Current trends in peanut allergy immunotherapy: a review

Peanut allergy (PA) poses significant clinical challenges due to its potentially life-threatening nature and increasing prevalence, particularly in children. Strict avoidance is difficult due to the widespread presence of peanuts in various foods, leading to high rates of accidental exposure. Tradit...

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Main Authors: Klementyna Łyżwa, Anna Krupa-Łaska, Joanna Zielińska, Marek Kulus, Katarzyna Grzela
Format: Article
Language:English
Published: Termedia Publishing House 2024-04-01
Series:Alergologia Polska
Subjects:
Online Access:https://www.termedia.pl/Current-trends-in-peanut-allergy-immunotherapy-a-review,123,53965,1,1.html
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author Klementyna Łyżwa
Anna Krupa-Łaska
Joanna Zielińska
Marek Kulus
Katarzyna Grzela
author_facet Klementyna Łyżwa
Anna Krupa-Łaska
Joanna Zielińska
Marek Kulus
Katarzyna Grzela
author_sort Klementyna Łyżwa
collection DOAJ
description Peanut allergy (PA) poses significant clinical challenges due to its potentially life-threatening nature and increasing prevalence, particularly in children. Strict avoidance is difficult due to the widespread presence of peanuts in various foods, leading to high rates of accidental exposure. Traditional management includes education, avoidance, and rescue medication. Recent advances in immunotherapy offer promising avenues for the management of PA. Various methods of immunotherapy have been investigated, including oral immunotherapy (OIT), sublingual immunotherapy (SLIT), and epicutaneous immunotherapy (EPIT). Immunotherapy is associated with challenges such as adverse effects, the risk of anaphylaxis, and the long-term persistence of tolerance. Combining immunotherapy with adjuvants such as omalizumab and dupilumab or probiotics is promising, but it raises questions about sustained efficacy and patient response after treatment discontinuation. In addition, the translation of clinical trial results into real-world settings remains a critical issue, as shown by low participation rates in immunotherapy programs. Immunotherapy for peanut allergy has the potential to be a game-changer in the treatment of peanut allergies. However, it is important to note that this treatment is not without its challenges. Further research, collaboration between clinicians and researchers, and addressing patient concerns are needed to establish immunotherapy as a safe and effective treatment option for individuals with peanut allergy.
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publishDate 2024-04-01
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series Alergologia Polska
spelling doaj-art-b95098150a524a12934e6f8244eb32a32025-01-27T10:34:44ZengTermedia Publishing HouseAlergologia Polska2353-38542391-60522024-04-0111215416210.5114/pja.2024.13891953965Current trends in peanut allergy immunotherapy: a reviewKlementyna ŁyżwaAnna Krupa-ŁaskaJoanna ZielińskaMarek KulusKatarzyna GrzelaPeanut allergy (PA) poses significant clinical challenges due to its potentially life-threatening nature and increasing prevalence, particularly in children. Strict avoidance is difficult due to the widespread presence of peanuts in various foods, leading to high rates of accidental exposure. Traditional management includes education, avoidance, and rescue medication. Recent advances in immunotherapy offer promising avenues for the management of PA. Various methods of immunotherapy have been investigated, including oral immunotherapy (OIT), sublingual immunotherapy (SLIT), and epicutaneous immunotherapy (EPIT). Immunotherapy is associated with challenges such as adverse effects, the risk of anaphylaxis, and the long-term persistence of tolerance. Combining immunotherapy with adjuvants such as omalizumab and dupilumab or probiotics is promising, but it raises questions about sustained efficacy and patient response after treatment discontinuation. In addition, the translation of clinical trial results into real-world settings remains a critical issue, as shown by low participation rates in immunotherapy programs. Immunotherapy for peanut allergy has the potential to be a game-changer in the treatment of peanut allergies. However, it is important to note that this treatment is not without its challenges. Further research, collaboration between clinicians and researchers, and addressing patient concerns are needed to establish immunotherapy as a safe and effective treatment option for individuals with peanut allergy.https://www.termedia.pl/Current-trends-in-peanut-allergy-immunotherapy-a-review,123,53965,1,1.htmlfood allergy peanut allergy food immunotherapy oral immunotherapy children
spellingShingle Klementyna Łyżwa
Anna Krupa-Łaska
Joanna Zielińska
Marek Kulus
Katarzyna Grzela
Current trends in peanut allergy immunotherapy: a review
Alergologia Polska
food allergy
peanut allergy
food immunotherapy
oral immunotherapy
children
title Current trends in peanut allergy immunotherapy: a review
title_full Current trends in peanut allergy immunotherapy: a review
title_fullStr Current trends in peanut allergy immunotherapy: a review
title_full_unstemmed Current trends in peanut allergy immunotherapy: a review
title_short Current trends in peanut allergy immunotherapy: a review
title_sort current trends in peanut allergy immunotherapy a review
topic food allergy
peanut allergy
food immunotherapy
oral immunotherapy
children
url https://www.termedia.pl/Current-trends-in-peanut-allergy-immunotherapy-a-review,123,53965,1,1.html
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AT annakrupałaska currenttrendsinpeanutallergyimmunotherapyareview
AT joannazielinska currenttrendsinpeanutallergyimmunotherapyareview
AT marekkulus currenttrendsinpeanutallergyimmunotherapyareview
AT katarzynagrzela currenttrendsinpeanutallergyimmunotherapyareview