Rapid food desensitization associated with omalizumab before oral immunotherapy

In this report, we propose an innovative approach to managing patients with food-induced anaphylaxis by performing rapid food desensitization alongside the use of omalizumab as an introductory step to oral immunotherapy. This combined strategy aims to enhance both the safety and effectiveness of the...

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Main Authors: Bruna Giavina-Bianchi, MD, Pedro Giavina-Bianchi, MD, PhD
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:World Allergy Organization Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1939455125000079
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author Bruna Giavina-Bianchi, MD
Pedro Giavina-Bianchi, MD, PhD
author_facet Bruna Giavina-Bianchi, MD
Pedro Giavina-Bianchi, MD, PhD
author_sort Bruna Giavina-Bianchi, MD
collection DOAJ
description In this report, we propose an innovative approach to managing patients with food-induced anaphylaxis by performing rapid food desensitization alongside the use of omalizumab as an introductory step to oral immunotherapy. This combined strategy aims to enhance both the safety and effectiveness of the process, which seeks to induce immunological tolerance to food allergens, while reducing the risk of severe allergic reactions during treatment. The use of omalizumab helps prevent anaphylaxis and improves the patient's ability to tolerate the allergen. Rapid desensitization offers significant time and cost savings. As more scientific evidence supports rapid food desensitization, it could become a valuable tool for clinicians managing food-induced anaphylaxis, offering a promising avenue for the treatment of food allergies, especially in complex cases.
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spelling doaj-art-fa294d172ac6469e806a7f80a981545a2025-01-30T05:13:53ZengElsevierWorld Allergy Organization Journal1939-45512025-02-01182101032Rapid food desensitization associated with omalizumab before oral immunotherapyBruna Giavina-Bianchi, MD0Pedro Giavina-Bianchi, MD, PhD1Clinical Immunology and Allergy Division, University of São Paulo School of Medicine, BrazilCorresponding author. R. Prof. Artur Ramos 178 ap.211, Jd. América, São Paulo, CEP:01454-904 SP, Brazil.; Clinical Immunology and Allergy Division, University of São Paulo School of Medicine, BrazilIn this report, we propose an innovative approach to managing patients with food-induced anaphylaxis by performing rapid food desensitization alongside the use of omalizumab as an introductory step to oral immunotherapy. This combined strategy aims to enhance both the safety and effectiveness of the process, which seeks to induce immunological tolerance to food allergens, while reducing the risk of severe allergic reactions during treatment. The use of omalizumab helps prevent anaphylaxis and improves the patient's ability to tolerate the allergen. Rapid desensitization offers significant time and cost savings. As more scientific evidence supports rapid food desensitization, it could become a valuable tool for clinicians managing food-induced anaphylaxis, offering a promising avenue for the treatment of food allergies, especially in complex cases.http://www.sciencedirect.com/science/article/pii/S1939455125000079Food anaphylaxisRapid desensitizationOral immunotherapyOmalizumabImmunological tolerance
spellingShingle Bruna Giavina-Bianchi, MD
Pedro Giavina-Bianchi, MD, PhD
Rapid food desensitization associated with omalizumab before oral immunotherapy
World Allergy Organization Journal
Food anaphylaxis
Rapid desensitization
Oral immunotherapy
Omalizumab
Immunological tolerance
title Rapid food desensitization associated with omalizumab before oral immunotherapy
title_full Rapid food desensitization associated with omalizumab before oral immunotherapy
title_fullStr Rapid food desensitization associated with omalizumab before oral immunotherapy
title_full_unstemmed Rapid food desensitization associated with omalizumab before oral immunotherapy
title_short Rapid food desensitization associated with omalizumab before oral immunotherapy
title_sort rapid food desensitization associated with omalizumab before oral immunotherapy
topic Food anaphylaxis
Rapid desensitization
Oral immunotherapy
Omalizumab
Immunological tolerance
url http://www.sciencedirect.com/science/article/pii/S1939455125000079
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