洋车前子泻药诱发的过敏反应、哮喘和鼻炎。

Psyllium laxative-induced anaphylaxis, asthma, and rhinitis.

作者信息

Vaswani S K, Hamilton R G, Valentine M D, Adkinson N F

机构信息

Department of Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

Allergy. 1996 Apr;51(4):266-8. doi: 10.1111/j.1398-9995.1996.tb04604.x.

DOI:10.1111/j.1398-9995.1996.tb04604.x

PMID:8792925

Abstract

A 69-year-old nurse was evaluated for a recent episode of anaphylaxis that had occurred after psyllium ingestion. She had experienced recurrent rhinitis and asthma related to psyllium exposure for the past 15 years. The diagnosis of psyllium hypersensitivity was established by a positive psyllium puncture skin test, an elevated psyllium-specific IgE level in serum, and a confirmatory soluble-antigen competitive inhibition test. The patient was symptomatic for several years, and this diagnosis was not considered until she suffered potentially life-threatening anaphylaxis. Psyllium hypersensitivity may be a more common phenomenon than is currently appreciated by physicians and other health-care providers.

摘要

一名69岁的护士因近期在摄入车前草后发生过敏反应而接受评估。在过去15年里，她曾经历过与接触车前草相关的复发性鼻炎和哮喘。通过车前草点刺皮肤试验阳性、血清中车前草特异性IgE水平升高以及确诊性的可溶性抗原竞争抑制试验，确诊为车前草过敏。该患者出现症状已有数年，但直到她发生了可能危及生命的过敏反应，才考虑到这一诊断。车前草过敏可能是一种比目前医生和其他医护人员所认识到的更为常见的现象。