Background
Case presentation
Skin prick testa | Specific IgEc | |
---|---|---|
Mite DP 30 × 15 mm | Cow’s milk: negative | Mite DP 16.00 kUA/L |
Mite DF 25 × 10 mm | Egg yolk: negative | Mite DF 15.50 kUA/L |
Mite B. tropicalis 24 × 12 mm | Egg white: negative | |
Shrimp: negative | Wheat 0.03 kUA/L | |
Contaminated Gogi® flour extract 1/5 w/v in saline 14 × 12 mm | Crab: negative | Omega-5 gliadin 0 kUA/L |
Clam: negative | ||
Newly opened Gogi® flour extract 1/5 w/v in saline: negative | Oyster: negative | Cow’s milk 0.02 kUA/L |
Soybean: negative | ||
Peanut: negative | Egg white 0 kUA/L | |
Kapok 10 × 8 mm | Wheat grain: negative | Egg yolk 0 kUA/L |
Cat 5 × 4 mm | ||
Dog 11 × 6 mm | Sticky rice flour extract 1/5 w/v in saline: negative | |
Mouse epithelium 5 × 4 mm | ||
American cockroach 5 × 4 mm | ||
German cockroach 4 × 4 mm | Prick-to-prick testb | |
Coconut: negative | ||
Bermuda 5 × 4 mm | ||
Johnson 4 × 3 mm | Positive control: 8 × 8 mm | |
Carelessweed 15 × 8 mm | Negative control: negative | |
Acacia 5 × 4 mm | ||
Penicillium: negative | ||
Aspergillus: negative | ||
Alternaria: negative |
Discussion and conclusions
Our case | Adachi [6] | Sanchez-Borges [1] | |
---|---|---|---|
Demographic data | 29-year-old female | 17-year-old male | 16-year-old female |
Country | Thailand | Japan | Spain |
Comorbidities | Allergic rhinitis | None | Allergic rhinoconjunctivitis, asthma, atopic dermatitis, squid allergy |
NSAIDs hypersensitivity status | None | None | None |
Contaminated food | Fried coconut rice cake (Mixed cooking flour) | Pancake | Pancakes |
Type of exertion | Jogging | Jogging | Playing soccer |
Food intake-to-exercise interval (min) | 60 | 90 | 30 |
Exercise-to-reaction interval (min) | 20 | Several | 15 |
Symptoms | Breathlessness, angioedema, urticaria, rhinitis, chest tightness, hypotension | Abdominal cramp, breathlessness, angioedema, urticaria, oxygen desaturation | Breathlessness, angioedema |
Mites | Dermatophagoides farinae | Dermatophagoides farinae | Suidasia medanensis |
The method used to identify mites | Light microscopy | Light microscopy | Light microscopy |
Allergic evaluation | Skin test positive to DP, DF, B. tropicalis, Contaminated cooking flour extract 1/5 w/v in saline Skin test negative to uncontaminated cooking flour extract 1/5 w/v in saline, wheat, oat, rye, barley, milk, egg, coconut (prick-prick) | sIgE positive to DP, DF, G. destructor, T. putrescentiae, A. siro sIgE negative to wheat, gluten, squid | Skin test positive to DP, DF, B. tropicalis, A. siro, C. arcuatus, L. destructor, T. putrescientiae, Contaminated pancake mix extract 1/5 w/v in saline Skin test negative to wheat, oat, rye, barley, milk, egg, Bermuda grass, ragweed |