464493, 0.09747150540351868, -0.06159314513206482, 0.03231541067361832, 0.005811709...
Individual\tFactors\nAge\nGenetics\tand\tepigenetics\nEarly\tlife\tfactors\t(maternal\tnutrition,\tbirth\tdelivery\tmethod,\tbreast\tor\tformula\tfeeding)\nImmunocompetence\tand\tpersonal\tdifferences\tin\timmune\tfunction\nIntestinal\tand\tskin\tbarrier\tdefects\nMicrobiome\nIncreased\thygiene\nUse\tof\tmedications\t(...
[ 0.02627374790608883, -0.04673709347844124, 0.03703410178422928, 0.010139761492609978, -0.05953993648290634, 0.024082506075501442, 0.07479388266801834, 0.0420401431620121, -0.010677885264158249, 0.06809623539447784, 0.1225288063287735, -0.07798566669225693, -0.016851959750056267, 0.05304865...
Underlying\tdisease\nPresence\tof\tchronic\tstress\nEnvironmental\tinfluences\n\t(toxin\tand\tchemical\texposures\tsometimes\treferred\tto\tas\tthe\texposome)\nFood-related\tfactors\nModern\twesternized\tdiet\nPrenatal\tperinatal,\tand\tmaternal\tnutrition\nAllergen\ttype,\tdose,\tand\troute\tof\texposure\nMicrobial\tp...
[ -0.0049711354076862335, -0.08687897026538849, 0.02752811275422573, 0.000805840187240392, 0.015086684376001358, -0.02196435071527958, 0.05324920639395714, 0.04912956804037094, -0.0057191806845366955, 0.02513784170150757, 0.11683792620897293, -0.08054926246404648, 0.011559203267097473, 0.059...
Microbial\tproducts\tand\tcontamination\twith\tmicroorganisms\nFood\tmatrix\t(proteins,\tlipids,\tand\tglycosylated\tsugars)\nCooking\ttemperature\nEpithelial\tbarrier\tinsulting\tagent\t(alcohol,\tadditives,\n\ttoxins,\tunknown\tingredients)\t(\nSampson\tet\tal,\n2018\n).\nGenetics\tand\tepigenetics
[ -0.05371394008398056, -0.07393952459096909, -0.022768285125494003, -0.04049437493085861, 0.022076712921261787, 0.04324905946850777, 0.05501462519168854, 0.033630482852458954, 0.011287865228950977, 0.06983422487974167, 0.1417396515607834, -0.09131591767072678, -0.05257212743163109, 0.106991...
Sampson\tet\tal,\n2018\n).\nGenetics\tand\tepigenetics\nIt\thas\tbeen\trecognized\tfor\tmore\tthan\ta\tcentury\tthat\tgenetics\tplays\ta\trole\tin\tallergies\tand\tasthma.\tFamilial\naggregations\tand\theritability\testimates\tfrom\ttwin\tstudies\tprovide\tinitial\tevidence\tfor\tgenetic
[ -0.008320452645421028, 0.020630337297916412, 0.07672201097011566, -0.027010122314095497, -0.09603333473205566, 0.023992884904146194, 0.08377188444137573, -0.05382408946752548, -0.029269587248563766, 0.08047302067279816, 0.11905223876237869, -0.11659768223762512, -0.025037625804543495, 0.00...
predisposition\tfor\tfood\tallergy,\talthough\tamong\tsiblings,\tan\tincreased\trate\tof\tsensitization\tdoes\tnot\nequate\tto\n\tclinical\treactivity.\tA\tnumber\tof\tmonogenic\tdisorders\tassociated\twith\tatopy\tand\tfood\tallergy\nhave\tbeen\tidentified;\thowever,\tthe\tgenetics\tof\tfood\tallergy\thave\tshifted\tf...
[ 0.06531817466020584, -0.07109514623880386, 0.06270511448383331, -0.001790252747014165, -0.08153057098388672, 0.026234596967697144, 0.06848560273647308, -0.02202426828444004, -0.02738438919186592, 0.10912860929965973, 0.14987194538116455, -0.06659471243619919, 0.01764453947544098, 0.0256287...
or\tpolymorphism\tin\ta\tgene\tto\tthe\tinclusion\tof\ta\tmultitude\tof\tcontributing\tgenetic\tand\tnongenetic\trisk\nfactors\t(\nCarter\tand\tFrischmeyer-Guerrerio,\t2018\n).\nGenetic\tmechanisms\tthat\tplay\ta\trole\tin\tpathogenesis\n\tof\tfood\tallergy\tare\tmultifactorial\tand\tcomplex.\tThe
[ 0.018832575529813766, -0.04705224186182022, 0.07291759550571442, -0.030388612300157547, -0.11546578258275986, 0.026025645434856415, 0.04937184229493141, 0.024737197905778885, 0.006605607457458973, 0.06820017099380493, 0.06839530915021896, -0.06173520162701607, -0.009706045500934124, 0.0389...
of\tfood\tallergy\tare\tmultifactorial\tand\tcomplex.\tThe\nexpression\tof\tfood\tallergy\tis\tinfluenced\tby\tthe\tenvironment,\tgene-environment\tinteractions,\tand\nepigenetic\n\tmodification\tof\tthe\tgenome\t(“epigenome”).\tThe\tepigenome\tis\tlargely\testablished\tin\tutero\tand\nis\trelevant\tto\tearly\tlife\tor...
[ 0.022260472178459167, -0.012086336500942707, 0.06817138195037842, -0.028238188475370407, -0.06373212486505508, 0.02406289055943489, 0.06425560265779495, -0.0014796251198276877, -0.0042456998489797115, 0.0830928161740303, 0.11109493672847748, -0.06905698031187057, 0.014921985566616058, 0.00...
NASEM,\t2017\n;\t\nCarter\tand\tFrischmeyer-Guerrerio,
[ -0.07405276596546173, 0.09827315807342529, -0.025156458839774132, -0.008829545229673386, -0.019489778205752373, 0.08167173713445663, 0.008785504847764969, 0.06726357340812683, -0.05045180767774582, 0.004094467964023352, 0.0179958064109087, -0.06834854185581207, -0.01750473864376545, 0.0445...
2018\n).\nMore\trecently,\tgenome\twide\tassociation\n\tstudies\t(GWASs)\tidentified\tgenes\tassociated\twith\tfood\nallergies.\tOne\tGWAS\tstudy\texamined\t1500\tchildren\twith\tfood\tallergies\tin\tGermany\tand\tthe\tUnited\tStates.\nThis\tstudy\texamined\tmore\tthan\tfive\tmillion\tgenetic\tvariations\tor\tsingle\tn...
[ -0.03977635130286217, -0.05334404483437538, 0.03863613307476044, -0.05710536986589432, -0.0520455464720726, -0.01229325495660305, 0.03033444657921791, -0.004311088006943464, -0.028046665713191032, 0.08228825032711029, 0.1534528136253357, -0.06947151571512222, -0.04443734884262085, 0.010938...
in\teach\tchild\tin\tthe\tstudy\tand\tcompared\tthe\tfrequency\tof\tthese\tSNPs\twith\tthe\tcontrol\tsubjects.\tIn\naddition\tto\tthe\tlarge\tnumber\tof\tsubjects,\n\tunlike\tother\tstudies,\tthe\tresearchers\talso\tincluded\tan\toral\tfood\nchallenge\tto\tconfirm\tthe\tallergy\tdiagnosis.\tThe\tstudy\tidentified\tfive...
[ 0.02488287352025509, -0.024011921137571335, 0.037804048508405685, -0.03468404337763786, -0.11138916015625, -0.007053331006318331, 0.08003412932157516, -0.014149295166134834, -0.0026549622416496277, 0.06699583679437637, 0.12955796718597412, -0.01841103844344616, 0.05867849662899971, 0.02366...
and\tfour\tof\tthem\tshowed\ta\tstrong\tassociation\twith\tloci\tfor\t\natopic\tdermatitis\n\t(hereditary\teczematous\nrash),\tasthma,\tand\tother\tchronic\tinflammatory\tand\tautoimmune\tdiseases.\tThe\t\nSERPINB\n\tgene\tcluster\ton\nchromosome\t18\twas\tpinpointed\n\tas\ta\tspecific\tgenetic\trisk\tlocus\tfor\tfood\...
[ -0.008770700544118881, -0.0438087172806263, 0.05093035101890564, -0.03908854350447655, -0.12626932561397552, -0.010561362840235233, 0.06500684469938278, -0.0003140927292406559, -0.027137845754623413, 0.0985737293958664, 0.132236510515213, -0.07832001894712448, 0.01393959391862154, 0.030818...
particular\tcluster\tare\texpressed\tin\tthe\tskin\tand\tmucous\tmembrane\tof\tthe\tesophagus,\twhich\tare\tinvolved\nin\tmaintaining\tepithelial\tbarrier\tintegrity\t(\nMarenholz\tet\tal,\t2017\n).\nAnother\tGWAS\tstudy\tincluded\ta\tmeta-analysis\tof\ttwo\tphenotypes,\tpeanut\tallergy\tand\tfood\tallergy,\tand\nexami...
[ 0.008711136877536774, 0.0016950914869084954, 0.07163961976766586, -0.024954134598374367, -0.048012904822826385, -0.008758461102843285, 0.060651592910289764, 0.00005711284029530361, -0.005783473141491413, 0.03995414450764656, 0.10106021165847778, -0.10169550776481628, -0.01609349064528942, ...
examined\tseven\tstudies\tfrom\tCanadian,\tAmerican,\tAustralian,\n\tGerman,\tand\tDutch\tpopulations.\tMultiple\ngenes\twere\tidentified\tas\trisk\tfactors\tfor\tpeanut\tallergy\tand\tfood\tallergy\tand\tare\tinvolved\tin\tepigenetic\nregulation\tof\tgene\texpression\t(\nAsai\tet\tal,\t2018\n).
[ 0.025844363495707512, 0.028571635484695435, 0.061113521456718445, -0.004997491370886564, -0.09875517338514328, -0.017192605882883072, 0.02853657864034176, -0.036893803626298904, 0.014613554812967777, 0.09620088338851929, 0.12293669581413269, -0.10363765060901642, -0.030101610347628593, 0.0...
regulation\tof\tgene\texpression\t(\nAsai\tet\tal,\t2018\n).\nUnlike\tother\tdiseases,\tthe\tnumber\tof\tidentified\tloci\tfor\tfood\tallergies\tis\trelatively\tsmall.\tMost\tof\tthe\nidentified\tcandidate\tgenes\tencode\tfor\tproducts\tinfluencing\timmune\tmechanisms\ttoward\ta\tTh2\ninflammatory
[ 0.02657260186970234, -0.06543496251106262, 0.003024652600288391, -0.05146922916173935, -0.06322614848613739, 0.03589528799057007, 0.07376883924007416, -0.0026833328884094954, 0.01683337427675724, 0.08137691766023636, 0.09017665684223175, -0.0790681540966034, 0.03688596561551094, 0.06128196...
inflammatory\n\tshift.\tIt\tis\thypothesized\tthat\tgenetic\tpredispositions\tin\tthe\tcontext\tof\tcertain\tenvironmental\ninfluences\tsuch\tas\tintestinal\tviral\tinfection\tmay\tresult\tin\timmune\tsystem\tdysfunction\tand\tresult\tin\tfood\nallergy\t(\nNASEM,\t2017\n).\t(See\t\nChapters\t6\n\tand\t\n7\n).\nPathophy...
[ 0.03818351775407791, -0.07576533406972885, 0.07022769749164581, -0.0094562703743577, -0.05220213159918785, 0.06907733529806137, 0.09875710308551788, 0.03461704030632973, 0.005144143011420965, 0.12437938153743744, 0.06767730414867401, -0.03203887492418289, 0.016958408057689667, 0.0787622556...
).\t(See\t\nChapters\t6\n\tand\t\n7\n).\nPathophysiology\tof\tfood\tallergy\nMajor\tadvances\tin\tresearch\tare\tproviding\tfurther\tinsights\tinto\tthe\tmechanisms\tleading\tto\tfood\tallergies.\nA\tbasic\n\tunderstanding\tof\tthe\timmune\tsystem\tis\tessential\tsince\tthe\tmechanisms\tentail\tmultiple\tmolecules\ninv...
[ 0.014729422517120838, -0.07722824811935425, 0.06137201189994812, -0.013955160975456238, -0.10981564968824387, 0.014931757934391499, 0.05168183520436287, 0.011381561867892742, -0.006196395494043827, 0.13540717959403992, 0.10040625184774399, -0.050049059092998505, -0.010172070004045963, 0.05...
involved\tin\timmune\tregulation.\nImmune\tsystem\tbasics\nAntibodies\n\tare\tspecialized\timmune\tproteins\tthat\tare\tproduced\tin\tresponse\tto\tthe\tintroduction\tof\tan\nantigen\n\t(an\t\nallergen\n,\ttoxin,\tor\tforeign\tsubstance)\tinto\tthe\tbody.\tBecause\tof\ttheir\tassociation\twith\tthe\nimmune\tsystem,\tan...
[ -0.011598010547459126, -0.031551793217659, 0.05788622051477432, -0.002758688060566783, -0.10105457156896591, 0.05649125576019287, 0.08196400851011276, 0.011281999759376049, 0.026324355974793434, 0.09628640860319138, 0.10346358269453049, -0.04487328231334686, 0.004331558011472225, 0.0417419...
immune\tsystem,\tantibodies\tare\treferred\tto\n\tas\t\nimmunoglobulins\t(Ig)\n.\tFive\tdistinct\tclasses\tof\tantibodies\nhave\tbeen\tidentified:\tIgA,\tIgD,\tIgE,\tIgG,\tand\tIgM.\tEach\tIg\thas\ta\tspecific\tfunction\tin\timmune-mediated\nreactions\t(\nBox\t25.2\n).\nBOX\t25.2\nThe\tImmunoglobulins\nIgA
[ -0.005232503172010183, -0.05051495134830475, 0.0363360233604908, -0.023059062659740448, -0.11613445729017258, 0.025235826149582863, 0.13476410508155823, 0.04511180892586708, -0.04701131582260132, 0.10234285891056061, 0.057506319135427475, -0.0582568384706974, 0.019432058557868004, 0.066160...
reactions\t(\nBox\t25.2\n).\nBOX\t25.2\nThe\tImmunoglobulins\nIgA\nFound\tin\ttwo\tforms—serum\tIgA\tand\tsecretory\tIgA\t(sIgA).\tThe\tlatter\tis\tpresent\tin\tmucus\tsecretions\tin\nthe\tmouth,\trespiratory\tand\tgastrointestinal\ttracts,\tvagina,\tand\tcolostrum\n\tin\tmammalian\tmilk.\tIt
[ -0.014099758118391037, -0.04733216390013695, 0.009044135920703411, -0.01089409925043583, -0.04733835160732269, 0.0504559651017189, 0.08613994717597961, 0.06502234935760498, -0.017170578241348267, 0.09534425288438797, 0.07049422711133957, -0.1062382385134697, -0.02640412375330925, 0.0792856...
in\tmammalian\tmilk.\tIt\nincludes\ta\t“secretory\tpiece”\tin\tits\tstructure\tthat\tprotects\tit\tfrom\tprotein-destroying\tenzymes\tin\tthe\ndigestive\ttract\tso\tthat\tit\tsurvives\tin\tan\tactive\tform\tas\ta\t“first-line”\tdefense\tagainst\tantigens\tentering\nfrom\tthe\texternal\tenvironment.\tSerum\tIgA,\twhich\...
[ 0.03521633520722389, -0.009778465144336224, 0.07101792842149734, -0.041883617639541626, -0.08222785592079163, -0.006107770837843418, 0.09952189773321152, -0.0001673700026003644, 0.05973617732524872, 0.09614028036594391, 0.06152098625898361, -0.05003409460186958, 0.035758208483457565, 0.014...
highest\tamount\tin\tcirculation,\texceeded\tonly\tby\tIgG.\nIgD\nFound\tin\n\tsmall\tamounts\tin\tthe\ttissues\tthat\tline\tthe\tbelly\tand\tchest;\tinvolved\tin\timmunoglobulin\tclass\nswitching.\tSignals\tB\tcells\tto\tbe\tactivated.\tSuggestion\tthat\tIgD-producing\tB\tcells\tare\tauto\treactive
[ 0.007179467938840389, -0.06084294617176056, 0.038022469729185104, -0.053213685750961304, -0.15862801671028137, -0.017239568755030632, 0.10841445624828339, 0.03444022312760353, -0.03907109424471855, 0.06562449038028717, 0.05823180824518204, -0.030393296852707863, 0.05962396413087845, 0.0026...
lymphocytes\tand\tmay\tbe\tinvolved\tin\tautoimmune\tdisease.\tIts\trole\tin\tallergy\tis\tprobably\tminimal.\nIgE\nThe\tclassic\tallergy\tantibody\tof\thay\tfever,\tasthma,\teczema,\tfood-induced\tallergy,\tfood-induced\nanaphylaxis,\n\tpollen-food\tallergy\tsyndrome\t(PFAS),\tand\tlatex-fruit\tallergy.\tImmediate\tal...
[ 0.024735325947403908, -0.027490787208080292, 0.030335867777466774, -0.033778607845306396, -0.07650000602006912, 0.07526491582393646, 0.04761790111660957, 0.07602360099554062, -0.046360090374946594, 0.0922711044549942, 0.12325379252433777, -0.01014801301062107, 0.03718798607587814, 0.000252...
usually\tinvolve\tIgE\tand\tare\tthe\tmost\tclearly\tunderstood\tmechanisms.\nIgG\nThe\tonly\tantibody\tthat\tcrosses\tthe\tplacenta\tfrom\tmother\tto\tbaby\tand\tis\tthe\tmost\tcommon\tantibody\nin\tthe\tblood.\tDefends\tagainst\tpathogens\tand\tpersists\tlong\tafter\tthe\tthreat\tis\tover.\tFour\tsubtypes\ninclude\tI...
[ 0.022699082270264626, -0.057742223143577576, 0.0472332127392292, -0.031115949153900146, -0.06437329947948456, -0.020582396537065506, 0.06185951456427574, -0.0418342761695385, -0.001877476111985743, 0.07160670310258865, 0.06529280543327332, -0.04289553314447403, 0.026860296726226807, -0.010...
include\tIgG1,\tIgG2,\tIgG3,\tand\tIgG4.\tFood\n\tprotein–specific\tIgG\tantibodies\ttend\tto\trise\tin\tthe\tfirst\tfew\nmonths\tafter\tthe\tintroduction\tof\ta\tfood\tand\tthen\tdecreases\teven\tthough\tthe\tfood\tmay\tcontinue\tto\tbe\nconsumed.\tIt\tappears\tto\tbe\tpart\tof\tthe\tprocess\tof\tdevelopment\tof\ttole...
[ 0.0060514118522405624, -0.04585505276918411, 0.036611951887607574, -0.036613740026950836, -0.03645327687263489, 0.009209404699504375, 0.107818104326725, -0.01715504378080368, -0.015714069828391075, 0.044071633368730545, 0.11923649907112122, -0.05531720444560051, 0.07013746351003647, 0.0180...
specific\tIgG4\taccompanied\tby\ta\tdrop\tin\tIgE\toften\tindicates\ttolerance\tof\tthe\tfood.\tPeople\twith\ninflammatory\tbowel\tdisorders\tsuch\tas\tuntreated\n\tceliac\tdisease\tor\tulcerative\tcolitis\toften\thave\thigh\nlevels\tof\tIgG\tand\tIgM\t(Stapel\tet\tal,\t2008),\tpossibly\tindicating\tthe\tpassage\tof\tf...
[ 0.02684928849339485, -0.06644772738218307, 0.04222014546394348, -0.031131643801927567, -0.08346109092235565, 0.005463527049869299, 0.08038657158613205, -0.02479599416255951, -0.018273992463946342, 0.07876692712306976, 0.09572995454072952, -0.06082095578312874, 0.03185645118355751, 0.065727...
“foreign\tinvaders”\tinto\tcirculation.\nIgM\nThe\tlargest\tantibody,\ta\tfirst-line\tdefender\tthat\tcan\tmop\tup\tmany\tantigens\tat\tone\ttime.\tIt\tis\tproduced\nby\tthe\tfetus\tin\tutero\tand\tits\tlevel\trises\tin\tthe\tpresence\tof\tan\tin\tutero\tinfection.\nStapel\tSO,\tAsero\n\tR,\tBallmer-Weber\tBK,\tet\tal:...
[ -0.01140685100108385, 0.0013919095508754253, 0.03968937322497368, -0.01570698246359825, -0.08378467708826065, 0.015285876579582691, 0.09835212677717209, -0.03257513418793678, -0.018088780343532562, 0.023890197277069092, 0.09076610952615738, -0.053178854286670685, 0.004635071847587824, 0.00...
diagnostic\ttool:\tEAACI\tTask\tForce\tReport,\t\nAllergy\n\t63:793–796,\t2008.\nThe\tproduction\tof\tantibodies\tis\ta\tmajor\tfunction\tof\tthe\timmune\tsystem\tand\tis\tcarried\tout\tby\ta\nparticular\ttype\tof\t\nlymphocyte\n\t(white\tblood\tcell).\tThere\tare\ttwo\timportant\tgroups\tof\tlymphocytes:\t\nB-
[ -0.02071714587509632, -0.05685553327202797, -0.026523057371377945, -0.06046729534864426, -0.060621101409196854, 0.0021094074472784996, 0.0585775226354599, 0.10921333730220795, -0.0188381876796484, 0.08993735164403915, 0.06358750909566879, -0.023572765290737152, 0.011960308998823166, 0.0956...
cells\n\tarising\tfrom\tstem\tcells\tin\tthe\tbone\tmarrow,\n\tand\t\nT-cells\n,\talso\toriginated\tfrom\tstem\tcells\tbut\tlater\ntransported\tto\tthe\tthymus\tgland\twhere\tthey\tmature,\thence\tthe\tname\tT-cells.\tMonocytes\tand\nmacrophages\tare\tprimarily\tphagocytes\tthat\tengulf\tforeign\tmaterial,\tbreak\tit\t...
[ -0.007752527482807636, -0.05131968855857849, 0.026743842288851738, -0.07417900860309601, -0.11018554866313934, 0.04295504838228226, 0.058577995747327805, 0.0622551254928112, 0.00840794201940298, 0.09877419471740723, 0.05163351818919182, -0.022369740530848503, 0.038532376289367676, 0.045047...
molecules\tof\tthe\tmaterial\ton\ttheir\tsurfaces,\tmaking\tthem\t\nantigen-presenting\tcells\t(APC)\n.\tThe\nantigenic\tcomponent\tdisplayed\ton\tthe\tsurface\tis\tan\t\nepitope\n\tand\tis\trecognized\tby\tT-cells.\nT-cells\tare\ta\tdiverse\tgroup\tof\tlymphocytes\twith\tseveral\tdifferent\troles\tin\tthe\timmune\tres...
[ -0.00585636543110013, -0.09651564061641693, 0.029022525995969772, -0.053357917815446854, -0.07726237177848816, 0.04129696637392044, 0.07750135660171509, 0.04879928007721901, 0.016851674765348434, 0.1252589076757431, 0.06900333613157272, -0.041136909276247025, 0.004470239859074354, 0.047566...
different\tcircumstances,\tand\tthey\tsecrete\tdifferent\tsets\tof\t\ncytokines\n\t(chemical\tmessengers).\t\nTh\tcells\nare\thelper\tcells\tthat\tadjust\tthe\tsystem.\t\nTh1\tcells\n\tregulate\tthe\tactivities\tof\tthe\tB-cells\tto\tproduce\nantibodies\tand\tdirect\tdamage\tto\ttarget\tcells,\tresulting\tin\tthe\n\tde...
[ 0.026787882670760155, -0.07807587832212448, 0.03737762197852135, -0.049302369356155396, -0.0827745869755745, 0.016757704317569733, 0.11572866886854172, 0.05125301703810692, 0.0026860698126256466, 0.07777874171733856, 0.08310307562351227, -0.08531562238931656, 0.023256352171301842, 0.034310...
destruction\tof\tantigens.\tThis\tfunction\tis\nuseful\tin\tdefending\tagainst\tbacteria,\tviruses,\tand\tother\tpathogenic\tcells.\t\nTh2\tcells\n\tmediate\tthe\tallergic\nresponse\tby\tregulating\tthe\tproduction\tby\tB-cells\tof\tIgE\tsensitized\tto\tfood\tor\tother\tallergens.\tOther\tT-cells\nare\t\nT-regulatory\t...
[ -0.03125505894422531, -0.03331217169761658, 0.02919725328683853, -0.051796332001686096, -0.03490085527300835, 0.03147311136126518, 0.07266013324260712, 0.05859823897480965, -0.0045656063593924046, 0.10188049077987671, 0.08626013994216919, -0.014894839376211166, 0.022924985736608505, 0.0380...
are\t\nT-regulatory\tcells\t(T-reg\tcells)\n\tand\t\nT-suppressor\tcells\n\tthat\tregulate\tthe\timmune\tresponse\tso\tthat\nthere\tis\ttolerance\tof\tthe\tforeign\tbut\n\tsafe\tmolecule.\nAlso\tinvolved\tin\tallergic\treactions\tare\t\ngranulocytes\n,\tcells\tthat\tcontain\tintracellular\tgranules,\twhich\tact
[ 0.01600239984691143, -0.07274731248617172, 0.012517073191702366, -0.03939877077937126, -0.09442593157291412, 0.035978689789772034, 0.11177606880664825, 0.07542237639427185, 0.007250574417412281, 0.09478721767663956, 0.0884752869606018, -0.026460977271199226, 0.02911854162812233, 0.07927039...
granulocytes\n,\tcells\tthat\tcontain\tintracellular\tgranules,\twhich\tact\nas\tstorage\tdepots\tfor\tdefense\tchemicals\tor\tinflammatory\tmediators\tthat,\twhen\treleased,\tnot\tonly\tprotect\nthe\tbody\tfrom\tinvading\tpathogens\tbut\talso\tcan\tproduce\tallergic\tsymptoms.\tGranulocytes\tcalled\t\nmast\ncells\n\ta...
[ 0.016948997974395752, -0.09941579401493073, 0.01885053515434265, -0.07794592529535294, -0.10891600698232651, -0.002495044143870473, 0.09888632595539093, 0.09486456960439682, 0.007434542756527662, 0.09311213344335556, 0.06776393204927444, 0.027987705543637276, 0.07693947106599808, 0.0693483...
are\tlocated\tin\tthe\tlungs,\tskin,\ttongue,\tand\tlinings\tof\tthe\tnose\tand\n\tintestinal\ttract,\tand\tthose\tcalled\nbasophils\n\tare\tin\tthe\tcirculation.\tOf\timportance\tin\tnon-IgE\tmediated\tallergy\tare\t\neosinophils\n,\tanother\nform\tof\tgranulocytes\tthat\tare\tin\tblood\tand\ttissues\tand,\twhen\tstim...
[ 0.035686589777469635, -0.07252022624015808, 0.05052622780203819, -0.03197268769145012, -0.08369715511798859, 0.02900691330432892, 0.0996917113661766, 0.05271539092063904, 0.0018516629934310913, 0.0875384658575058, 0.07578859478235245, -0.037099044770002365, 0.028012827038764954, 0.08643414...
cells,\tmigrate\tto\tthe\tsite\tof\tan\tallergic\treaction.\nWhen\tgranulocytes\tdegranulate\tthey\trelease\t\ninflammatory\tmediators\n,\tsuch\tas\thistamine,\tchymase,\nand\ttryptase\n\tand,\tin\tthe\tcase\tof\tmast\tcells,\tthere\tis\tde\tnovo\tsynthesis\tof\tlipid\tmetabolites\tof\tarachidonic
[ 0.03280821442604065, -0.08437402546405792, -0.015605163760483265, -0.059699855744838715, -0.07630803436040878, 0.05965655669569969, 0.06835976988077164, 0.041839417070150375, -0.02105088159441948, 0.13949577510356903, 0.09139478951692581, -0.049322910606861115, -0.03120000846683979, 0.0847...
acid—prostaglandins,\tleukotrienes,\tand\tplasma\tactivating\tfactor\t(PAF).\tEach\tof\tthese\tmediators\thas\ta\nspecific\teffect\ton\tlocal\ttissues\tand\tat\tother\tsites,\tresulting\tin\tthe\tsymptoms\tof\tan\tallergic\treaction—\nvasodilation,\tincreased\tvascular\tpermeability\tleading\tto\tangioedema,\tnocicepti...
[ 0.03331223502755165, -0.11933243274688721, 0.02382584474980831, 0.02229180932044983, -0.09429295361042023, 0.04739541560411453, 0.08904874324798584, 0.09798712283372879, -0.0227449182420969, 0.04908745735883713, 0.09578398615121841, 0.011497989296913147, 0.011525934562087059, 0.07451720535...
activation\n\tcausing\titchiness,\tsmooth\tmuscle\tconstriction,\tmucous\tsecretion,\tand\tacute\tdiarrhea.\nAllergic\tresponse\nThe\tpathophysiology\tof\tthe\tallergic\tresponse\tcan\tbe\tdescribed\tin\tthree\tphases:\tthe\tbreakdown\tof\toral\ntolerance,\tallergen\tsensitization,\tand\treactivity\tto\tallergens\tlead...
[ 0.008998056873679161, -0.10412871092557907, 0.03794638067483902, -0.005226677283644676, -0.11254700273275375, 0.040028348565101624, 0.07342410087585449, 0.07437337189912796, -0.028324633836746216, 0.05922725796699524, 0.08051670342683792, -0.012539105489850044, 0.02598390355706215, 0.05946...
Breakdown\tof\toral\ttolerance.\nHumans\tare\texposed\tto\tthousands\tof\tforeign\tmolecules\tdaily\tfrom\n\tfood\tand\tthe\tenvironment.\tExposure\tto\nthese\tforeign\tmolecules\tin\tthe\tdigestive\ttract\tthrough\tingested\tsubstances\tis\tusually\tfollowed\tby\timmune\nregulation\tor\tsuppression,\tsuch\tthat\tthe\t...
[ 0.02268870547413826, -0.052608922123909, 0.05472287908196449, -0.024671684950590134, -0.04942786321043968, 0.019908105954527855, 0.05931311845779419, -0.016267692670226097, -0.004194989334791899, 0.05250972881913185, 0.10763310641050339, -0.04984796419739723, 0.024453051388263702, 0.035842...
prerequisite\tfor\tthe\tdevelopment\tof\ttolerance\tto\ta\tfood\tor\tfood\tcomponent.\t\nOral\ttolerance\n\tis\tthe\nmechanism\tby\twhich\tpotentially\tantigenic\tsubstances\n\tdo\tnot\ttrigger\tan\timmune\tresponse\tand\tis\tthe\nnormal\tphysiologic\tresponse\tto\tingested\tantigens\t(\nTordesillas\tand\tBerin,\t2018\...
[ 0.044566575437784195, -0.04191488027572632, 0.06395066529512405, 0.010778246447443962, -0.041855230927467346, 0.03231164067983627, 0.08655167371034622, 0.004810219630599022, -0.04043486714363098, 0.09901579469442368, 0.13054460287094116, -0.03885938972234726, -0.013614899478852749, 0.09433...
Tordesillas\tand\tBerin,\t2018\n).\tThe\tdevelopment\tof\nimmunologic\tand\tclinical\ttolerance\tis\tthus\tcritical\tto\tpreventing\tfood\tallergies\tand\tother\tchronic\ninflammatory\tdiseases.\tOral\ttolerance\tis\tmediated\tby\tseveral\timmune\tcells,\tincluding\tAPCs\tsuch\tas\ndendritic\tcells\t(DCs)\n\tand\tmacro...
[ -0.036457255482673645, -0.043138403445482254, 0.04313702508807182, -0.03217870742082596, -0.106661356985569, 0.022989125922322273, 0.07087062299251556, 0.0300777405500412, 0.006550343241542578, 0.10138993710279465, 0.12227190285921097, -0.017945101484656334, 0.009417649358510971, 0.0721639...
(T\nreg\n\tcells)\t(\nBauer\tet\tal,\t2015\n).\tTolerance\nis\tacquired\twith\tinnate\tand\tadaptive\timmune\tresponses\tacting\tin\ta\tcoordinated\tmanner\tto\tmount\ta\nresponse\tto\tantigen\texposure.\tIt\tis\ta\tprocess\tthat\tstarts\tin\tutero\tand\tpersists\tthroughout\tlife\t(\nRenz\tet\tal,\n2018\n).
[ 0.020476168021559715, 0.006357565522193909, 0.07776997983455658, -0.0424446240067482, -0.09236583113670349, 0.020031502470374107, 0.08279894292354584, -0.009395209141075611, 0.014229708351194859, 0.08082044124603271, 0.1074872836470604, -0.06479346752166748, 0.03152340278029442, 0.04398987...
Renz\tet\tal,\n2018\n).\nThe\tgut\tmicroenvironment\tsupports\tand\tpromotes\texpansion\tof\tthe\tregulating\tactivity\tof\tT-reg\tcells\nthrough\tmultiple\tprocesses\tincluding\tthe\n\tpresence\tof\tretinoic\tacid\t(from\tvitamin\tA)\tand\tmicrobial\nmetabolites,\tsuch\tas\tshort-chain\tfatty\tacids.\tB-cells\talso\ti...
[ -0.006460457108914852, -0.0802135095000267, 0.02274318039417267, -0.06316911429166794, -0.09662211686372757, 0.05349024012684822, 0.07253449410200119, 0.04351138323545456, -0.01888967677950859, 0.08718646317720413, 0.09306661784648895, -0.06691911071538925, 0.011338753625750542, 0.06524153...
B-regulatory\n(B-reg)\tcells\n\tact\tmainly\tthrough\tinterleukin-10\t(IL-10),\tan\tantiinflammatory\tcytokine\tto\treduce\tinfection\nand\tallergic\tinflammation\tand\tto\tpromote\ttolerance.\tA\tbreakdown\tin\tthe\ttolerogenic\tprocess\tleads\tto\ta\nshift\taway\tfrom\tT-reg\tcell\n\tinduction\tto\tthe\tgeneration\to...
[ -0.017771882936358452, -0.08110359311103821, 0.01592574082314968, -0.02453845739364624, -0.09367966651916504, 0.08857030421495438, 0.12009225785732269, 0.07475520670413971, -0.025989875197410583, 0.0399317592382431, 0.08038663119077682, -0.04005840793251991, 0.01564004085958004, 0.04527617...
to\tfood\tallergens\t(\nRenz\tet\tal,\t2018\n;\t\nSampson\tet\tal,\t2018\n).\nSensitization.\nSensitization\n\tto\tfood\tantigens\tcan\ttake\tplace\tin\tthe\tgastrointestinal\ttract,\toral\tcavity,\tskin,\tand\noccasionally\tin\tthe\trespiratory\ttract\t(\nSampson\tet\tal,\t2018\n).\tGastrointestinal\t(GI)\tfunction\ti...
[ 0.003201885847374797, -0.02923082560300827, 0.021673856303095818, -0.028052613139152527, -0.09216818958520889, 0.010782287456095219, 0.08941291272640228, 0.022221511229872704, -0.012147195637226105, 0.06368274986743927, 0.12871651351451874, -0.003646328579634428, 0.03634309023618698, 0.033...
maintenance\tof\toral\ttolerance,\n\tand\tavoidance\tof\tallergic\tsensitization\tand\tallergic\tresponse,\tsince\tthe\nvast\tmajority\tof\tfood\tproteins\tare\tbroken\tdown\tby\tgastric\tacid\tand\tdigestive\tenzymes\tin\tthe\tstomach\tand\nintestine.\nRecognized\tas\tbeing\tincreasingly\tessential\tto\tthis\tfunction...
[ 0.027071498334407806, -0.07338026911020279, 0.05590131878852844, -0.012929537333548069, -0.08115355670452118, 0.001816915930248797, 0.096271812915802, 0.02897927723824978, -0.016536545008420944, 0.05418844521045685, 0.08574464917182922, -0.01180331315845251, 0.028788655996322632, 0.0215934...
microbiome\n,\tthe\tcollection\tof\tdifferent\ttypes\tof\tmicrobes\t(bacteria,\tbacteriophage,\tfungi,\tprotozoa,\tand\nviruses)\tthat\tlive\tinside\tthe\tgut.\tThe\tintestinal\tmicrobiome\tis\tresponsible\tfor\tregulating\tthe\texpansion\tof\nT-reg\tcells\tand\tTh1\tand\tTh2\ttype\tcells\tto\tpromote\timmune\tbalance....
[ 0.011336899362504482, -0.042313352227211, -0.013073252514004707, -0.08103860169649124, -0.019810231402516365, 0.03681877627968788, 0.03583032637834549, 0.04659315198659897, -0.002940100384876132, 0.08497321605682373, 0.12199025601148605, -0.08063648641109467, 0.0415559783577919, 0.09918863...
Russler-Germain\tet\tal,\t2017\n).\nDysbiosis\n\toccurs\twhen\tthere\tis\tan\timbalance\tin\tthe\tmicrobial\tecosystem,\twhich\tcan\tcontribute\tto\nincreased\tintestinal\tpermeability\tor\t“leaky\tgut,”\n\tand\tthe\tincreased\tlikelihood\tthat\tintact\tfood\nproteins\tand\tpeptides\twill\tpass\tthrough\tthe\tintestina...
[ -0.015984369441866875, -0.03238009661436081, 0.04716767370700836, -0.029010673984885216, -0.08165407925844193, 0.013808511197566986, 0.12835253775119781, -0.005585806909948587, 0.020207827910780907, 0.06125813350081444, 0.07994549721479416, -0.0279286690056324, 0.02103390172123909, 0.00949...
immune\tsensitization\tand\tpossibly\treactivity\t(\nPlunkett\tand\tNagler,\t2017\n).\tThe\t\ngut-associated\tlymphoid\ntissue\t(GALT)\n\tis\tthe\tlargest\tmass\tof\tlymphoid\ttissue\tin\tthe\tbody\tand\tantigen\tpenetration\tand\npresentation\tto\tthe\tGALT\tdrives\tfood\tsensitization\t(\nFritscher-Ravens\tet\tal,\t2...
[ 0.014838581904768944, -0.01942022331058979, 0.052813634276390076, -0.013664862141013145, -0.0621839314699173, 0.04357440024614334, 0.11682802438735962, -0.0031894282437860966, -0.010068638250231743, 0.0656423568725586, 0.11464650928974152, -0.04636006057262421, 0.011217632330954075, 0.0506...
Fritscher-Ravens\tet\tal,\t2014\n).\tOther\tconditions\n\tsuch\nas\tGI\tdisease,\tmalnutrition,\tfetal\tprematurity,\tand\timmunodeficiency\talso\tmay\tbe\tassociated\twith\nincreased\tgut\tpermeability\tand\trisk\tof\tdevelopment\tof\tfood\tallergy.\tDisruptions\tin\tthe\tmicrobiome\tand
[ 0.007816314697265625, -0.006654794327914715, 0.016820961609482765, 0.009386079385876656, -0.044148094952106476, 0.062226857990026474, 0.07536228001117706, 0.03679148480296135, -0.024299224838614464, 0.09158913791179657, 0.12069352716207504, -0.060822583734989166, 0.004917364101856947, 0.05...
the\tintestinal\twall\tbarrier\tare\tthe\tresult\tof\tvarious\tfactors,\tincluding\tcesarean\tdelivery,\tformula\tfeeding,\nantibiotics,\tchronic\tstress,\tinfections,\tand\talterations\tin\tthe\tmicrobiome\tdue\tto\tdisease\n\t(see\t\nChapters\t1\nand\t\n27\n\tfor\tfurther\tdiscussion\tof\tthe\tmicrobiome).
[ 0.027340872213244438, -0.07627855241298676, 0.03608549013733864, -0.0629134252667427, -0.08963677287101746, 0.012640782631933689, 0.053288526833057404, 0.008830700069665909, 0.02237478829920292, 0.08022961020469666, 0.11103490740060806, -0.07295536994934082, 0.036716658622026443, 0.0909711...
(see\t\nChapters\t1\nand\t\n27\n\tfor\tfurther\tdiscussion\tof\tthe\tmicrobiome).\nAdditional\tforces\tdriving\ttolerance\tbreakdown\tand\tpotential\tsensitization\tmight\tarise\toutside\tthe\nintestine,\tas\tthere\tis\tevidence\tthat\tfood\tallergen\tentry\tcan\toccur\tthrough\tscratched,\tbroken,\tand\ninflamed\tskin...
[ 0.015745406970381737, -0.025647087022662163, 0.021942313760519028, -0.04967104643583298, -0.07752478867769241, 0.042606744915246964, 0.06506575644016266, 0.04314925894141197, 0.020615024492144585, 0.07048100233078003, 0.08747820556163788, -0.025191761553287506, 0.04038865491747856, 0.05110...
inflamed\tskin\t(\nRenz\tet\tal,\t2018\n).\tLike\tthe\tgut,\tthe\tskin\tmicrobiome\tconsists\tof\tthousands\tof\tmicrobial\norganisms\tand\ttheir\tbyproducts\n\tthat\tinhabit\tthe\tskin.\tA\tharmonious\tbalance\tof\tthe\tgut-skin-microbiota\tis\nnow\tthought\tto\tbe\tvital\tto\ta\twell-functioning\timmune\tsystem.
[ 0.009434892795979977, -0.03210759907960892, 0.04341559857130051, -0.03430534899234772, -0.03710125386714935, 0.014745907858014107, 0.04682222753763199, 0.048450347036123276, -0.005060231778770685, 0.10118570923805237, 0.0993877649307251, -0.07955329865217209, 0.029079297557473183, 0.081836...
Reaction.\nThe\tthird\tphase\tof\tthe\tallergic\tresponse\tis\treactivity\twhenever\tan\tallergen\tto\twhich\tthe\timmune\tsystem\tis\nnow\tsensitized\tenters\tthe\tbody\tagain.\tBecause\tindividuals\tcan\tdevelop\timmunologic\tsensitization\tas\nevidenced\tby\tthe\tproduction\tof\tallergen-specific\n\tIgE\t(sIgE)\tor\...
[ 0.02969283051788807, -0.03839154914021492, 0.08295561373233795, -0.01437793206423521, -0.05606351047754288, 0.07225033640861511, 0.07409777492284775, 0.04013959318399429, 0.01991945318877697, 0.1494266837835312, 0.09511067718267441, -0.08435631543397903, 0.005250954534858465, 0.05909243971...
IgE\t(sIgE)\tor\tother\timmune\tcell\tsensitization\twithout\nhaving\tallergic\tsymptoms\tupon\tsubsequent\texposure\tto\tthose\tfoods,\tan\tIgE-mediated\tor\tnon–IgE-\nmediated\tfood\tallergy\trequires\tthe\tpresence\tof\tnot\tonly\tloss\tof\ttolerance\tand\tsensitization\tbut\talso\tthe\npresence\tof\tclinical\tsympt...
[ 0.03007252886891365, -0.06687155365943909, 0.04302990436553955, -0.006433768663555384, -0.10909091681241989, -0.0077339280396699905, 0.10613599419593811, 0.0236910842359066, 0.035995788872241974, 0.06560972332954407, 0.11055812239646912, -0.03805379942059517, 0.06822188198566437, 0.0448819...
NASEM,\n2017\n)\t(\nFig.\t25.2\n).\nFIG.\t25.2\nSensitization\tprocess\tand\tIgE-mediated\tallergic\treaction.\nIgE-mediated\treactions\n\toccur\twhen\tsIgE\tproduced\tin\tresponse\tto\tthe\tpresence\tof\tthe\tallergen\nattaches\tto\tmatching\tsIgE\tantibodies\ton\tthe\tmast\tcell\tor\tbasophil,\tforming\ta\t“bridge”\t...
[ 0.01068183220922947, -0.03472103551030159, 0.04847796633839607, -0.04112353175878525, -0.12155766785144806, 0.014514327049255371, 0.06495121866464615, 0.011926576495170593, 0.038630012422800064, 0.0661659836769104, 0.08807872980833054, -0.038565173745155334, 0.024402156472206116, 0.0283537...
bridging\tactivates\tthe\tmast\tcell\tor\tbasophil\tby\ta\tseries\tof\tenergy-requiring\tprocesses\tresulting\tin\tthe\ncell’s\tdegranulation\tand\n\trelease\tof\tthe\tinflammatory\tmediators,\tand\tthe\tappearance\tof\tallergic\tsymptoms.\nIgE-mediated\tfood\tallergic\treactions\tare\trapid\tin\tonset,\toccurring\twit...
[ 0.040414631366729736, -0.08327269554138184, 0.04740125685930252, -0.04275050759315491, -0.10502755641937256, 0.011691778898239136, 0.11359703540802002, 0.05805029720067978, 0.0010530153522267938, 0.0535876527428627, 0.06407199800014496, -0.029656479135155678, 0.05066756531596184, 0.0568910...
exposure\tthrough\teither\tinhalation,\tskin\tcontact,\tor\tingestion.\tA\twide\trange\tof\tsymptoms\tare\tattributed\nto\tthis\ttype\tof\treaction,\tand\tusually\tinvolve\tthe\tGI,\tdermatologic,\tor\trespiratory\tsystems\tand\tcan\trange\nfrom\tmild\n\thives\tto\tlife-threatening\tmultiple\torgan\tanaphylaxis\t(\nFig...
[ 0.02835458517074585, -0.002051370684057474, 0.05662486329674721, -0.02380104549229145, -0.0012101872125640512, 0.008616176433861256, 0.09346667677164078, 0.057854216545820236, -0.014101238921284676, 0.06265144050121307, 0.1053178533911705, -0.033314865082502365, 0.029157111421227455, 0.068...
FIG.\t25.3\nA\n\tand\t\nB\n,\tAtopic\teczema:\tAn\tIgE-mediated\tskin\treaction\tto\ta\tfood\tallergen,\tcommonly\tseen\ton\tthe\thands,\nback\tof\tknees,\tand\tthe\tinside\tof\telbows.\n\t\nSource:\n\tA,\tFrom\t\t\nwww.istockphoto.com\n.\nNon–IgE-mediated\treactions\n\tare\tbased\ton\tthe\tactivation\tof\tcells\tother...
[ -0.022734632715582848, -0.0949207991361618, 0.027425045147538185, -0.029955647885799408, -0.06530940532684326, -0.03231764957308769, 0.11675330251455307, 0.049669791013002396, 0.03845280781388283, 0.0713328942656517, 0.15429949760437012, -0.015426588244736195, 0.028258031234145164, 0.05192...
and\ttheir\tdegranulation\tand\trelease\tof\tmediators.\tNon–IgE-mediated\treactions\tare\tpresent\tin\tdelayed\n\tor\nchronic\treactions\tto\tfood\tallergen\tingestion.\tSee\t\nTable\t25.2\n\tfor\ta\tcomparison\tof\tIgE-\tand\tnon–IgE-\nmediated\tallergic\treactions.
[ 0.038674984127283096, -0.08334418386220932, 0.010564959608018398, -0.04947419837117195, -0.10882486402988434, -0.01656327210366726, 0.09376700222492218, 0.021816115826368332, -0.009270425885915756, 0.07696574926376343, 0.1241740882396698, -0.030837396159768105, -0.01089280005544424, 0.0607...
TABLE\t25.2\nComparison\tof\tIgE-\tand\tNon–IgE-Mediated\tAllergic\tReactions\nCharacteristics/Target\nOrgan\nIgE\tMediated\nNon–IgE-Mediated\nMixed\tIgE-\tand\nNon–IgE-\nMediated\nMechanism\nTh2\tactivation\tstimulates\nproduction\tof\tIgE\tby\tactivated\tB-\ncell\tlymphocytes.\tAllergen\tbinds\nwith\tthe\treceptors\t...
[ 0.012236041948199272, -0.10000235587358475, -0.012775726616382599, -0.04122514650225639, -0.08112579584121704, 0.0002931739145424217, 0.08732037246227264, 0.05612363666296005, -0.04004063829779625, 0.1035156100988388, 0.08805084973573685, -0.01860628090798855, 0.010821130126714706, 0.06378...
with\tthe\treceptors\ton\tsensitized\nIgE\tantibodies\ton\tmast\tcells\tor\nbasophils.\tUpon\tbinding,\tchemical\ninflammatory\tmediators\tare\nreleased.\nT-cells\tand\nsometimes\neosinophils\tare\nassociated\twith\ntriggering\n\trelease\nof\tinflammatory\nmediators\tand\ndevelopment\tof\nsymptoms.\nA\ncombination\nof\...
[ 0.023103851824998856, -0.08626387268304825, 0.030033765360713005, -0.004722225479781628, -0.08589157462120056, 0.03384449705481529, 0.08345653116703033, 0.03634557127952576, 0.008465226739645004, 0.11146754771471024, 0.08997565507888794, -0.08148543536663055, -0.017925286665558815, 0.08493...
A\ncombination\nof\tIgE\tand\nnon-IgE\nmechanisms\nTiming\nQuick\tonset\nFirst\tphase:\timmediate\treaction—\nminutes\tto\t1\thour\n*\nLate\tbiphasic\tphase:\tmay\toccur\nseveral\thours\t(4\tto\t6)\tafter\tinitial\nreaction\t(e.g.,\talpha\tgal)\nDelayed\tonset:\t>2\nhours;\toften\t4\tto\t6\nhours;\trelapsing\nDelayed\n...
[ 0.024999603629112244, -0.07491476833820343, 0.07380105555057526, -0.08360034227371216, -0.1535654217004776, 0.004580279812216759, 0.0638534277677536, -0.01310283225029707, 0.025828508660197258, 0.11907415091991425, 0.08111295849084854, -0.03858700022101402, 0.04342801123857498, 0.019415738...
hours;\toften\n4\tto\t6\thours\nVolume\tRequired\n\tfor\nReaction\nSmall\nSometimes\tlarger\nSometimes\nlarger\nSystemic\nAnaphylaxis\nFood-associated\texercise\tinduced\nanaphylaxis\t(FEIA)\nNSAID-associated,\taspirin-\nassociated,\tor\talcohol-associated\nfood-induced\tanaphylaxis\nNA\nNA\nSkin\nGeneralized\turticari...
[ -0.004690013825893402, -0.031919464468955994, 0.0027294207829982042, 0.07113824784755707, -0.07827040553092957, 0.04346584528684616, 0.03509725630283356, 0.06311938166618347, -0.02612357959151268, 0.0024236664175987244, 0.0669165849685669, -0.013805696740746498, -0.03488186001777649, 0.047...
Acute\tcontact\turticaria\nAngioedema\nRash\nItching\nFlushing\nContact\tdermatitis\nDermatitis\nherpetiformis\nAtopic\ndermatitis\n(eczema)\t(see\nFig.\t25.3\n)\nGastrointestinal\tTract\nImmediate\tgastrointestinal\t(GI)\nhypersensitivity\tor\tspasm\nOral\tallergy\tsyndrome\t(OAS)\tor\npollen-food\tallergy\tsyndrome\n...
[ 0.008619513362646103, -0.02819572202861309, 0.01811334118247032, -0.006309899967163801, -0.0848347395658493, -0.01125846616923809, 0.011344492435455322, 0.08102839440107346, -0.10806232690811157, 0.08800087869167328, 0.07059155404567719, 0.008208019658923149, 0.051036614924669266, 0.075659...
(PFAS)\nAbdominal\tpain\nNausea\nVomiting\nBelching\nBloating\nDiarrhea\nConstipation\nFood\tprotein–\ninduced\nenteropathy\nsyndromes\t(FPIES)\nFood\tprotein–\ninduced\nproctocolitis\t(FPIP)\nCeliac\tdisease\nEosinophilic\nesophagitis\t(EoE)\nEosinophilic\tgastritis\nEosinophilic\ngastroenteritis\n(EGE)\nNA\nRespirato...
[ 0.022313831374049187, -0.08682148158550262, -0.02911382168531418, 0.034555427730083466, -0.07308076322078705, 0.008414272218942642, 0.04177214577794075, 0.14905193448066711, -0.023365233093500137, 0.06411392241716385, 0.039236072450876236, 0.013140978291630745, 0.06670596450567245, 0.08462...
NA\nRespiratory\nAcute\trhinitis\t(stuffy\tnose)\nRhinorrhea\t(runny\tnose)\nAsthma\nBronchospasm\nLaryngeal\tedema\nNA\nAsthma\nCardiovascular\nHypotension\nDizziness\tor\tfainting\nNA\nNA\n*\t\nIn\tcontrast\tto\ttypical\tfood\tanaphylaxis\tthat\toccurs\twithin\tminutes\tto\t2\thours\tfollowing\tingestion\tof\tthe\ttr...
[ -0.002758248243480921, -0.07751671224832535, 0.010334940627217293, 0.022512394934892654, -0.09153331816196442, -0.00438940292224288, 0.05034838244318962, 0.07215088605880737, -0.016536451876163483, 0.052590228617191315, 0.12256286293268204, -0.023599563166499138, 0.060260575264692307, 0.06...
reactions\tto\tmammalian\tmeat,\n\twith\tthe\tsame\tanaphylaxis\tsymptoms\tare\tdelayed,\toccurring\t3\tto\t8\thours\tafter\tingestion.\nNA\n,\tNot\tapplicable.\nSources:\tNational\tAcademies\tof\tSciences,\tEngineering,\tand\tMedicine\t(NASEM),\tInstitute\tof\tMedicine\t(IOM)\t\nFinding\ta\tpath\tto\tsafety\tin\tfood\...
[ 0.013737127184867859, -0.058639563620090485, 0.013980447314679623, -0.051536690443754196, -0.02396734431385994, 0.05032432824373245, 0.04119878262281418, 0.09747636318206787, 0.03691145032644272, 0.09779782593250275, 0.1038612350821495, -0.025408443063497543, 0.003941906150430441, 0.055463...
Finding\ta\tpath\tto\tsafety\tin\tfood\tallergy:\nAssessment\tof\tthe\tglobal\tburden,\tcauses,\tprevention,\tmanagement,\tand\tpublic\tpolicy\n.\tWashington,\tDC:\tThe\tNational\tAcademies\tPress,\t2017\tp.\t40.\nRenz\tH,\tAllen\tKJ,\tSicherer\tSH,\tet\tal:\tFood\tallergy,\tNature\tReviews-Disease\tPrimers,\tvol\t4:\t...
[ -0.03067638911306858, -0.014119607396423817, 0.019768545404076576, -0.04211393743753433, -0.03865890949964523, -0.01471154484897852, 0.045247144997119904, 0.023773107677698135, -0.007171825505793095, 0.04368994012475014, 0.10879117250442505, -0.013023159466683865, 0.08297041058540344, 0.01...
Joneja\tJV:\t\nThe\thealth\tprofessional’s\tguide\tto\tfood\tallergies\tand\tintolerances\n,\tChicago,\tIL,\t2013,\tAcademy\tof\tNutrition\tand\tDietetics.\nIgE-mediated\tfood\tallergies\nAlthough\tany\tfood\tcan\tcause\tan\tallergic\treaction,\ta\tsmall\tnumber\tof\tfoods\tcause\tthe\n\tvast\tmajority\tof\tIgE-
[ -0.0034887560177594423, -0.0399959571659565, 0.02939893677830696, -0.019462456926703453, -0.06248049437999725, 0.0013013744028285146, 0.10192428529262543, 0.004001379944384098, 0.002675347961485386, 0.027342401444911957, 0.1001242846250534, -0.04026824235916138, 0.04184601828455925, 0.0036...
vast\tmajority\tof\tIgE-\nmediated\tfood\tallergies.\tFoods\tthat\tare\tmore\tlikely\tto\tinduce\tan\tallergic\tresponse\tvary\tby\tcountry\tand\nregion\tof\tthe\tworld\taccording\tto\ta\tpopulation’s\teating\thabits.\tIn\tthe\tUnited\tStates\tthe\tcommon\tallergenic\nfoods\tare\tcow’s\tmilk,\teggs,\tpeanuts,\ttree\tnu...
[ 0.03123319521546364, -0.02627374231815338, 0.07007613033056259, -0.01566433720290661, -0.0669315904378891, -0.020920144394040108, 0.05560765787959099, -0.005722952075302601, -0.0373348705470562, 0.06773296743631363, 0.11537526547908783, -0.10229827463626862, 0.013468721881508827, -0.008602...
NASEM,\t2017\n).\tAmong\tU.S.\nadults\twith\tfood\tallergies\tthe\tfive\tmost\tcommon\tfood\tallergies\n\tare\tshellfish\t(2.9%),\tpeanut\t(1.8%),\tmilk\n(1.9%),\ttree\tnuts\t(1.2%),\tand\tfin\tfish\t(0.9%)\t(\nGupta\tet\tal,\t2019\n).\tIn\tother\tcountries,\tfor\texample,\tJapan,\negg,\tcow’s\tmilk,\twheat,\tshellfish...
[ -0.052736930549144745, -0.013474255800247192, 0.012300542555749416, -0.06360486894845963, -0.07130927592515945, -0.07061109691858292, 0.05292438715696335, 0.024561915546655655, -0.04630536586046219, -0.0064727384597063065, 0.08398551493883133, -0.1299944967031479, 0.03567705675959587, 0.00...
(\nMatsuo\tet\tal,\t2015\n).\nThe\tmain\tIgE-mediated\tallergic\treactions\tare\tfood-induced\tanaphylaxis;\tfood-dependent,\texercise-\ninduced\tanaphylaxis\t(FDEIA);\n\t\ncow’s\tmilk\tprotein\tallergy\t(CMPA)\n;\toral\tallergy\tsyndrome\t(OAS),\twhich
[ -0.0019649644382297993, 0.016976425424218178, -0.025124486535787582, -0.030473995953798294, -0.06281843036413193, 0.046214696019887924, -0.01337471418082714, 0.12194875627756119, 0.014576934278011322, 0.052241794764995575, 0.12966392934322357, -0.014959065243601799, -0.008744859136641026, ...
recently\tis\trecognized\tas\tbeing\ttwo\tsyndromes,\tpollen-food\tallergy\tsyndrome\t(PFAS)\tand\tlipid\ttransfer\nprotein\tsyndrome\t(LTPS);\tlatex-fruit\tor\tlatex-food\tsyndrome;\tand\tsystemic\tnickel\tallergy\tsyndrome\n(SNAS).\nFood-induced\tanaphylaxis\nFood-induced\t\nanaphylaxis\n\tis\tan\tacute,\tsystemic,\t...
[ 0.009351999498903751, -0.031197093427181244, -0.011966338381171227, 0.004372005816549063, -0.021700004115700722, 0.062089405953884125, 0.028969597071409225, 0.10315772145986557, -0.02465129643678665, 0.04385638236999512, 0.12548315525054932, 0.012957911938428879, 0.02879822626709938, 0.047...
response\nthat\tusually\toccurs\twithin\ta\tlimited\tperiod\tfollowing\texposure\tto\ta\tfood\tantigen.\tMultiple\torgan\tsystems\nare\taffected.\tSymptoms\tinclude\trespiratory\tdistress,\tabdominal\tpain,\tnausea,\tvomiting,\tcyanosis,\narrhythmia,\thypotension,\tangioedema,\turticaria,\tdiarrhea,\tshock,\tcardiac\ta...
[ 0.01791764236986637, -0.019263368099927902, 0.03639446943998337, 0.003610344836488366, -0.04645538330078125, -0.0009369209292344749, 0.08935680985450745, 0.007099715527147055, 0.008717469871044159, 0.0444609709084034, 0.07543065398931503, -0.06773518770933151, 0.061264533549547195, 0.00694...
The\tvast\tmajority\tof\tanaphylactic\treactions\tto\tfoods\tin\tadults\tin\tNorth\tAmerica\tinvolve\tpeanuts,\n\ttree\nnuts,\tfish,\tand\tshellfish.\tIn\tchildren,\tpeanuts\tand\ttree\tnuts\tare\tthe\tmost\tcommon\tcauses\tof\tanaphylactic\nreactions,\tbut\tanaphylactic\treactions\tto\tcow’s\tmilk\tand\teggs\thave\tbe...
[ -0.025125134736299515, -0.006514480337500572, 0.03914572298526764, -0.057238075882196426, -0.04836816340684891, -0.0033087844494730234, 0.03772934153676033, 0.024861155077815056, -0.02195930853486061, 0.05739281699061394, 0.10153987258672714, -0.09430032968521118, -0.021586300805211067, 0....
common\tfood\tallergen\tin\tfatal\tanaphylactic\treactions\t(\nTurnbull\tet\tal,\t2015\n).\nPeople\twith\tknown\tanaphylactic\treactions\tto\tfood\tallergens\tshould\tcarry\tand\tbe\tprepared\tto\tuse\nepinephrine\n\tvia\ta\tportable\tinjectable\tdevice\t(often\tcalled\tan\tEpiPen)\tat\tall\ttimes.\tEpinephrine\tis\tth...
[ 0.03398006036877632, -0.04474727809429169, 0.03986760973930359, -0.049833498895168304, -0.08111745119094849, 0.02889249287545681, 0.07829396426677704, 0.07823839783668518, -0.023829150944948196, 0.059016965329647064, 0.1323842704296112, -0.03528866171836853, -0.025081321597099304, 0.079768...
of\tchoice\tto\treverse\tan\tallergic\tanaphylactic\treaction.\tDelayed\tuse\tof\tepinephrine\thas\tbeen\tassociated\nwith\tan\tincreased\trisk\tof\tbiphasic\treactions,\tin\twhich\ta\trecurrence\tof\tsymptoms\t4\tto\t12\thours\tafter\tthe\ninitial\tanaphylactic\treaction\tmay\tbe\tfatal.\tSee\tSimons\t(2014)\tfor\tman...
[ 0.015192070044577122, -0.03405622020363808, 0.05077725648880005, -0.027182605117559433, -0.08810850977897644, 0.030064605176448822, 0.07971952110528946, 0.06409861147403717, 0.009281808510422707, 0.06382379680871964, 0.11401982605457306, -0.02714923396706581, -0.010692265816032887, 0.04999...
reaction\nand\tthe\twebsite\tfor\tFood\tAllergy\tResearch\tand\tEducation\t(FARE).\tImmediate\tcoordination\tof\tcare\tand\nreferral\tto\ta\tphysician\tspecializing\tin\tallergy\tmedicine\tis\tessential\tfor\tpatient\tsafety.\tIf\tyou\twitness\ta\nsevere\tallergic\tresponse\tor\tanaphylaxis,\tcall\t911\timmediately\tan...
[ 0.005969944875687361, -0.007788110990077257, 0.0443209707736969, -0.05118830129504204, -0.043437328189611435, 0.046503204852342606, 0.058417629450559616, 0.08075962215662003, 0.020284321159124374, 0.09744976460933685, 0.12007979303598404, -0.04578988254070282, 0.0017158673144876957, 0.0481...
cardiopulmonary\tresuscitation\t(CPR)\tif\tnecessary.\nFood-dependent,\texercise-induced\tanaphylaxis\n\t(FDEIA)\nFood-dependent,\texercise-induced\tanaphylaxis\t(FDEIA)\n\tis\ta\trare\tdistinct\tform\tof\tallergy\tin\twhich\tan\noffending\tfood\ttriggers\tan\tIgE-mediated\tanaphylactic\treaction\tonly\twhen\tthe\tsens...
[ 0.0005969532649032772, -0.03128928318619728, -0.02332327328622341, 0.022176869213581085, -0.05715695023536682, 0.029679760336875916, 0.055252645164728165, 0.07240995764732361, 0.016991296783089638, 0.04489688575267792, 0.12528029084205627, -0.04410380497574806, -0.02352849766612053, 0.0929...
exercises\twithin\t2\tto\t4\thours\tafter\teating,\tor\toccasionally,\tbefore\teating\tthe\tfood.\tSigns\tof\tdeveloping\nanaphylaxis\tare\turticaria\t(hives),\tpruritus\t(itching),\tand\terythema\t(reddening)\tfollowed\n\tby\tbreathing\ndifficulty\tand\tGI\tsymptoms.\tThe\tingestion\tof\tthe\tfood\tis\tnot\tproblemati...
[ 0.022879749536514282, -0.05340481922030449, 0.06693587452173233, -0.017346562817692757, -0.10475905984640121, 0.015002257190644741, 0.11575791984796524, 0.04283224046230316, -0.061956536024808884, 0.04305771365761757, 0.033310845494270325, 0.008201146498322487, 0.02824355475604534, 0.03556...
exercise\tis\tnot\tproblematic\tin\tthe\tabsence\tof\tconsumption\tof\tthe\tfood.\tFDEIA\tappears\tto\tbe\tmore\ncommon\tin\tadolescents\tand\tyoung\tadults,\tand\tin\tthose\twith\tknown\tfood\tallergy\tor\ta\thistory\tof\nanaphylaxis.\tShellfish,\tseafood,\tcertain\tfruits,\tcow’s\tmilk,\tcelery,\ta\tgliadin\tcomponen...
[ -0.027381332591176033, -0.03031207248568535, 0.031942784786224365, -0.03831753879785538, -0.0821608230471611, 0.034321531653404236, 0.1042424738407135, -0.006834106519818306, -0.04245411604642868, 0.03970426693558693, 0.09585396945476532, -0.07390312850475311, 0.033658288419246674, 0.01100...
in\twheat,\tand\tother\nfoods\thave\tbeen\treported\tas\toffending\tagents\t(\nAsaumi\tand\tEbisawa,\t2018\n).\nIn\tFDEIA,\tthe\tcombination\tof\ta\tsensitizing\tfood\tand\texercise\tprecipitates\tsymptoms,\tpossibly\trelated\tto\nincreased\tGI\tpermeability\tand\tabsorption,\tblood-flow\tredistribution,\tand\tincrease...
[ -0.00030074562528170645, -0.046386994421482086, 0.005726058967411518, -0.02417827770113945, -0.04824277013540268, -0.029128096997737885, 0.10365220904350281, 0.026780076324939728, 0.028858084231615067, 0.0320296436548233, 0.09948689490556717, -0.07129553705453873, 0.008715808391571045, 0.0...