쑥 화분증 환자에게 발생한 쑥갓의존성 운동유발성 아나필락시스 1예
Crown Daisy-dependent Exercise-induced Anaphylaxis in a Patient with Mugwort-sensitized Pollinosis
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
We report a case of crown daisy-dependent exerciseinduced anaphylaxis in a patient with mugwort-sensitized pollinosis, which is the first case as far as we know. A 41-year-old female with rhinitis experienced the generalized urticaria, angioedema and syncope on walking about 1 hour after ingestion of grilled pork and boiled rice wrapped with crown daisy, lettuce and sesami leaf during mountain climbing. Skin prick tests for food allergens showed the strong positive reaction to crown daisy, and those for inhalant allergens showed strong positive reactions to mugwort and other weed pollens. Her PC20-methacholine was 5.6 mg/mL. Exercise challenge and an oral challenge with crown daisy showed negative results. However, exercise challenge 1 hour after ingestion of crown daisy revealed a positive reaction manifested with generalized urticaria,angioedema and hypotension. She was diagnosed with crown daisy-dependent exercise-induced anaphylaxis.
Abstract
We report a case of crown daisy-dependent exerciseinduced anaphylaxis in a patient with mugwort-sensitized pollinosis, which is the first case as far as we know. A 41-year-old female with rhinitis experienced the generalized urticaria, angioedema and syncope on walking about 1 hour after ingestion of grilled pork and boiled rice wrapped with crown daisy, lettuce and sesami leaf during mountain climbing. Skin prick tests for food allergens showed the strong positive reaction to crown daisy, and those for inhalant allergens showed strong positive reactions to mugwort and other weed pollens. Her PC20-methacholine was 5.6 mg/mL. Exercise challenge and an oral challenge with crown daisy showed negative results. However, exercise challenge 1 hour after ingestion of crown daisy revealed a positive reaction manifested with generalized urticaria,angioedema and hypotension. She was diagnosed with crown daisy-dependent exercise-induced anaphylaxis.
참고문헌 (16)
- Sheffer AL, "Exercise-induced anaphylaxis", J Allergy Clin Immunol, 73, pp.699~703 (1984)
- Kidd JM, "Food-dependent exercise-induced anaphylaxis", J Allergy Clin Immunol, 71, pp.407~411 (1983)
- Maulitz RM, "Exercise-induced anaphylactic reaction to shellfish", J Allergy Clin Immunol, 63, pp.433~434 (1979)
- Caffarelli C, "Food related, exercise induced anaphylaxis", Arch Dis Child, 75, pp.141~144 (1996)
- Anibarro B, "Apple-dependent exercise-induced anaphylaxis", Allergy, 49, pp.481~482 (1994)
- Martin Munoz F, "Exercise-induced anaphylactic reaction to hazelnut", Allergy, 49, pp.314~316 (1994)
- Dohi M, "Food-dependent exercise-induced anaphylaxis: a study of 11 Japanese cases", J Allergy Clin Immunol, 87, pp.34~40 (1991)
- Hanakawa Y, "Food-dependent exercise-induced anaphylaxis: a case related to the amount of food allergen ingested", Br J Dermatol, 138, pp.898~900 (1998)
- Kim MK, "A case of food (wheat flour)-dependent exercise-induced anaphylaxis", Allergy, 9, pp.161~165 (1989)
- Jeon KW, "A case of parsely-dependent exercise-induced anaphylaxis", Korean J Asthma Allergy Clin Immunol, 18, pp.728~732 (1998)
- 양민석, "사과 의존성 운동 유발성 아나필락시스 환자 1예", 천식 및 알레르기, 26(3), pp.242~245 (2006), 대한천식알레르기학회
- Carli C, "Anaphylaxis induced by exercise and related to multiple food intake", Allergy and Asthma Proc, 18, pp.245~248 (1997)
- Kim KU, "Food and other allergens, In Asthma and allergic diseases", pp.124~125 (2002), Goonja Co
- Lee KS, "(Wheat flour)-dependent exercise induced anaphylaxis in asthmatics: related with the amout of wheat flour and exercise", Korean J Asthma Allergy Clin Immunol, 19, pp.724~729 (1999)
- Ortolani C, "The oral allergy syndrome", Ann Allergy, 61, pp.47~51 (1988)
- Guinnepain MT, "Exercise-induced anaphylaxis: useful screening of food sensitization", Ann Allergy Asthma Immunol, 77, pp.491~496 (1996)