Wheat allergy

Wheat allergy is an allergy to wheat that typically presents as a food allergy, but can also be a contact allergy resulting from occupational exposure. The exact mechanism of this allergy is not yet clear. Wheat allergy may be immunoglobulin E-mediated or not, and may involve a mast cell response. Wheat allergy is rare—its prevalence in adults was estimated to be 0.21% in a 2012 study in Japan.

Wheat allergy may be a misnomer. There are many allergenic components in wheat (for example: serine protease inhibitors, glutelins and prolamins), with different responses attributed to different components. Twenty-seven potential wheat allergens have been identified.

The allergy, or allergies, are often caused by reactions to the storage proteins present in a wheat seed. While many reactions are caused by wheat proteins, allergenic components are also present in other biochemical forms. The most severe response is wheat-dependent exercise-induced anaphylaxis (WDEIA). WDEIA is attributed to an omega gliadin, which happens to be a relative of the protein that causes celiac disease. Symptoms include nausea, urticaria, and atopy.

Gluten sensitivity and Coeliac disease are two different diseases; however, the management is similar. Management of wheat allergy consists of complete withdrawal of any food containing wheat or other gluten-containing cereals.