Paeds Cases · allergy-and-immunology
Pollen-food allergy syndrome OSCE — oral itch triage and systemic-risk counselling
Observed structured encounter testing triage of a local oral reaction, the low-risk dietary pathway, and counselling a family whose adolescent carries the lipid-transfer-protein systemic-risk phenotype.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is triage of a child with oral itch after a raw apple. Station B is counselling the family of an adolescent with a systemic LTP reaction about adrenaline and cofactors.
Station objectives
- Triage a local oral reaction to a raw fruit and decide who is low-risk versus systemic-risk. [1]
- Apply the fresh-food prick-prick test and component-resolved diagnostics appropriately. [4]
- Counsel a family on the lipid-transfer-protein phenotype, adrenaline, and cofactors. [10]
References5ShowHide
- [1]Mastrorilli C Pollen-Food Allergy Syndrome: A not so Rare Disease in Childhood. Medicina (Kaunas), 2019.PMID 31561411
- [4]Dramburg S EAACI Molecular Allergology User's Guide 2.0. Pediatr Allergy Immunol, 2023.PMID 37186333
- [10]Asero R Why lipid transfer protein allergy is not a pollen-food syndrome: novel data and literature review. Eur Ann Allergy Clin Immunol, 2022.PMID 34092069
- [12]Sicherer SH Food allergy: A review and update on epidemiology, pathogenesis, diagnosis, prevention, and management. J Allergy Clin Immunol, 2018.PMID 29157945
- [13]Simons FE World Allergy Organization Anaphylaxis Guidelines: 2013 update of the evidence base. Int Arch Allergy Immunol, 2013.PMID 24008815