Division of Immunology and Allergy, Department of Pediatrics, Faculty of Medicine, Selçuk University, Konya, Turkey.
Pediatr Allergy Immunol Pulmonol. 2023 Sep;36(3):122-124. doi: 10.1089/ped.2023.0026. Epub 2023 Aug 8.
Seeds are widely consumed as a traditional snack and have rich contents beneficial to health. With an increase in consumption rates, allergic reactions occur more frequently. We focus on multiple seed consumption related to recurrent anaphylaxis in this case. We evaluated an 11-year-old boy with recurrent anaphylaxis. According to his medical records, he had been hospitalized several times, diagnosed with anaphylaxis, and treated. The family noticed direct (eating) or indirect contact with pumpkin seeds. In addition, the family mentioned another anaphylactic episode after watermelon seed and poppy seed bread consumption. We conducted skin prick-to-prick tests, examined total immunoglobulin E levels, and prescribed the treatment with an adrenalin autoinjector and preventive dietary recommendations. Anaphylaxis, particularly recurrent ones, should be evaluated with detailed anamnesis and supported with laboratory tests. Although seeds are beneficial and highly nutritious, it is necessary to consider them a source of allergens.
种子作为一种传统的零食被广泛食用，且含有丰富的有益于健康的成分。随着食用率的增加，过敏反应也越来越频繁。在本病例中，我们关注与复发性过敏反应相关的多种种子的食用。
我们评估了一名 11 岁的男孩，他患有复发性过敏反应。根据他的病历，他曾多次住院，被诊断为过敏反应并接受治疗。该家庭注意到直接（食用）或间接接触南瓜子。此外，该家庭还提到在食用西瓜子和罂粟子面包后发生了另一次过敏反应。我们进行了皮肤点刺试验，检查了总免疫球蛋白 E 水平，并开出处方使用肾上腺素自动注射器和预防性饮食建议。
过敏反应，特别是复发性过敏反应，需要详细的病史评估，并结合实验室检查。虽然种子有益且营养丰富，但需要将它们视为过敏原的来源。
