Storino Veronica, Muñoz-Ortiz Juliana, Villabona-Martinez Valeria, Villamizar-Sanjuán Juan Diego, Rojas-Carabali William, de-la-Torre Alejandra
Faculty of Medicine, Universidad de los Andes, Bogotá, Colombia.
Escuela Barraquer, Research Group, Escuela Superior de Oftalmología, Instituto Barraquer de América, Bogotá, Colombia.
J Asthma Allergy. 2021 Mar 31;14:317-323. doi: 10.2147/JAA.S293248. eCollection 2021.
To report the case of a patient with multiple food allergies comorbid with multiple chemical sensitivity (MCS) who was misdiagnosed on various occasions, resulting in a negative impact on the patient's personal and social life.
We present the case of a 43-year-old Colombian women with multiple food allergies concomitant with MCS. Symptoms started with a mild reaction to insecticides, car exhaust smoke, and perfumes and gradually evolved into a severe reaction to her environment. She also presented recurrent episodes of clinical reactivity to foods and persistent elevated IgE levels, as well as several life-threatening anaphylactic reactions. Alternative and allopathic therapies were applied, but her symptoms persisted. Various diagnoses were made before the definitive diagnosis.
MCS is an unusual entity of unknown pathophysiology that can, on rare occasions, coexist with food allergies. Early recognition and multidisciplinary treatment are required as these entities have a major impact on the patient's quality of life. We present the first Latin American case regarding the association of the two diseases.
报告一例患有多种食物过敏并伴有多重化学物质敏感（MCS）的患者，该患者曾多次被误诊，对其个人和社会生活产生了负面影响。
我们呈现一名43岁哥伦比亚女性的病例，她患有多种食物过敏并伴有MCS。症状始于对杀虫剂、汽车尾气烟雾和香水的轻度反应，随后逐渐发展为对其所处环境的严重反应。她还出现了对食物的反复临床反应发作、IgE水平持续升高，以及几次危及生命的过敏反应。采用了替代疗法和对抗疗法，但她的症状依然存在。在明确诊断之前进行了各种诊断。
MCS是一种病理生理学不明的罕见病症，在极少数情况下可能与食物过敏共存。由于这些病症对患者的生活质量有重大影响，因此需要早期识别和多学科治疗。我们展示了拉丁美洲首例这两种疾病关联的病例。
