Types of Allergies and Their Triggers

Types of Allergies and Their Triggers

Cutaneous Allergy

It occurs when the skin reacts excessively to certain allergens.

If the reaction is on the skin, it may be Atopic Dermatitis, also called eczema. This involves reddened, itchy skin and tends to appear in childhood. It may also be Urticaria, characterised by the appearance of welts on the skin, which are also itchy. Sometimes, it may be accompanied by swelling of the lips and eyelids. This is called Angio-oedema.

If the reaction is on the skin, it is Rhinitis, which features itching, nasal obstruction, postnasal drip and sneezing. In most cases, it also affects the eyes and causes Conjunctivitis with itching, reddening and watering of the eyes. Rhinitis that appears exclusively in spring or summer is called seasonal rhinitis as opposed to perennial rhinitis, whose symptoms occur throughout the year.

Common Triggers

Contact Allergy

Contact

Such as soaps, cosmetics, dyes, and perfumes.

Metals allergy

Metals

Particularly nickel, which can cause contact dermatitis

Plants allergy

Plants

Contact with plants like poison ivy or poison oak

Drug allergy

Drugs

Some topical drugs may trigger reactions

Symptoms

The symptoms are varied and can include redness, itching, swelling, urticaria, eczema, or skin rashes.

Respiratory Allergy

This type of allergy affects the respiratory tract and is related to exposure to inhaled allergens.

When an allergic reaction occurs in the bronchi, these constrict, which hinders the passage of air and produces a characteristic sound, called wheezing. At the same time, the patient experiences trouble breathing (dyspnoea), coughing and chest tightness. These are symptoms of Allergic Asthma. Most of the time, patients with asthma also have rhinitis.

Common Triggers

Acaros

Dust mites

A frequent cause of allergic rhinitis and asthma.

Polen

Pollen

from trees, grasses, and weeds can trigger seasonal rhinitis and allergic asthma.

Animal danger

Animal dander

Skin and hair of animals may contain allergens that affect the lungs and airways

Moho

Mold

Mold spores present in damp environments can trigger respiratory allergies

Symptoms

Respiratory allergy symptoms are varied. Mild cases usually start with sneezing, conjunctival or nasal itching, tearing or nasal congestion, evolving into coughing, difficulty breathing, and chest tightness in the most severe cases

Management of respiratory allergy

In patients with respiratory allergies due to aerollergens such as pollens and dust mites, who predominantly experience sneezing, nasal congestion, rhinoconjunctivitis (itchy and watery eyes), and asthma, symptom management often requires medications such as antihistamines, corticosteroids, or bronchodilators.

While these treatments provide symptomatic relief, they do not target the underlying cause of the allergy, highlighting the need for long-term management.

Also, this rescue medication (corticosteroids) is not without long-term adverse reactions and carries a negative impact on the patient's economy.

Drug Allergy

A drug allergy is an immune system reaction to certain medications that the body identifies as foreign.

They are the third leading cause of care at allergology clinics and account for 5%-10% of all adverse drug reactions of allergic origin. Their adverse effects range from a skin rash, itching and swelling of the lips and tongue to an anaphylactic reaction.

In the event of the supposed onset of an unexpected adverse reaction due to taking a drug, the specialist will perform an allergological study to determine and/or confirm the drug causing the reaction.

Common Triggers

Antibioticos

Antibiotics

Such as penicillin and cephalosporins

Painkillers

Painkillers and anti-inflammatories

Like aspirin or ibuprofen

Anesthetics

Anesthetics

Local or general anesthetics may cause adverse reactions

Anticonvulsants

Anticonvulsants

Some medications used to treat epilepsy

Symptoms

The symptomatology may vary, involving only skin manifestations, with mild cases such as acute urticaria in immediate reactions or maculopapular exanthema in delayed reactions. However, it may also include severe skin reactions with systemic involvement, such as DRESS syndrome, Toxic Epidermal Necrolysis, or Stevens-Johnson Syndrome.

In addition to skin involvement, it may also occur in the context of more severe cases with systemic involvement, potentially compromising the patient's life such as anaphylaxis.

Food Allergy

Food allergies occur when the immune system reacts to specific proteins in food.

When patients ingest a food to which they have a food allergy, an inflammatory reaction occurs in their gastrointestinal system: Gastroenteritis, which may lead to the onset of abdominal pain, vomiting and diarrhoea. At the same time Urticaria may appear as a result of absorbing the food in question.

Common Triggers

Nuts

Nuts

Almonds, walnuts, peanuts

Shellfish

Shellfish and fish

Shrimp, crabs, lobsters, and fish like salmon

Dairy products

Milk and dairy products

Caused mainly by proteins like casein

Dairy products

Eggs

The protein in eggs can trigger reactions

Wheat

Wheat and gluten

Wheat or gluten can cause allergies in some individuals

Symptoms

Within food allergies, the symptoms vary. They may begin with mild manifestations, including oral mucosa and tongue itching as part of Oral Allergy Syndrome (OAS), or with presentations involving only the skin, such as acute urticaria or angioedema. However, they can also affect the gastrointestinal system with vomiting and diarrhea, evolving into more severe cases with throat swelling, difficulty breathing, and anaphylaxis.

Venoms Allergy

Insect allergies are caused by the sting or bite of certain insects.

Common Triggers

Avispa

Bees, wasps, and ants

Their venom can cause severe allergic reactions, including anaphylaxis

Mosquito

Mosquitoes

A mosquito bite can cause an exaggerated local reaction, which is not considered an allergic reaction per se

Symptoms

In mild cases with only skin involvement, the patient may present with acute urticaria or angioedema. However, the reaction can also progress to more severe cases with difficulty breathing and anaphylactic shock.

In exaggerated local reactions, the symptoms may vary, including redness, local burning, swelling, and itching.