[糙米导致的食物依赖性运动诱发过敏性休克病例]。

Naoko Oike, Yukiko Iwawaki, Michihiro Naito, Kazunori Tagami, Joon Nakata, Teruaki Matsui, Yoshihiro Takasato, Takae Kobayasi, Hidehiko Izumi, Komei Ito
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引用次数: 0

摘要

一名 14 岁的女孩因食物依赖性运动诱发过敏性休克(FDEIA)来我院就诊,原因可能是大米。尽管此前曾四次出现疑似 FDEIA 的症状,但她并未自行就医。在第五次出现症状时,全科医生怀疑是过敏性休克,并将患者转诊到我院。这五次发病的唯一共同点是食用大米,因此对患者进行了检查,怀疑是由大米引起的 FDEIA。皮肤点刺试验结果显示,米糠和粳米均呈阳性,食用粳米后运动导致过敏性休克。因此,我们确诊为粳米引起的 FDEIA。免疫印迹证实患者血清中存在与 14-16kDa 米糠蛋白反应的免疫球蛋白 E。免疫印迹抑制试验表明,患者血清中与之发生反应的米糠蛋白也存在于粳米中,而非洗米中。由于患者在摄入免洗大米或米粉后可能会出现 FDEIA,因此建议她从饮食中剔除这些食物,处理方法与糙米或白米类似。
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[A CASE OF FOOD-DEPENDENT EXERCISE-INDUCED ANAPHYLAXIS DUE TO POLISHED RICE].

A 14-year-old girl presented to our hospital with food-dependent exercise-induced anaphylaxis (FDEIA), possibly caused by rice. Despite experiencing four previous episodes of suspected FDEIA, she did not seek medical attention at her own discretion. On the fifth occurrence of symptoms, the general practitioner suspected FDEIA and referred the patient to our hospital. The only common factor in all five episodes was the consumption of rice, leading to the examination of the patient under suspicion of FDEIA caused by rice. Skin prick test results were positive for bran and polished rice, and exercise after consumption of polished rice resulted in anaphylaxis. Therefore, we diagnosed FDEIA caused by polished rice. Immunoblotting confirmed the presence of immunoglobulin E reacting with 14-16kDa rice bran protein in the patient's serum. The immunoblot inhibition test suggested that the rice bran protein to which the patient's serum reacted was also present in polished rice and no wash rice. As the patient may experience FDEIA after ingestion of no wash rice or rice flour, she was advised to eliminate these from her diet, treating them similarly to brown rice or polished rice.

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来源期刊
Japanese Journal of Allergology
Japanese Journal of Allergology Medicine-Immunology and Allergy
CiteScore
0.30
自引率
0.00%
发文量
88
期刊介绍: The Japanese Society of Allergology is made up of medical researchers and clinical physicians who share an involvement in the study of allergies and clinical immunology. Clinical subspecialties include such allergies and immune-response disorders as bronchial asthma, hypersensitivity pneumonitis, collagen disease, allergic rhinitis, pollenosis, hives, atopic dermatitis, and immunodeficiency. However, there are many patients afflicted by other allergies as well. The Society considers all such patients and disorders within its purview.
期刊最新文献
[A CASE OF CLINICALLY AMYOPATHIC DERMAMYOSITIS WITH INTERSTITIAL LUNG DISEASE SHOWING TWO DETERIORATIONS IN 4 YEARS].
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