[A case of food-dependent exercise-induced anaphylaxis caused by ingestion of orange].
Identifieur interne : 000374 ( Main/Exploration ); précédent : 000373; suivant : 000375[A case of food-dependent exercise-induced anaphylaxis caused by ingestion of orange].
Auteurs : Rintaro Ono ; Chikako Motomura ; Nobue Takamatsu ; Yasuto Kondo ; Yuko Akamine ; Hiroshi Matsuzaki ; Yoko Murakami ; Yuko Amimoto ; Naohiko Taba ; Satoshi Honjyo ; Rumiko Shibata ; Hiroshi OdajimaSource :
- Arerugi = [Allergy] [ 0021-4884 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- etiology : Anaphylaxis.
- immunology : Anaphylaxis, Food Hypersensitivity.
- Child, Citrus sinensis, Exercise, Female, Humans.
Abstract
The patient was a 10-year-old girl who presented with a history of anaphylactic episodes on three occasions, that developed in association with exercise after she ate citrus fruit. She underwent tolerance tests, as food-dependent exercise-induced anaphylaxis (FDEIA) induced by citrus fruit was suspected. The result of the test for the combination of intake of oranges and exercise was negative. The patient presented with swollen eyelid and wheezing following combined intake of orange and aspirin, based on which she was diagnosed as having FDEIA. Many patients developing an allergic reaction to fruit are diagnosed as having oral allergy syndrome (OAS), and only few cases of FDEIA are reported. Immunoblot tests revealed antigens of 9 kDa, 39 kDa and 53 kDa in this patient, and an inhibition study with oranges revealed that the 39 kDa and 53 kDa antigens were probably antigen-specific allergens. Although the studied patient showed a strongly positive result for IgE antibodies specifically directed at cedar pollen, no common antigenicity with cedar pollen could be recognized. The final diagnosis was a type of FDEIA caused by 39 kDa and 53 kDa proteins, which are different from antigens previously identified in patients with citrus fruits allergy. It should be the first report of such a case.
PubMed: 25924908
Affiliations:
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University Faculty of Food Science and Nutrition.</nlm:affiliation><wicri:noCountry code="no comma">Beppu University Faculty of Food Science and Nutrition.</wicri:noCountry></affiliation></author><author><name sortKey="Kondo, Yasuto" sort="Kondo, Yasuto" uniqKey="Kondo Y" first="Yasuto" last="Kondo">Yasuto Kondo</name><affiliation><nlm:affiliation>Department of Pediatrics, School of Medicine, Fujita Health University, The second Teaching Hospital.</nlm:affiliation><wicri:noCountry code="subField">The second Teaching Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Akamine, Yuko" sort="Akamine, Yuko" uniqKey="Akamine Y" first="Yuko" last="Akamine">Yuko Akamine</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Matsuzaki, Hiroshi" sort="Matsuzaki, Hiroshi" uniqKey="Matsuzaki H" first="Hiroshi" last="Matsuzaki">Hiroshi Matsuzaki</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Murakami, Yoko" sort="Murakami, Yoko" uniqKey="Murakami Y" first="Yoko" last="Murakami">Yoko Murakami</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Amimoto, Yuko" sort="Amimoto, Yuko" uniqKey="Amimoto Y" first="Yuko" last="Amimoto">Yuko Amimoto</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Taba, Naohiko" sort="Taba, Naohiko" uniqKey="Taba N" first="Naohiko" last="Taba">Naohiko Taba</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Honjyo, Satoshi" sort="Honjyo, Satoshi" uniqKey="Honjyo S" first="Satoshi" last="Honjyo">Satoshi Honjyo</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Shibata, Rumiko" sort="Shibata, Rumiko" uniqKey="Shibata R" first="Rumiko" last="Shibata">Rumiko Shibata</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Odajima, Hiroshi" sort="Odajima, Hiroshi" uniqKey="Odajima H" first="Hiroshi" last="Odajima">Hiroshi Odajima</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25924908</idno><idno type="pmid">25924908</idno><idno type="wicri:Area/PubMed/Corpus">000224</idno><idno type="wicri:Area/PubMed/Curation">000224</idno><idno type="wicri:Area/PubMed/Checkpoint">000224</idno><idno type="wicri:Area/Ncbi/Merge">001B08</idno><idno type="wicri:Area/Ncbi/Curation">001B08</idno><idno type="wicri:Area/Ncbi/Checkpoint">001B08</idno><idno type="wicri:doubleKey">0021-4884:2015:Ono R:a:case:of</idno><idno type="wicri:Area/Main/Merge">000374</idno><idno type="wicri:Area/Main/Curation">000374</idno><idno type="wicri:Area/Main/Exploration">000374</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[A case of food-dependent exercise-induced anaphylaxis caused by ingestion of orange].</title><author><name sortKey="Ono, Rintaro" sort="Ono, Rintaro" uniqKey="Ono R" first="Rintaro" last="Ono">Rintaro Ono</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Motomura, Chikako" sort="Motomura, Chikako" uniqKey="Motomura C" first="Chikako" last="Motomura">Chikako Motomura</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Takamatsu, Nobue" sort="Takamatsu, Nobue" uniqKey="Takamatsu N" first="Nobue" last="Takamatsu">Nobue Takamatsu</name><affiliation><nlm:affiliation>Beppu University Faculty of Food Science and Nutrition.</nlm:affiliation><wicri:noCountry code="no comma">Beppu University Faculty of Food Science and Nutrition.</wicri:noCountry></affiliation></author><author><name sortKey="Kondo, Yasuto" sort="Kondo, Yasuto" uniqKey="Kondo Y" first="Yasuto" last="Kondo">Yasuto Kondo</name><affiliation><nlm:affiliation>Department of Pediatrics, School of Medicine, Fujita Health University, The second Teaching Hospital.</nlm:affiliation><wicri:noCountry code="subField">The second Teaching Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Akamine, Yuko" sort="Akamine, Yuko" uniqKey="Akamine Y" first="Yuko" last="Akamine">Yuko Akamine</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Matsuzaki, Hiroshi" sort="Matsuzaki, Hiroshi" uniqKey="Matsuzaki H" first="Hiroshi" last="Matsuzaki">Hiroshi Matsuzaki</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Murakami, Yoko" sort="Murakami, Yoko" uniqKey="Murakami Y" first="Yoko" last="Murakami">Yoko Murakami</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Amimoto, Yuko" sort="Amimoto, Yuko" uniqKey="Amimoto Y" first="Yuko" last="Amimoto">Yuko Amimoto</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Taba, Naohiko" sort="Taba, Naohiko" uniqKey="Taba N" first="Naohiko" last="Taba">Naohiko Taba</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Honjyo, Satoshi" sort="Honjyo, Satoshi" uniqKey="Honjyo S" first="Satoshi" last="Honjyo">Satoshi Honjyo</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Shibata, Rumiko" sort="Shibata, Rumiko" uniqKey="Shibata R" first="Rumiko" last="Shibata">Rumiko Shibata</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Odajima, Hiroshi" sort="Odajima, Hiroshi" uniqKey="Odajima H" first="Hiroshi" last="Odajima">Hiroshi Odajima</name><affiliation><nlm:affiliation>Division of Pediatrics, National Fukuoka Hospital.</nlm:affiliation><wicri:noCountry code="subField">National Fukuoka Hospital</wicri:noCountry></affiliation></author></analytic><series><title level="j">Arerugi = [Allergy]</title><idno type="ISSN">0021-4884</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anaphylaxis (etiology)</term><term>Anaphylaxis (immunology)</term><term>Child</term><term>Citrus sinensis</term><term>Exercise</term><term>Female</term><term>Food Hypersensitivity (immunology)</term><term>Humans</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Anaphylaxis</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Anaphylaxis</term><term>Food Hypersensitivity</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child</term><term>Citrus sinensis</term><term>Exercise</term><term>Female</term><term>Humans</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The patient was a 10-year-old girl who presented with a history of anaphylactic episodes on three occasions, that developed in association with exercise after she ate citrus fruit. She underwent tolerance tests, as food-dependent exercise-induced anaphylaxis (FDEIA) induced by citrus fruit was suspected. The result of the test for the combination of intake of oranges and exercise was negative. The patient presented with swollen eyelid and wheezing following combined intake of orange and aspirin, based on which she was diagnosed as having FDEIA. Many patients developing an allergic reaction to fruit are diagnosed as having oral allergy syndrome (OAS), and only few cases of FDEIA are reported. Immunoblot tests revealed antigens of 9 kDa, 39 kDa and 53 kDa in this patient, and an inhibition study with oranges revealed that the 39 kDa and 53 kDa antigens were probably antigen-specific allergens. Although the studied patient showed a strongly positive result for IgE antibodies specifically directed at cedar pollen, no common antigenicity with cedar pollen could be recognized. The final diagnosis was a type of FDEIA caused by 39 kDa and 53 kDa proteins, which are different from antigens previously identified in patients with citrus fruits allergy. It should be the first report of such a case.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Akamine, Yuko" sort="Akamine, Yuko" uniqKey="Akamine Y" first="Yuko" last="Akamine">Yuko Akamine</name><name sortKey="Amimoto, Yuko" sort="Amimoto, Yuko" uniqKey="Amimoto Y" first="Yuko" last="Amimoto">Yuko Amimoto</name><name sortKey="Honjyo, Satoshi" sort="Honjyo, Satoshi" uniqKey="Honjyo S" first="Satoshi" last="Honjyo">Satoshi Honjyo</name><name sortKey="Kondo, Yasuto" sort="Kondo, Yasuto" uniqKey="Kondo Y" first="Yasuto" last="Kondo">Yasuto Kondo</name><name sortKey="Matsuzaki, Hiroshi" sort="Matsuzaki, Hiroshi" uniqKey="Matsuzaki H" first="Hiroshi" last="Matsuzaki">Hiroshi Matsuzaki</name><name sortKey="Motomura, Chikako" sort="Motomura, Chikako" uniqKey="Motomura C" first="Chikako" last="Motomura">Chikako Motomura</name><name sortKey="Murakami, Yoko" sort="Murakami, Yoko" uniqKey="Murakami Y" first="Yoko" last="Murakami">Yoko Murakami</name><name sortKey="Odajima, Hiroshi" sort="Odajima, Hiroshi" uniqKey="Odajima H" first="Hiroshi" last="Odajima">Hiroshi Odajima</name><name sortKey="Ono, Rintaro" sort="Ono, Rintaro" uniqKey="Ono R" first="Rintaro" last="Ono">Rintaro Ono</name><name sortKey="Shibata, Rumiko" sort="Shibata, Rumiko" uniqKey="Shibata R" first="Rumiko" last="Shibata">Rumiko Shibata</name><name sortKey="Taba, Naohiko" sort="Taba, Naohiko" uniqKey="Taba N" first="Naohiko" last="Taba">Naohiko Taba</name><name sortKey="Takamatsu, Nobue" sort="Takamatsu, Nobue" uniqKey="Takamatsu N" first="Nobue" last="Takamatsu">Nobue Takamatsu</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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