Leang Zhi Xiang, Thalayasingam Meera, O'Sullivan Michael
Department of Clinical Immunology and Allergy, Fiona Stanley Hospital, Murdoch, WA, Australia.
Asia Pac Allergy. 2022 Jul 12;12(3):e23. doi: 10.5415/apallergy.2022.12.e23. eCollection 2022 Jul.
Bee pollen is becoming an increasingly popular health supplement worldwide due to its many therapeutic applications. Thirteen cases of anaphylaxis to bee pollen consumption have been published to date, with plant pollen of the Compositae family being the most frequently implicated allergen. We present the first known paediatric case of bee pollen anaphylaxis in Australia involving a 15-year-old boy who had a strongly positive skin prick test to the bee pollen consumed where exercise was a possible co-factor. Our patient had a history of allergic rhinitis like most earlier cases. Our patient also had a strongly positive skin prick test to overseas-sourced bee pollen despite no relevant travel history, indicating the likelihood of a common pollen grain or cross-allergenicity of pollen grains found within both bee pollens. Our case reinforces the importance of a careful dietary history including health supplements when assessing for anaphylaxis.
由于蜂花粉有许多治疗用途，它在全球范围内正成为越来越受欢迎的健康补充剂。迄今为止，已发表了13例食用蜂花粉后发生过敏反应的病例，其中菊科植物花粉是最常涉及的过敏原。我们报告了澳大利亚首例已知的儿童蜂花粉过敏反应病例，该病例为一名15岁男孩，他对食用的蜂花粉皮肤点刺试验呈强阳性，运动可能是一个共同因素。与大多数早期病例一样，我们的患者有过敏性鼻炎病史。尽管没有相关旅行史，但我们的患者对海外来源的蜂花粉皮肤点刺试验也呈强阳性，这表明两种蜂花粉中发现的常见花粉粒或花粉粒交叉过敏原性的可能性。我们的病例强化了在评估过敏反应时详细询问饮食史（包括健康补充剂）的重要性。
