Sensitisation to peach
lipid transfer protein (LTP; Pru p 3) is significantly associated with severe allergic symptoms in adults, but little is known about the age at onset of peach
allergy. We investigated a possible correlation between specific
IgE levels to Pru p 3 and the age at onset of peach
allergy. One hundred and forty-eight patients allergic to peach were divided into 6 classes according to the age at onset. Sera were analyzed for
IgE antibodies to peach, rPru p 3, rPru p 1, rPru p 4, rBet v 1, rBet v 2, total
IgE titre, and
tryptase; all collected data were statistically analysed. A significant inverse correlation was found between the age at onset of peach
allergy and anti-rPru p 3
IgE levels at diagnosis (p < 0.0005; Spearman's ρ = -0.3833). In contrast, the age at onset was directly correlated with both anti-rPru p 1
IgE levels (p = 0.0001; Spearman's ρ = 0.3197) and anti-rBet v 1
IgE levels (p = 0.0006; Spearman's ρ = 0.2914) at diagnosis. No correlations were detected between the reported age at onset and anti-peach, anti-rPru p 4, anti-rBet v 2
IgE and total
IgE values and serum
tryptase levels. At diagnosis, when peach
allergy starts at a younger age, it is likely associated with Pru p 3 sensitisation, and the younger the onset, the higher the
IgE titres. When peach
allergy starts at an older age, it is more likely the result of cross-reactivity to Bet v1.