Kägi M K, Wüthrich B
Department of Dermatology, University Hospital, Zürich, Switzerland.
Ann Allergy. 1993 Aug;71(2):127-9.
With the increasing demand for vegetarian food the consumption of vegetable burgers as an alternative to beef burgers has now become widespread. Since products of this kind are often not provided with a clear description of their components or ingredients, potential allergens generally cannot be identified by the consumer. Their ingestion, however, may lead to severe allergic reactions in sensitized individuals. Here we describe nine systemic allergic reactions to sesame seeds that were diagnosed at the Allergy Unit, Department of Dermatology, Zürich, Switzerland between 1978 and 1991. In 1991 alone, we registered three cases of anaphylactic reaction to falafel vegetable burgers in patients allergic to sesame seeds. A falafel is an oriental specialty consisting of a wheat flour bun filled with chickpea balls. It is served together with a white sauce containing freshly ground sesame seeds. Our cases highlight the potential danger of vegetarian food and underline the importance of a proper allergologic assessment to recognize food allergy promptly so that the patient can eliminate the causative allergen and use suitable medication in the event of a dietary indiscretion.
随着对素食需求的不断增加，作为牛肉汉堡替代品的蔬菜汉堡的消费现已变得十分普遍。由于这类产品通常没有对其成分或配料进行清晰描述，消费者一般无法识别潜在的过敏原。然而，摄入这些产品可能会在过敏个体中引发严重的过敏反应。在此，我们描述了1978年至1991年间在瑞士苏黎世皮肤科过敏科诊断出的9例对芝麻的全身性过敏反应。仅在1991年，我们就记录了3例对鹰嘴豆蔬菜汉堡过敏的患者发生过敏反应的病例，这些患者对芝麻过敏。鹰嘴豆泥是一种东方特色食品，由一个装有鹰嘴豆球的小麦面粉面包组成。它与一种含有新鲜研磨芝麻的白色酱汁一起食用。我们的病例凸显了素食的潜在危险，并强调了进行适当的过敏评估以迅速识别食物过敏的重要性，以便患者能够消除致病过敏原，并在饮食不慎时使用合适的药物。
