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T setting. Case Report: A youngster was presented to our clinic with symptoms of allergic rhinitis because 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. Soon after eating peanuts the patient developed vomiting, throat swelling and breathing issues. Distinct IgE examination with whole extracts was good to almost all the tested 30 inhalants and 30 food allergens. Class six sIgE (worth higher than one hundred IUmL) was detected to peanuts, ragweed, mugwort and birch pollen. Class 3 sIgE (three.500 IUmL) was Acidogenesis pathway Inhibitors products measured to alder, oak, hazelnut, 12-grasses, rye, dust mites, nettle, kiwi, latex and egg white. Based on clinical history the following structural molecular elements were tested to be able to determine accurate allergies: Ara h2, Ara h6, Amb a1, Art v1, Phl p1, Phl p5, Hev b5, Cor a9. For crossreactivity mapping the important elements of cross-reactive protein families have been tested moreover: Bet v1, Pru p3, Phl p7, Phl p12. A detailed map of cross-reactivities is going to be presented. Conclusions: How this report contributes to existing knowledge: Authors present a diagnostic algorithm developed for molecular allergy testing of sufferers with a number of plant-food allergies and crossreactivities. This challenge oriented approach enables the clinician to make the right diagnosis even in situations of limited element availability.Clin Transl Allergy 2018, eight(Suppl 1):Web page 26 ofP66 Sensitization profiles and efficacy of sublingual immunotherapy in youngsters with pollenfood allergy syndrome related with birch pollen allergy within the Russian Federation (preliminary final results) Oksana Ereshko, Leyla NamazovaBaranova, Svetlana Makarova, Elena Vishneva, Marina Snovskaya, Julia Levina, Kamilla Efendieva, Anna Alekseeva Scientific Centre of Kids Wellness, 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 products of vegetable origin in pollen-sensitized people. Important prevalence of allergic rhinoconjunctivitis (ARC) and wide range of clinical manifestations of cross-reactions to food 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 amongst youngsters with PFAS in Russian Federation Strategies: 54 young children (58 years) with PFAS were examined. The sIgE assays to birch pollen and to CRA (Bet v1, Bet v2, Bet v4, Bet v6) were performed working with ImmunoCap. SLIT was applied with standardized commercial birch pollen extracts. Outcomes: Sensitization to Bet v1 was located in all patients–100 ; to Bet v2–17 ; to Bet v4–2 ; to Bet v6–29 . 52 of individuals 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). Final results: from the SLIT in: Group I (n-28): 20 individuals had MK0791 (sodium) Protocol decreased ARC and PFAS symptoms; 3 had decreased only symptoms of ARC. Group II (n-13): 7 patients had decreased each ARC and PFAS symptoms; five had decreased only symptoms of ARC. Group III (n-7): 4 individuals had decreased each ARC and PFAS symptoms; three had decreased only ARC symp.

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