Lis Kinga, Ukleja-Sokołowska Natalia, Karwowska Kornelia, Wernik Joanna, Pawłowska Małgorzata, Bartuzi Zbigniew
Department of Allergology, Clinical Immunology and Internal Medicine, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, ul. Ujejskiego 75, 85-168 Bydgoszcz, Poland.
Department of Infectious Diseases and Hepatology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, ul. Sw. Floriana 12, 85-030 Bydgoszcz, Poland.
Life (Basel). 2023 Mar 5;13(3):699. doi: 10.3390/life13030699.
(1) Background: alpha-gal syndrome (AGS) is a serious, potentially life-threatening allergic reaction. This is a type of food allergy to red meat and other mammalian products (e.g., gelatin). In Poland, this problem seems to be rare or, more likely, very underdiagnosed. The diagnosis of AGS is difficult. It seems that the knowledge about this syndrome is insufficient. There are no effective diagnostic tools able to clearly diagnose this cross-reactive allergy. This paper presents the clinical application of a non-standard method in the diagnosis of a cross-reactive allergy using the example of AGS. (2) Methods: standard tests for in vitro allergy diagnostics and the non-standard ImmunoCAP inhibition test(IT) were carried out for serum collected from a patient with a red meat allergy. (3) Results: the serum concentration of anti-α-Gal IgE was very high (302 kUA/L), and IgE antibodies toanti-mammalian-meat allergens were found. The level of IgE antibodies to mammalian meat allergens decreased after blocking on α-GAL-CAP. The concentration of anti-α-Gal IgE decreased after blocking on CAPs coated with various mammalian meat allergens. Blocking with allergens of poultry meat did not affect the concentration of anti-α-Gal IgE. (4) Conclusions: the ImmunoCAP ITseems to be a useful tool in the diagnosis of cross-reactive allergies. Based on their clinical history and test results, the patient was diagnosed with AGS caused by a primary sensitization to α-Gal after a tick bite. This is the second case of AGS described in Poland and the first in Pomerania.
(1) 背景:α-半乳糖综合征(AGS)是一种严重的、可能危及生命的过敏反应。这是一种对红肉和其他哺乳动物产品(如明胶)的食物过敏类型。在波兰,这个问题似乎很罕见,或者更有可能是诊断严重不足。AGS的诊断很困难。似乎对这种综合征的了解并不充分。目前尚无能够明确诊断这种交叉反应性过敏的有效诊断工具。本文以AGS为例,介绍一种非标准方法在交叉反应性过敏诊断中的临床应用。(2) 方法:对一名红肉过敏患者的血清进行了体外过敏诊断的标准检测和非标准的免疫捕获抑制试验(IT)。(3) 结果:抗α-半乳糖IgE的血清浓度非常高(302 kUA/L),并发现了针对哺乳动物肉类过敏原的IgE抗体。在α-GAL-免疫捕获柱上封闭后,针对哺乳动物肉类过敏原的IgE抗体水平下降。在用各种哺乳动物肉类过敏原包被的免疫捕获柱上封闭后,抗α-半乳糖IgE的浓度下降。用禽肉过敏原封闭不影响抗α-半乳糖IgE的浓度。(4) 结论:免疫捕获抑制试验似乎是诊断交叉反应性过敏的一种有用工具。根据患者的临床病史和检测结果,该患者被诊断为由蜱叮咬后对α-半乳糖的初次致敏引起的AGS。这是波兰描述的第二例AGS病例,也是波美拉尼亚的首例。