Omalizumab for severe IgE-mediated food allergy and severe asthma after pediatric liver transplantation: a case report - Summary - MDSpire

Omalizumab for severe IgE-mediated food allergy and severe asthma after pediatric liver transplantation: a case report

  • By

  • Antonella Mosca

  • Andrea Ficari

  • Maria Sole Basso

  • Carmen Mazzuca

  • Daniela Liccardo

  • Alessandro Fiocchi

  • Andrea Pietrobattista

  • Vincenzo Fierro

  • June 17, 2026

  • 0 min

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Objective:

To present a case study of a pediatric patient with severe IgE-mediated food allergies and asthma following liver transplantation, highlighting the role of omalizumab in management.

Key Findings:
  • The patient achieved excellent asthma control and resumed a less restricted diet after treatment with omalizumab, indicating its potential as a therapeutic option.
  • Liver graft function remained stable with no graft-related adverse events over more than 5 years of follow-up, suggesting long-term safety.
Interpretation:

This case supports the long-term safety and effectiveness of omalizumab in managing severe IgE-mediated food allergies and asthma in pediatric liver transplant recipients, potentially influencing treatment strategies.

Limitations:
  • The study is based on a single case report, limiting generalizability to the broader population of pediatric liver transplant recipients.
  • No information was available regarding the donor's atopic history, which could influence the patient's allergic profile.
Conclusion:

Omalizumab may be a beneficial off-label treatment for managing severe allergic reactions and asthma in pediatric patients post-liver transplantation, warranting further investigation.

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