Dust mite ingestion-associated, exercise-induced anaphylaxis: a case report and literature review

Table 1 Investigations performed in this patient (5 weeks after the anaphylactic episode)

Skin prick test^a		Specific IgE^c
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
Mite B. tropicalis 24 × 12 mm	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 test^b
German cockroach 4 × 4 mm	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

B. tropicalis, Blomia tropicalis; DP, Dermatophagoides pteronyssinus; DF, Dermatophagoides farinae; sIgE, specific immunoglobulin E; mm, millimeter; w/v, weight to volume ratio
^aNormal saline and histamine (10 mg/mL) were used as negative and positive controls, respectively. We did not perform a latex skin test due to the unavailability of a standard solution
^bPrick-to-prick test by using fresh fruit
^cSolid-phase immunoassay: ImmunoCAP

ISSN: 1710-1492