Peanut oil in vitamin A and D preparations: reactions to skin test and manifestation of symptoms

Pediatr Allergy Immunol. 1999 Feb;10(1):21-6. doi: 10.1034/j.1398-9995.1999.101019.x.

Abstract

The aim of this study was to establish whether there is a link between sensitisation to peanut and exposure to peanut oil in vitamin A and D preparations. Forty-one children with a positive in vivo or in vitro test towards peanut were included. Twenty-one children had consumed vitamins A and D in oil solution, 14 in water solution, and 6 both types. Refined and unrefined peanut oils were obtained and skin prick test extracts were prepared. None of the children exhibited a positive SPT in response to the refined peanut extract. In contrast, 15 children exhibited a positive SPT to the unrefined extract. There was no significant difference in the number of children reacting clinically to peanut exposure who had received vitamins A and D in oil-based or water-based formulations. However, children with clinical allergy to peanut and who had exclusively consumed vitamin A and D in peanut oil, exhibited a greater number of different allergic symptoms upon consumption of peanut compared with clinical allergic children who had consumed the vitamins in water solution or both types (p<0.01). This study indicates that sensitisation to peanut during childhood through consumption of vitamins A and D in oil-based solution seems unlikely, but its consumption may contribute to the development of a wider range of clinical symptoms due to peanut exposure.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Allergens / adverse effects*
  • Allergens / analysis
  • Child
  • Child, Preschool
  • Female
  • Food Hypersensitivity / etiology*
  • Humans
  • Infant
  • Male
  • Peanut Oil
  • Plant Oils / administration & dosage
  • Plant Oils / adverse effects*
  • Retrospective Studies
  • Skin Tests
  • Surveys and Questionnaires
  • Vitamin A / chemistry*
  • Vitamin D / chemistry*

Substances

  • Allergens
  • Peanut Oil
  • Plant Oils
  • Vitamin A
  • Vitamin D