Member of the Turkish National Society of Allergy and Clinical Immunology Assoc. Dr. Fatih Dilek gave information about lupine allergy and made suggestions.
Stating that allergic reactions to lupine produce symptoms similar to those seen with other foods, Assoc. Dr. Fatih Dilek, “Among these; hives, itching in the mouth, swelling of the face, tongue or throat, abdominal pain, nausea, vomiting, runny or watery eyes, difficulty in breathing, coughing, wheezing and sudden drop in blood pressure. In the literature, recurrent cases of anaphylaxis (allergic shock) have been reported as a result of consuming commercial products containing 'hidden' lupine.
Stating that between 4 percent and 28 percent of individuals with peanut allergy are also allergic to lupine, Assoc. Fatih Dilek said, “In some studies, this gap rises up to 46 percent. In a recent study, it was shown that 15 percent of children with peanut allergy also have an allergy to a food other than the legume family.
Dilek said that, as in all food allergies, the first step of the diagnostic approach is to learn the patient's history in detail, and then the allergist will try to confirm the diagnosis with skin tests or specific immunoglobulin E determinations, and if necessary, a certain protocol will be followed in the hospital setting with lupine or other legumes. stated that it may be necessary to carry out loading tests within the scope of
Assoc. Dr. Fatih Dilek said that the patient with an allergy should not consume any product containing lupine, and that even contact with the skin or inhalation of some very sensitive individuals may initiate an allergic reaction, and explained what needs to be done as follows:
“If he has had anaphylaxis (allergic shock) before or if he has asthma with lupine allergy, the patient should be prescribed an adrenaline auto-injector and should not be taught how to use it. In addition to the mother and father, the child's caregiver, teachers and, if any, other family members should be informed about the situation and trained on the use of adrenaline auto-injectors. Unfortunately, adrenaline auto-injector usage rates are very low in cases of food allergy when necessary. The only way to overcome this situation is to attach importance to the education of the patient and his/her environment, to answer their questions patiently and to resolve their concerns in the light of scientific data. In life-threatening reactions, medical help should be sought immediately after the use of an adrenaline auto-injector and the nearest health institution should be consulted. Another recommendation is for pediatric patients to use medical wristbands that indicate food allergies. For milder reactions, the following physician will apply the necessary treatments.”
“Lunch; Assoc. Dr. Fatih Dilek said, “Lupine allergy has been reported more frequently, especially in those who consume gluten-free products. It can be found as a hidden allergen in pasta, chocolate spreads, vegetarian sausages, sauces, cooked onion rings, salads, lupine paste, ice creams, appetizers, bread and baked goods. Patients should be warned about this. Childhood food allergies generally tend to improve with age. Although there is not enough knowledge about the natural course of lupine allergy, the rate of improvement of other legumes allergies with age is quite slow compared to cow's milk and egg allergies.
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