Esquivel Ann, Busse William W
Division of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wis.
Division of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wis.
J Allergy Clin Immunol Pract. 2017 Mar-Apr;5(2):325-329. doi: 10.1016/j.jaip.2016.08.008. Epub 2016 Oct 17.
Anaphylaxis is a serious and potentially life-threatening allergic reaction that may follow the ingestion of foods. Although these reactions usually follow a common clinical pattern and often demonstrate IgE sensitization to the antigen in question, both the clinical presentation and causative allergen may be atypical, surprising, and difficult to identify. Failure to identify the actual cause of the reaction can compromise treatment and complicate long-term care. Here, we present a patient who had symptoms of anaphylaxis after eating salmon, but confirmation of the causative allergen was not readily apparent. This particular case serves as an insightful lesson for patients undergoing evaluation for anaphylaxis and also provides a framework for navigating through a case involving identification of an underlying allergen.
过敏反应是一种严重且可能危及生命的过敏反应，可能在摄入食物后发生。尽管这些反应通常遵循常见的临床模式，并且常常表现出对相关抗原的IgE致敏，但临床表现和致病过敏原都可能是非典型的、令人惊讶的且难以识别。未能识别反应的实际原因会影响治疗并使长期护理复杂化。在此，我们介绍一位患者，其在食用三文鱼后出现过敏反应症状，但致病过敏原的确认并不容易。这个特殊案例为正在接受过敏反应评估的患者提供了深刻的教训，也为处理涉及识别潜在过敏原的病例提供了一个框架。
