Lee Seung-Eun, Lee Suh-Young, Bae Bo-Ram, Lee Hyun-Seung, Kang Hye-Ryun
Institute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Seoul, Korea.
Respirology and Allergy Clinic, Pusan National University Yangsan Hospital, Yangsan, Korea.
Asia Pac Allergy. 2020 Oct 26;10(4):e42. doi: 10.5415/apallergy.2020.10.e42. eCollection 2020 Oct.
is a kind of fish in the northwestern Pacific Ocean and sometimes it is used for broth or frozen fish fillets on markets in Korea. A 45-year-old female patient visited Emergency Department because of facial edema, generalized urticaria, dyspnea, and hypotension after eating broth. She recovered after administration of epinephrine. Seven weeks later, she experienced generalized urticaria again after tasting a spoon of broth. In 2 months after recovery, the patient showed positive response to skin prick tests with extract. She also showed positive response to skin prick test with cod which did not induce any symptoms after oral ingestion. The patient was diagnosed as induced anaphylaxis based on the repeated clinical history and skin prick test results. We herein report the first case of induced anaphylaxis.
是一种生活在西北太平洋的鱼类,在韩国市场上有时被用于制作鱼汤或冷冻鱼片。一名45岁女性患者在饮用鱼汤后因面部水肿、全身性荨麻疹、呼吸困难和低血压前往急诊科就诊。给予肾上腺素后她康复了。七周后,她在尝了一勺鱼汤后再次出现全身性荨麻疹。康复后两个月,患者对提取物皮肤点刺试验呈阳性反应。她对鳕鱼皮肤点刺试验也呈阳性反应,而口服鳕鱼后未引发任何症状。根据反复的临床病史和皮肤点刺试验结果,该患者被诊断为诱发过敏反应。我们在此报告首例诱发过敏反应病例。