Taze Meyvelerle Yapılan Alerji Testi Sonrasında Gelişen Anafilâksi Reaksiyonunun Düşündürdükleri: Potansiyel Tehlikenin Farkında mıyız?

Gıda alerjilerinde temel yaklaşım alerjik olunan gıdaların alınmamasıdır. Aşırı duyarlı hastalarda, alerji testleri gibi minimal alerjen teması bile anafilâksi reaksiyonlarını tetikleyebilmektedir. Kliniğimizde taze meyvelerle (şeftali, kayısı, erik) yaptığımız deri testi sırasında anafilâksi reaksiyonu gelişen bir olgumuzu paylaşmak istedik. Gıdalarla anafilâksi reaksiyonu geçirme öyküsü olan hastalarda alerjik olunan gıdaların deri bütünlüğü bozulmuş vücut alanlarıyla temasının ciddi alerjik reaksiyonlara yol açabileceği bilinmeli, bu hastaların gıdaların işlenmesi, depolanması gibi işlerde çalışmaması önerilmelidir.

Thougths Emerged From the Anaphylactic Reactions Due to Fresh Prict Test with Fruit; are We Aware of the Potantial Danger?

Basic approach for food allergy is to avoide taking the food which is known to be allergic to the person. Minimal contact with allergen even such as skin prict test may also trigger the severe anaphylactic reactions. We want to share our exprience about a patient who exprienced anaphylaxis after fresh prick allergy skin test with fresh fruit (peach, apricot, plumb) that we performed in our clinic. We belive that the patients who are known to have severe allergic reaction story must avoid to work in food proccesing and storage works, in case any contact with wounded skin area may result in severe allergic reaction.

PDF

___

1. Bernstein IL, Li JT, Bernstein DI, et al. Allergy diagnostic testing: an updated practice parameter. Ann Allergy Asthma Immunol, 2008; 100: S1-S148.
2. Pitsios C, Dimitriou A, Stefanaki EC, Kontou-Fili K. Anaphylaxis during skin testing with food allergens in children. Eur J Pediatr (2010) 169:613615
3. Novembre E, Bernardini R, Bertini G, Massai G, Vierucci A. Skin-prick-test-induced anaphylaxis. Allergy 1995;50:511-13.)
4. Valyasevi MA, Maddox DE, Li JT. Systemic reactions to allergy skin tests. Ann Allergy Asthma Immunol 83:132- 136, 1999.
5. Codreanu F, Moneret-Vautrin DA, Morisset M, Guénard L, Rancé F, et al. The risk of systemic reactions to skin prick-tests using food allergens: CICBAA data and literature review. Eur Ann Allergy Clin Immunol, 2006 Feb; 38(2): 52-54.
6. Lockey RF, Benedict LM, Turkeltaub PC, Bukantz SC. Fatalities from immunotherapy (IT) and skin testing (ST). J. Allergy Clin. Immunol. 1987;79:660-77.
7. Miesen WM, de Monchy JG, Dubois AE. Anaphylaxis on skin exposure to grass. Allergy 2001;56:799.)
8. Liccardi G, De Falco F, Gilder JA, DAmato M, DAmato G. Severe systemic reaction induced by accidental skin contact with cow milk in a 16-year-old-boy. A case report. J Investig Allergol Clin Immunol 2004;14:168-71.
9. Vitaliti G, Morselli I, Di Stefano V, Lanzafame A,La Rosa M, Leonardi S. Urticaria and anaphylaxis in child after inhalation of lentil vapours: a case report and literature review. Ital J Pediatr. 2012 Dec 13;38:71.
10. Prieto A, Razzak E, Lindo DP, Alvarez-Perea A, Rueda M, Baeza ML. Recurrent anaphylaxis due to lupin flour:primary sensitization through inhalation.J Investtig Clin Immunol. 2010;20(1): 76-9.
11. Steensma DP. The kiss of death:a severe allergic reaction to a shellfish induced by a good-night kiss. Mayo Clin Proc. 2003 Feb;78(2):221-2.