Yagami Akiko, Nakazawa Yuri, Suzuki Kayoko, Matsunaga Kayoko
Department of Dermatology, Fujita Health University School of Medicine, Toyoake, Japan.
J Dermatol. 2009 Jan;36(1):45-9. doi: 10.1111/j.1346-8138.2008.00584.x.
We report a 22-year-old woman with urticaria, dyspnea and bronchial asthma-like attacks after eating curried rice. We found the symptoms to be due to an immediate-type allergy caused by spice antigens contained in curry spices by detailed questioning, skin test and measurement of specific immunoglobulin (Ig)E antibodies. This case was complicated with pollen-food allergy syndrome (PFAS) from melon and latex allergy (LA) to natural rubber latex (NRL) antigen and she had also had atopic dermatitis, allergic rhinitis and pollinosis. Serum specific IgE antibodies to birch profilin (Bet v 2), latex profilin (Hev b 8), and timothy profilin (Phl p 12) were detected. She also showed positive reactions to several Apiaceae families, fruits and latex antigens in skin prick test. Based on these findings, we considered her symptoms to be involved with spice allergy, PFAS and latex-fruit syndrome.
我们报告了一名22岁女性,她在食用咖喱米饭后出现荨麻疹、呼吸困难和类似支气管哮喘的发作。通过详细询问、皮肤试验和特异性免疫球蛋白(Ig)E抗体检测,我们发现这些症状是由咖喱香料中含有的香料抗原引起的速发型过敏所致。该病例合并有来自甜瓜的花粉 - 食物过敏综合征(PFAS)以及对天然橡胶乳胶(NRL)抗原的乳胶过敏(LA),并且她还患有特应性皮炎、过敏性鼻炎和花粉症。检测到血清中针对桦树肌动蛋白结合蛋白(Bet v 2)、乳胶肌动蛋白结合蛋白(Hev b 8)和梯牧草肌动蛋白结合蛋白(Phl p 12)的特异性IgE抗体。她在皮肤点刺试验中对几种伞形科植物、水果和乳胶抗原也表现出阳性反应。基于这些发现,我们认为她的症状与香料过敏、PFAS和乳胶 - 水果综合征有关。