전복 섭취 후 발생한 아나필락시스 1예
Anaphylaxis after consumption of abalone
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Abalone is popular seafood in Asia; however, allergy to abalone was rarely reported. We report a case of anaphylaxis after consumption of abalone. A 24-year-old female visited an Emergency Department, complaining of cough, dyspnea, rhinorrhea, generalized urticaria, facial edema, and wheezing that had developed 1 hour after consumption of abalone. She was discharged when her symptoms subsided after antihistamine and dexamethasone were given. One month later, she was referred to our outpatient clinic. We performed skin prick tests, measurement of serum specific IgE antibody level, and sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) with IgE immunoblotting. Both skin prick and specific IgE antibody tests were positive for abalone crude extract. In SDS-PAGE with IgE immunoblotting, we identified possible antigens sized 55, 100, and 25 kDa, respectively. This is the first case of abalone-induced anaphylaxis in Korea.
Abstract
Abalone is popular seafood in Asia; however, allergy to abalone was rarely reported. We report a case of anaphylaxis after consumption of abalone. A 24-year-old female visited an Emergency Department, complaining of cough, dyspnea, rhinorrhea, generalized urticaria, facial edema, and wheezing that had developed 1 hour after consumption of abalone. She was discharged when her symptoms subsided after antihistamine and dexamethasone were given. One month later, she was referred to our outpatient clinic. We performed skin prick tests, measurement of serum specific IgE antibody level, and sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) with IgE immunoblotting. Both skin prick and specific IgE antibody tests were positive for abalone crude extract. In SDS-PAGE with IgE immunoblotting, we identified possible antigens sized 55, 100, and 25 kDa, respectively. This is the first case of abalone-induced anaphylaxis in Korea.
참고문헌 (20)
- Verrill L, "Prevalence of self reported food allergy in US adults: 2001, 2006, and 2010", Allergy Asthma Proc (2015)
- Lee AJ, "Shellfish allergy: an Asia-Pacific perspective", Asian Pac J Allergy Immunol, 30, pp.3~10 (2012)
- Clarks PS, "Immediate respiratory hypersensitivity to abalone", Med J Aust, 1, pp.623~ (1979)
- Lopata AL, "Characteristics of hypersensitivity reactions and identification of a unique 49 kd IgE-binding protein (Hal-m-1) in abalone (Haliotis midae)", J Allergy Clin Immunol, 100, pp.642~648 (1997)
- Suzuki S, "A case of anaphylaxis caused by abalone diagosed with prick by prick test", Arerugi, 56, pp.593~597 (2007)
- Masuda K, "Anaphylaxis to abalone that was diagnosed by prick test of abalone extracts and immunoblotting for serum immunoglobulin E", Int J Dermatol, 51, pp.359~360 (2012)
- Lack G, "Clinical practice. Food allergy", N Engl J Med, 359, pp.1252~1260 (2008)
- Umasunthar T, "Incidence of food anaphylaxis in people with food allergy: a systematic review and meta-analysis", Clin Exp Allergy, 45, pp.1621~1636 (2015)
- Atkins D, "Fatal anaphylaxis to foods: epidemiology, recognition, and prevention", Curr Allergy Asthma Rep, 9, pp.179~185 (2009)
- Wang J, "Food anaphylaxis", Clin Exp Allergy, 37, pp.651~660 (2007)
- 진현정, "아나필락시스: 진단, 치료, 개선점", Allergy Asthma & Respiratory Diseases, 4(2), pp.79~81 (2016), 대한 소아알레르기 호흡기학회[DOI]
- 장광천, "한국 아나필락시스의 진료", Allergy Asthma & Respiratory Diseases, 1(3), pp.181~196 (2013), 대한 소아알레르기 호흡기학회
- Maeda S, "11 cases of anaphylaxis caused by grand keyhole limpet (abalone like shellfish)", Arerugi, 40, pp.1415~1420 (1991)
- 신윤경, "북방전복 Haliotis discus hannai의 계절별 생리적 변화", The Korean Journal of Malacology, 28(2), pp.131~136 (2012), 한국패류학회[DOI]
- 이준상, "한국산 둥근전복속 (고복족상목: 전복과) 의 분류 및 기재", The Korean Journal of Malacology, 30(1), pp.79~86 (2014), 한국패류학회[DOI]
- 이준상, "한국산 연체동물 목록", The Korean Journal of Malacology, 18(2), pp.93~217 (2002), 한국패류학회
- 원승환, "국내연안에 분포하는 둥근전복속 4종의 형태적 특징 고찰", The Korean Journal of Malacology, 30(1), pp.87~93 (2014), 한국패류학회[DOI]
- Son MH, "Standard manual of abalone culture", National Institute of Fisheries Science, ~ (2008)
- Leung PS, "Molecular and immunological characterization of shellfish allergens", Front Biosci, 3, pp.D306~D312 (1998)
- Chu KH, "Tropomyosin Is the major mollusk allergen: reverse transcriptase polymerase chain reaction, expression and IgE reactivity", Mar Biotechnol (NY), 2, pp.499~509 (2000)