Volume 6, Issue 3, June 2021     |     PP. 156-170      |     PDF (265 K)    |     Pub. Date: May 24, 2021
DOI: 10.54647/cm32483    97 Downloads     3371 Views  


Angel San Miguel Rodríguez, Research Service. Hospital Universitario Río Hortega. Valladolid. Spain
Alicia Armentia Medina, Allergy Unit, Hospital Universitario Río Hortega. Valladolid. Spain
Blanca Martín-Armentia, Allergy Unit, Hospital Universitario Río Hortega. Valladolid. Spain
Sara Martín-Armentia, Primare care. Paedriatics. Delicias. Valladolid. Spain
Angel San Miguel Hernández, Clinical Analysis Service. Hospital Universitario Río Hortega. Universidad Internacional de la Rioja (UNIR). Spain
Blanca Martín Armentia, Research Service. Hospital Universitario Río Hortega. Valladolid. Spain
Carmen Lozano Estevan, Pharmacy Faculty. Complutense University. Madrid. Spain
Irene Iglesias Peinado, Parmacy Faculty. Alfonso X el Sabio University. Madrid. Spain

Background. Spain occupies the first positions in the world in consumption of edible bulbs (garlic and onion), however there are hardly any references about its ability to cause allergic symptoms.Our objective was to study the allergic sensitization and clinical symptoms associated with garlic and onion in a large sample of allergic patients.
Material and methods. An observational cross-sectional study was conducted, testing an extract of garlic and onion in all patients treated during 2018 in our Allergy service, in total 8,109 patients. 44 aeroallergens and foods were tested, including garlic and onion, with prick and determination of specific IgE. Oral provocations and contact tests were performed if a delayed reaction was suspected. A western blot was performed with the serum of the positive patients to one of these bulbs.
Results. A total of 356,798 skin tests and 4254 specific IgE determinations were performed. Of these 8,109 patients tested, 2508 had various symptoms associated with food intake, and 27 of them had symptoms with bulbs, indicating a prevalence of 3.47%.
The immunodetection allowed to associate the symptoms with a specific LTPs to these bulbs without cross-reactivity with other LTPs of the Mediterranean diet (peach, wheat).
Conclusions. Garlic and onion can cause allergic hypersensitivity in 3.47% of patients who consume or handle them.

Allergic Hypersensitivity, edible bulbs, Garlic, Onion

Cite this paper
Angel San Miguel Rodríguez, Alicia Armentia Medina, Blanca Martín-Armentia, Sara Martín-Armentia, Angel San Miguel Hernández, Blanca Martín Armentia, Carmen Lozano Estevan, Irene Iglesias Peinado, ALLERGIC HYPERSENSITIVITY TO EDIBLE VEGETABLE BULBS DURING ONE YEAR OF FOLLOW-UP , SCIREA Journal of Clinical Medicine. Volume 6, Issue 3, June 2021 | PP. 156-170. 10.54647/cm32483


[ 1 ] Sampson HA, Mendelson L, Rosen JP. Fatal and nearly fatal anaphylactic reactions to food in children and adolescents. N Engl J Med 1992; 327: 380-384.
[ 2 ] Gabinete de prensa de la SEAIC. La leche, el huevo y el pescado son los principales alergenos en la infancia. Webmaster: 2002.
[ 3 ] Martín Esteban M. Alimentación y alergia. En: Polanco I Eds. Nutrición profiláctica y terapeútica. Saned. Madrid. 1991;95-112
[ 4 ] Fritsch RM, Friesen N. Chapter 1: Evolution, Domestication, and Taxonomy. En: Rabinowitch HD, Currah L. Allium Crop Science: Recent Advances. Wallingford, UK: CABI Publishing. 2002. p.9-10.
[ 5 ] Brewster JL. Onions and other vegetable alliums (1st edición). Wallingford, UK: CAB International. 1994. p. 16.
[ 6 ] Coultate T. Foof. The chemistrry of its components. RSC Publishing. 2009. p. 302-303.
[ 7 ] Cantwell, Marita I. (2002). Appendix: Summary Table of Optimal Handling Conditions for Fresh Produce. En: Kader, A. A. Postharvest Technology of Horticultural Crops (3ª edición). Oakland, California: University of California, Agriculture and Natural Resources, Publication 3311. 2002. p. 516.
[ 8 ] Allium cepa. Missouri Botanical Garden. Disponible en:
[ 9 ] Nicolini, Giacomo. Enciclopedia Botanica Motta. Volume primo, Milano, Federico Motta Editore, 1960, p. 76.
[ 10 ] Allium cepa. En: The Plant List, version 1.1. Disponible en:
[ 11 ] Cantisani C, Visconti B, Paolino G, Frascani F, Tofani S, Fazia G, Calvieri S. Unusual food allergy: Alioidea allergic reactions overview. Recent Pat Inflamm Allergy Drug Discov. 2014; 8(3):178-84.
[ 12 ] Almogren A, Shakoor Z, Adam MH. Garlic and onion sensitization among Saudi patients screened for food allergy: a hospital based study. Afr Health Sci. 2013;13(3): 689-93.
[ 13 ] Jiménez-Timon A, Rodríguez Trabado A, Hernández Arbeiza FJ, Porcel Carreño S, Rodríguez Martín E, Agustín Herrero J, Cobo López R. Anterior rhinomanometry as a diagnostic test in occupational allergy caused by Liliaceae. Allergol Immunopathol (Madr). 2002; 30(5): 295-9.
[ 14 ] Bradford MM. A rapid and sensitive method for the quantitation of micro-gram quantities of protein utilizing the principle of protein dye binding. Anal. Biochem.1976; 72:248-254.
[ 15 ] Laemmli UK. Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature. 1970; 227:680-5.
[ 16 ] Rothman S, Dondo, G. Cebolla (Allium cepa). Cátedra de Horticultura, Departamento producción vegetal, Facultad de Ciencias Agropecuarias, Universidad Nacional de Entre Ríos. Disponible en:
[ 17 ] Celestino Mutis J. Jardín Botánico. Cebolla Cabezona. Disponible en:
[ 18 ] Anthos. Sistema de información sobre las plantas de España, RJB-CSIC, Madrid.
[ 19 ] Blanco Guerra C, Almeida L, Castillo R, Sánchez-Monge R, Fernández Rivas M. Síndromes de reactividad cruzada en la alergia a los alimentos. Capítulo 49. Alergia a alimentos. p 915-938. Disponible en:
[ 20 ] Pastorello EA, Incorvaia C, Ortolani C. Cross-reactions in food allergy. Clin Rev Allergy Immunol 1997; 15:415-27
[ 21 ] Varjonen E, Savolainen J, Mattila L, Kalimo K. IgE binding components of wheat, rye, barley and oats recognized by immunoblotting analysis with sera from adult atopic dermatitis patients. Clin Exp Allergy 1994; 24 :481-9.
[ 22 ] Jones SM, Magnolfy Ch F, Cooke S K, Sampson H A. Immunologic cross-reactivity among cereal grains and grasses in children with food hypersensitivity. J Allergy Clin Immunol 1995; 96:341-51.
[ 23 ] Saarinen KM, Savilahti E. Infant feeding patterns affect the subsequent immunological features in cow's milk allergy. Clin Exp Allergy 2000; 30:400-6.