{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T10:49:44Z","timestamp":1758970184260,"version":"3.40.5"},"reference-count":8,"publisher":"National Library of Serbia","issue":"7-8","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Srp Arh Celok Lek","SRP ARH CELOK LEK","SRP ARK CELOK LEK","SRPSKI ARHIV CELOKUP"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>Introduction. Ingestion is the principal route for food allergens to trigger allergic reaction in atopic persons. However, in some highly sensitive patients severe symptoms may develop upon skin contact and by inhalation. The clinical spectrum ranges from mild facial urticaria and angioedema to life-threatening anaphylactic reactions. Outline of Cases. We describe cases of severe anaphylactic reactions by skin contact, induced by kissing in five children with prior history of severe anaphylaxis caused by food ingestion. These cases were found to have the medical history of IgE mediated food allergy, a very high total and specific serum IgE level and very strong family history of allergy. Conclusion. The presence of tiny particles of food on the kisser's lips was sufficient to trigger an anaphylactic reaction in sensitized children with prior history of severe allergic reaction caused by ingestion of food. Allergic reaction provoked with food allergens by skin contact can be a risk factor for generalized reactions. Therefore, extreme care has to be taken in avoiding kissing allergic children after eating foods to which they are highly allergic. Considering that kissing can be a cause of severe danger for the food allergic patient, such persons should inform their partners about the risk factor for causing their food hypersensitivity.<\/jats:p>","DOI":"10.2298\/sarh1008498a","type":"journal-article","created":{"date-parts":[[2010,10,13]],"date-time":"2010-10-13T11:17:47Z","timestamp":1286968667000},"page":"498-501","source":"Crossref","is-referenced-by-count":4,"title":["Kiss-induced severe anaphylactic reactions"],"prefix":"10.2298","volume":"138","author":[{"given":"Marina","family":"Atanaskovic-Markovic","sequence":"first","affiliation":[{"name":"Univerzitetska de\u010dja klinika, Beograd + Medicinski fakultet, Beograd%SR61-99"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirjana","family":"Zivanovic","sequence":"additional","affiliation":[{"name":"Specijalna bolnica za nespecifi\u010dne plu\u0107ne bolesti, Soko Banja%SR71-03"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8591-4391","authenticated-orcid":false,"given":"Marija","family":"Gavrovic-Jankulovic","sequence":"additional","affiliation":[{"name":"Hemijski fakultet, Beograd%SR13-01.30"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanja","family":"Cirkovic-Velickovic","sequence":"additional","affiliation":[{"name":"Hemijski fakultet, Beograd%SR13-01.30"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vojislav","family":"Djuric","sequence":"additional","affiliation":[{"name":"Medicinski fakultet, Beograd + Institut za alergologiju i imunologiju, Klini\u010dki centar Srbije, Beograd%SR61-99"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Snezana","family":"Sankovic-Babic","sequence":"additional","affiliation":[{"name":"Klinika za otorinolaringologiju, Klini\u010dko-bolni\u010dki centar 'Zvezdara', Beograd%SR71-10"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Branimir","family":"Nestorovic","sequence":"additional","affiliation":[{"name":"Univerzitetska de\u010dja klinika, Beograd + Medicinski fakultet, Beograd%SR61-99"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2004.03.014"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/S1081-1206(10)62908-0"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/S0091-6749(96)70220-8"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.4065\/78.2.221"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1034\/j.1398-9995.2001.00302.x"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1186\/1476-7961-7-4"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1034\/j.1398-9995.2003.00192.x"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0536.2001.045001041.x"}],"container-title":["Srpski arhiv za celokupno lekarstvo"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T10:29:11Z","timestamp":1685356151000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0370-81791008498A"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":8,"journal-issue":{"issue":"7-8","published-print":{"date-parts":[[2010]]}},"URL":"https:\/\/doi.org\/10.2298\/sarh1008498a","relation":{},"ISSN":["0370-8179","2406-0895"],"issn-type":[{"type":"print","value":"0370-8179"},{"type":"electronic","value":"2406-0895"}],"subject":[],"published":{"date-parts":[[2010]]}}}