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T setting. Case Report: A youngster was presented to our clinic with symptoms of allergic rhinitis since the age of 2. Parents complained of heavy nasal and eye symptoms with eyelid edema occurring seasonally in early spring and late summer. Consumption of hazelnuts and lentils repeatedly caused the patient lip swelling. Immediately after consuming peanuts the patient developed vomiting, NHS-5(6)Carboxyrhodamine Cancer throat swelling and breathing issues. Distinct IgE examination with whole extracts was optimistic to nearly all the tested 30 inhalants and 30 food allergens. Class 6 sIgE (value higher than one hundred IUmL) was detected to peanuts, ragweed, mugwort and birch pollen. Class 3 sIgE (3.500 IUmL) was measured to alder, oak, hazelnut, 12-grasses, rye, dust mites, nettle, kiwi, latex and egg white. Depending on clinical history the following structural molecular components had been tested in an effort to establish correct allergies: Ara h2, Ara h6, Amb a1, Art v1, Phl p1, Phl p5, Hev b5, Cor a9. For crossreactivity mapping the key components of cross-reactive protein households had been tested also: Bet v1, Pru p3, Phl p7, Phl p12. A detailed map of cross-reactivities will probably be presented. Conclusions: How this report contributes to existing information: Authors present a diagnostic algorithm created for molecular allergy testing of individuals with several plant-food allergies and crossreactivities. This trouble oriented approach enables the clinician to produce the right diagnosis even in circumstances of limited component availability.Clin Transl Allergy 2018, 8(Suppl 1):Page 26 ofP66 ACADM Inhibitors medchemexpress sensitization profiles and efficacy of sublingual immunotherapy in young children with pollenfood allergy syndrome associated with birch pollen allergy inside the Russian Federation (preliminary results) Oksana Ereshko, Leyla NamazovaBaranova, Svetlana Makarova, Elena Vishneva, Marina Snovskaya, Julia Levina, Kamilla Efendieva, Anna Alekseeva Scientific Centre of Young children Health, Moscow, Russia Correspondence: Oksana Ereshko [email protected] Clinical Translational Allergy (CTA) 2018, 8(Suppl 1):P66 Background: Pollen-food allergy syndrome (PFAS) describes allergic reactions on goods of vegetable origin in pollen-sensitized individuals. Considerable prevalence of allergic rhinoconjunctivitis (ARC) and wide range of clinical manifestations of cross-reactions to meals make actual the study of sensitization profiles and sublingual immunotherapy (SLIT) efficacy in these individuals. To evaluate the prevalence of sensitization to recombinant component-resolved allergens (CRA) and SLIT efficiency among children with PFAS in Russian Federation Approaches: 54 kids (58 years) with PFAS were examined. The sIgE assays to birch pollen and to CRA (Bet v1, Bet v2, Bet v4, Bet v6) had been performed working with ImmunoCap. SLIT was applied with standardized commercial birch pollen extracts. Outcomes: Sensitization to Bet v1 was found in all patients–100 ; to Bet v2–17 ; to Bet v4–2 ; to Bet v6–29 . 52 of sufferers had monosensibilization to Bet v1 component. We identified five IgE profiles to CRA (group I–Bet v1; II–Bet v1Bet v6; III–Bet v1Bet v2; IV–Bet v1Bet v2Bet v6; 1 patient had sensibilization to all CRA). Results: in the SLIT in: Group I (n-28): 20 sufferers had decreased ARC and PFAS symptoms; 3 had decreased only symptoms of ARC. Group II (n-13): 7 patients had decreased both ARC and PFAS symptoms; five had decreased only symptoms of ARC. Group III (n-7): 4 individuals had decreased both ARC and PFAS symptoms; three had decreased only ARC symp.

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