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Anaphylaxis to Skin Prick Testing in a 29-Year-Old Woman
Centre for Molecular, Environmental, Genetic and Analytic Epidemiology, School of Population Health, University of Melbourne, Melbourne, Australia
Centre for Molecular, Environmental, Genetic and Analytic Epidemiology, School of Population Health, University of Melbourne, Melbourne, Australia
Centre for Molecular, Environmental, Genetic and Analytic Epidemiology, School of Population Health, University of Melbourne, Melbourne, Australia
Department of Epidemiology and Preventive Medicine, Monash University, The Alfred Hospital, Melbourne, Australia
Murdoch Children’s Research Institute, Royal Children’s Hospital, Melbourne, Australia
John Hunter Children’s Hospital, Newcastle, Australia
Murdoch Children’s Research Institute, Royal Children’s Hospital, Melbourne, Australia
- 1 Centre for Molecular, Environmental, Genetic and Analytic Epidemiology, School of Population Health, University of Melbourne, Melbourne, Australia
- 2 Centre for Molecular, Environmental, Genetic and Analytic Epidemiology, School of Population Health, University of Melbourne, Melbourne, Australia
- 3 Centre for Molecular, Environmental, Genetic and Analytic Epidemiology, School of Population Health, University of Melbourne, Melbourne, Australia
- 4 Department of Epidemiology and Preventive Medicine, Monash University, The Alfred Hospital, Melbourne, Australia
- 5 Murdoch Children’s Research Institute, Royal Children’s Hospital, Melbourne, Australia
- 6 John Hunter Children’s Hospital, Newcastle, Australia
- 7 Murdoch Children’s Research Institute, Royal Children’s Hospital, Melbourne, Australia
International Journal of Clinical Medicine·Volume 03 (2012)·Pages 559–561·Published 7 November 2012·DOI10.4236/ijcm.2012.36101
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Abstract
Introduction: Skin prick testing (SPT) is a common test to diagnose IgE sensitization and the rate of adverse reactions is very low. Case Presentation: 29-year-old woman with anaphylactic reaction to routine SPT with 11 allergens (aero and food). Discussion: Allergy profile included multiple food and inhalant allergies, polysensitization, prior episode of anaphylaxis to mushrooms, active eczema and active hay fever but not active asthma. Conclusion: Anaphylaxis to SPT, although a rare event, is unpredictable necessitating availability of appropriate personnel and adequate resuscitation facilities for all testing.
KeywordsAnaphylaxisSkin Prick Testing
- P. C. Turkeltaub and P. J. Gergen, “The Risk of Adverse Reactions from Percutaneous Prick-Puncture Allergen Skin Testing, Venipuncture, and Body Measurements: Data from the Second National Health and Nutrition Examination Survey 1976-1980 (NHANES II),” Journal of Allergy and Clinical Immunology, Vol. 84, No. 6, 1989, pp. 886-890. doi:10.1016/0091-6749(89)90384-9
- E. Novembre, R. Bernardini, G. Bertini, G. Massai and A. Vierucci, “Skin Prick Test Induced Anaphylaxis,” Allergy, Vol. 51, 1995, pp. 60-61.
- G. Norrman and K. F?lth-Magnusson, “Adverse Reactions to Skin Prick Testing in Children—Prevalence and Possible Risk Factors,” Pediatric Allergy and Immunology, Vol. 20, No. 3, 2009, pp. 273-278. doi:10.1111/j.1399-3038.2008.00761.x
- G. Liccardi, A. Salzillo and G. D’Amato, “The Risk of Generalized Allergic Reactions to Skin Prick Testing May Be Higher in Poly-Sensitized Individuals and in Those Who Underwent SPT with Fresh Foods,” Pediatric Allergy and Immunology, Vol. 21, No. 4p1, 2010, pp. 656-657. doi:10.1111/j.1399-3038.2009.00984.x
- G. Liccardi, G. D’Amato, G. Walter Canonica, A. Salzillo, A. Piccolo and G. Passalacqua, “Systemic Reactions from Skin Testing: Literature Review,” Journal of Investigantional Allergology and Clinical Immunology, Vol. 16, 2006, pp. 75-78.
- M. A. Valyasevi, D. E. Maddox and J. T. C. Li, “Systemic Reactions to Allergy Skin Tests,” Annals of Allergy, Asthma & Immunology, Vol. 83, No. 2, 1999, pp. 132-136.
- R. Torricelli, S. G. O. Johansson and B. W?thrich, “Ingestive and Inhalative Allergy to the Mushroom Boletus Edulis,” Allergy, Vol. 52, No. 7, 1997, pp. 747-751. doi:10.1111/j.1398-9995.1997.tb01232.x
- I. Herrera-Mozo, B. Ferrer, J. L. Rodriguez-Sanchez and C. Juarez, “Description of a Novel Panallergen of Cross-Reactivity between Moulds and Foods,” Immunological Investigations, Vol. 35, No. 2, 2006, pp. 181-197. doi:10.1080/08820130600616599
- S. Y. Lin and B. Leatherman, “Sublingual Immunotherapy,” Otolaryngologic Clinics of North America, Vol. 44, No. 3, 2011, pp. 753-764. doi:10.1016/j.otc.2011.03.012
- E. Florvaag, S. G. O. Johansson, ?. Irgens, G. H. de Pater, “IgE-Sensitization to the Cough Suppressant Pholcodine and the Effects of Its Withdrawal from the Norwegian Market,” Allergy, Vol. 66, No. 7, 2011, pp. 955-960. doi:10.1111/j.1398-9995.2010.02518.x