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食用红肉后出现延迟性荨麻疹或过敏反应,伴有α-半乳糖致敏证据。

Delayed urticaria or anaphylaxis after consumption of red meat with evidence of alpha-gal sensitisation.

作者信息

Garcia Maria Beatriz, Gomez-Samper Andres F, Garcia Elizabeth, Peñaranda Augusto

机构信息

Allergology Service, Fundacion Santa Fé de Bogotá, Bogotá, Colombia

Allergology Service, Unimeq, Bogotá, Colombia.

出版信息

BMJ Case Rep. 2020 Dec 28;13(12):e236923. doi: 10.1136/bcr-2020-236923.

DOI:10.1136/bcr-2020-236923
PMID:33372012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7771198/
Abstract

Food allergies to red meat, specifically to galactose-alpha-1,3-galactose (alpha-gal), a mammalian oligosaccharide, are considered to be very rare, especially in Asia and Latin America. Most of the cases reported are characterised by symptoms of delayed urticaria or anaphylaxis after the consumption of red meat. Sensitisation to red meat has been linked to the use of cetuximab or tick bites, especially from the and species. Here, we documented a case study from a Colombian male patient with symptoms of delayed urticaria and anaphylaxis with a history of tick bites in Colombia. The patient presented with IgE antibodies specific to alpha-gal, which is the most common epitope linked to red meat allergy induced by tick bites.

摘要

对红肉的食物过敏,特别是对半乳糖-α-1,3-半乳糖(α-半乳糖)这种哺乳动物寡糖的过敏,被认为非常罕见,尤其是在亚洲和拉丁美洲。报告的大多数病例的特征是食用红肉后出现迟发性荨麻疹或过敏反应症状。对红肉的致敏与使用西妥昔单抗或蜱虫叮咬有关,特别是来自[此处原文缺失蜱虫种类信息]和[此处原文缺失蜱虫种类信息]的蜱虫。在此,我们记录了一例来自哥伦比亚男性患者的病例研究,该患者有迟发性荨麻疹和过敏反应症状,且有在哥伦比亚被蜱虫叮咬的病史。患者体内出现了针对α-半乳糖的IgE抗体,α-半乳糖是与蜱虫叮咬诱发的红肉过敏相关的最常见表位。

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本文引用的文献

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Diagnosis & management of alpha-gal syndrome: lessons from 2,500 patients.α-半乳糖苷综合征的诊断与管理:2500 例患者的经验教训。
Expert Rev Clin Immunol. 2020 Jul;16(7):667-677. doi: 10.1080/1744666X.2020.1782745. Epub 2020 Jul 8.
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Tick anaphylaxis triggered by pulling out the tick.拔除蜱虫引发的蜱虫过敏反应。
Acute Med Surg. 2020 Apr 6;7(1):e503. doi: 10.1002/ams2.503. eCollection 2020 Jan-Dec.
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Diagnosis of red meat allergy with antigen-specific IgE tests in serum.采用血清中抗原特异性IgE检测诊断红肉过敏。
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Clinical spectrum of α-Gal syndrome: from immediate-type to delayed immediate-type reactions to mammalian innards and meat.α-半乳糖综合征的临床谱:从对哺乳动物内脏和肉类的速发型到迟发速发型反应。
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