Borelli S, Anliker M D, Wüthrich B
Allergiestation, UniversitätsSpital Zürich.
Dtsch Med Wochenschr. 1999 Oct 15;124(41):1197-200. doi: 10.1055/s-2007-1024513.
Three patients developed recurrent anaphylactic reactions after ingestion of different kinds of food (Asian food, chocolate products, bakery products).
In all three patients a severe peanut allergy was confirmed either by skin prick testing or serologically (specific IgE for peanut of CAP class 3,4 and 6 respectively). Peanut allergy in all patients explained the anaphylactic reactions due to ingestion of hidden peanut in the food.
Patients were told to avoid the allergen. Because accidental ingestion is frequent in peanut allergy, they were equipped with a document stating the severity of the allergy and emergency medication (antihistamines, oral steroids, adrenaline injector).
Peanuts can be concealed in different kinds of food because they are cheap, rich in protein and are often used to change the viscosity of other foods. Especially the American and Asian cuisines use peanuts in a wide variety of recipes. Furthermore accidental ingestion can occur due to false or lacking declaration of peanuts in processed food. Patients with peanut allergy should be informed about these possibilities.
三名患者在摄入不同种类的食物（亚洲食物、巧克力制品、烘焙食品）后出现反复过敏反应。
通过皮肤点刺试验或血清学检查（分别针对花生的CAP 3、4和6类特异性IgE），证实这三名患者均对花生严重过敏。所有患者的花生过敏解释了因摄入食物中隐藏的花生而引发的过敏反应。
告知患者避免接触过敏原。由于花生过敏患者经常会意外摄入花生，因此为他们配备了一份说明过敏严重程度的文件以及急救药物（抗组胺药、口服类固醇、肾上腺素注射器）。
花生价格便宜、富含蛋白质且常被用于改变其他食物的黏稠度，因此可能隐藏在不同种类的食物中。尤其是美国和亚洲菜肴，在各种各样的食谱中都会用到花生。此外，由于加工食品中花生的标注错误或缺失，可能会发生意外摄入。应告知花生过敏患者这些可能性。
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