Hara Atsuko, Fukahori Susumu, Nakata Hiroko, Fukushima Chizu, Matsuse Hiroto, Kohno Shigeru
Second Department of Internal Medicine, Nagasaki University, Nagasaki.
Arerugi. 2006 May;55(5):574-7.
A 21-year-old man, who had suddenly developed dyspnea with sneeze, cough and nasal congestion following supper, was admitted to our hospital because of hypoxemia and hypercapnia. Physical examination revealed wheezing in all lung fields and skin flushing. He took home-made Okonomi-yaki made from flour, which had been opened few months ago, and then had been remained uncooked at room temperature. Skin prick tests showed positive for problem flour and mite, but negative for just opened control flour. Collectively, we gave his diagnosis of anaphylaxis caused by mite-contaminated Okonomi-yaki.
一名21岁男性,晚餐后突然出现呼吸困难,并伴有打喷嚏、咳嗽和鼻塞,因低氧血症和高碳酸血症入住我院。体格检查发现双肺满布哮鸣音及皮肤潮红。他食用了几个月前开封的、用面粉制作的自制御好烧,之后一直室温保存未烹饪。皮肤点刺试验显示问题面粉和螨虫呈阳性,但刚开封的对照面粉呈阴性。综合判断,我们诊断他为因被螨虫污染的御好烧引起的过敏反应。