Table 2 Case reports of dust mite ingestion-associated, exercise-induced anaphylaxis
From: Dust mite ingestion-associated, exercise-induced anaphylaxis: a case report and literature review
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 |