Publication: Dust mite ingestion-associated, exercise-induced anaphylaxis: A case report and literature review
Issued Date
2020-01-06
Resource Type
ISSN
17101492
17101484
17101484
Other identifier(s)
2-s2.0-85077901145
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Allergy, Asthma and Clinical Immunology. Vol.16, No.1 (2020)
Suggested Citation
Mongkhon Sompornrattanaphan, Yanisa Jitvanitchakul, Nat Malainual, Chamard Wongsa, Aree Jameekornrak, Orathai Theankeaw, Torpong Thongngarm Dust mite ingestion-associated, exercise-induced anaphylaxis: A case report and literature review. Allergy, Asthma and Clinical Immunology. Vol.16, No.1 (2020). doi:10.1186/s13223-019-0399-1 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/49618
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Dust mite ingestion-associated, exercise-induced anaphylaxis: A case report and literature review
Other Contributor(s)
Abstract
© 2019 The Author(s). Background: Oral mite anaphylaxis (OMA) is a condition characterized by severe allergic reactions after ingesting food containing dust mite-contaminated flour. Physical exertion is recognized as a common trigger factor inducing anaphylaxis. The association of OMA with exercise-induced anaphylaxis has rarely been reported. Case presentation: We report a 29-year-old Thai woman who had dust mite ingestion-associated, exercise-induced anaphylaxis who tolerated the same bag of contaminated flour without exercise. A sample of contaminated cooking flour was examined under a light microscope. Living mites, Dermatophagoides farinae, were detected by a medical entomologist based on the morphology. We performed skin test to both mite-contaminated and newly opened Gogi® cooking flour, common aeroallergens, food allergens, and all other ingredients in the fried coconut rice cake 5 weeks after the anaphylactic episode. Specific IgE tests, using ImmunoCAP were also performed. Conclusions: Dust mite ingestion-associated, exercise-induced anaphylaxis may be misdiagnosed as wheat-dependent exercise-induced anaphylaxis and should be suspected in patients with anaphylaxis linked to food intake and exercise, but who have no apparent evidence to the index food ingredients on allergy workup.