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Table 2 Suggested prompts for a history of presenting suspected reaction to a C. sativa product

From: An emerging allergen: Cannabis sativa allergy in a climate of recent legalization

Suggestions for characterizing the history of a possible presenting reaction to C. sativa

Symptoms

 Cutaneous (urticaria, contact dermatitis, etc.)

 Gastrointestinal (vomiting, diarrhea, abdominal pain, etc.)

 Respiratory (wheeze, cough, dyspnea, etc.)

 Oropharyngeal/mucosal/conjunctival (nasal obstruction, palatal pruritis, eye pruritis, nasal discharge, etc.)

 Other, as described or suspected by patient and clinician

Timeline of reaction

 Chronological relation to suspected exposure (immediate vs. delayed)

 Course of development of symptoms

 Duration of symptoms

 Frequency of symptoms

 Dependency on exposure

Nature of exposure

 Suspected allergen(s)

 Route of exposure (oral, smoked, ingested, contact, etc.)

 Dose dependency

 Form (processed, whole plant, oil, etc.)

 Reproducible

 Exacerbating factors (alcohol, exercise, other known allergens present)

  1. Adapted from consultation template prompts from the Division of Clinical Immunology and Allergy at St. Joseph’s Healthcare in London, ON