scholarly journals Oral Allergy Syndrome Caused By Japanese Radish: A Case Report

2021 ◽  
Author(s):  
Atsushi Uesugi ◽  
Fumihiko Tsushima ◽  
Youji Miyamoto ◽  
Hiroyuki Harada
Keyword(s):  
Oral Cavity ◽  
Epigastric Pain ◽  
Oral Allergy Syndrome ◽  
Food Allergies ◽  
Case Presentation ◽  
Prick Test ◽  
Japanese Radish ◽  
History Of ◽  
Herpetic Gingivostomatitis ◽  
Possible Cause

Abstract Background: Oral allergy syndrome (OAS) is a type of food allergy that manifests as hypersensitivity symptoms of the oropharyngeal mucosa on ingestion of specific foods with oral findings resembling herpetic gingivostomatitis. Symptoms can also appear in parts other than the oral cavity. There are a few reports of OAS caused by consuming radishes in the literature.Case presentation: A 31-year-old male presented to our department with stomatitis and pharyngeal pain. The patient did not have a history of allergy, and herpetic gingivostomatitis was suspected. He was admitted to the emergency room of our hospital after complaining of oral and epigastric pain a few days later. On admission, symptoms noted were similar to those when he first visited our department. After detailed history taking, he reported consuming raw Japanese radish frequently, which gave rise to his symptoms. Radish was strongly suspected as the causative allergen. The skin prick test result was positive, confirming the diagnosis of OAS.Conclusions: OAS can be diagnosed easily once the food causing symptoms is identified. However, guiding the diagnosis can be challenging if the patient is unaware of food allergies. Upon encountering widespread erosion in the oral cavity, it is essential to consider OAS as the possible cause.

scholarly journals Oral Allergy Syndrome Caused by Japanese Radish: A Case Report

2021 ◽  
Author(s):  
Atsushi Uesugi ◽  
Fumihiko Tsushima ◽  
Youji Miyamoto ◽  
Hiroyuki Harada
Keyword(s):  
Oral Cavity ◽  
Epigastric Pain ◽  
Oral Allergy Syndrome ◽  
Food Allergies ◽  
Case Presentation ◽  
Prick Test ◽  
Japanese Radish ◽  
History Of ◽  
Herpetic Gingivostomatitis ◽  
Possible Cause

Abstract Background:Oral allergy syndrome (OAS) is a type of food allergy that manifests as hypersensitivity symptoms of the oropharyngeal mucosa on ingestion of specific foods with oral findings resembling herpetic gingivostomatitis. Symptoms can also appear in parts other than the oral cavity. There are a few reports of OAS caused by consuming radishes in the literature.Case presentation:A 31-year-old male presented to our department with stomatitis and pharyngeal pain. The patient did not have a history of allergy, and herpetic gingivostomatitis was suspected. He was admitted to the emergency room of our hospital after complaining of oral and epigastric pain a few days later. On admission, symptoms noted were similar to those when he first visited our department. After detailed history taking, he reported consuming raw Japanese radish frequently, which gave rise to his symptoms. Radish was strongly suspected as the causative allergen. The skin prick test result was positive, confirming the diagnosis of OAS.Conclusions:OAS can be diagnosed easily once the food causing symptoms is identified. However, guiding the diagnosis can be challenging if the patient is unaware of food allergies. Upon encountering widespread erosion in the oral cavity, it is essential to consider OAS as the possible cause.

Birch pollen associated soy allergy – possibilities in diagnostic and clinical relevance1)

2012 ◽  
Vol 36 (3) ◽  
Author(s):  
Susanne Beyer ◽  
Ulrich Sack ◽  
Regina Treudler
Keyword(s):  
Birch Pollen ◽  
Basophil Activation Test ◽  
Specific Ige ◽  
Oral Allergy Syndrome ◽  
Food Allergies ◽  
Food Allergens ◽  
Prick Test ◽  
The Past ◽  
Immunological Cross Reaction

AbstractBirch pollen allergic individuals frequently suffer from food allergies in the form of an oral allergy syndrome after eating pome and stone fruits. These complaints are based on an immunological cross-reaction between pollen and food allergens. In the past, it has been shown that many birch pollen allergic patients are additionally not able to tolerate high protein soy products. Some severe immediate type reactions to soy have been observed. The cause for these immediate type reactions to soy is a Bet v 1 cross-reactive soy allergen called Gly m 4.Using a collective of 73 birch pollen allergic patients with associated food allergy in Leipzig as an example, the results of a standardized questioning, prick-to-prick test with a soy drink, determination of specific IgE against rGly m 4, and basophil activation test with Gly m 4 are presented.We showed that commercially available prick test extracts and determination of specific IgE against soy bean mix/f14 are not appropriate to diagnose birch pollen associated soy allergy. Generally, soy sensitization could be proven when a prick-to-prick-test with a soy drink and determination of specific IgE against rGly m 4 were done. A positive prick-to-prick test with a soy drink was found in 79% (55/70) of the birch pollen allergic patients with 89% (65/73) showing specific IgE for rGly m 4 (CAP>1). Although not every sensitization was clinically relevant, every third patient with a proven soy sensitization was diagnosed with a clinically relevant allergy to soy.

scholarly journals Adult Onset Egg Allergy: A Case Report

2021 ◽  
Author(s):  
Elisa Maria Cremonte ◽  
Eugenia Galdi ◽  
Chiara Roncallo ◽  
Elisa Boni ◽  
Luigi Cremonte
Keyword(s):  
Gastrointestinal Symptoms ◽  
Rare Condition ◽  
Specific Ige ◽  
Food Allergies ◽  
Adult Onset ◽  
Egg Allergy ◽  
Case Presentation ◽  
Prick Test ◽  
Active Smoker ◽  
Ige Mediated

Abstract Background: Egg allergy is one of the most frequent food allergies in childhood while adult onset of egg allergy is a rare condition.Case presentation: We report the case of a 30 years old man sent to our center in order to investigate gastrointestinal symptoms occurring since two years after egg and derivatives intake. He did not suffer from egg or other food allergies in childhood. He is an active smoker with a contact dermatitis related to nickel and mild allergic rhinoconjunctivitis to grass pollen. Skin prick test and serum specific IgE to egg were performed and revealed sensitization to egg proteins. Conclusions: Even though IgE-mediated egg allergy affects children, this report witnesses a rare case of adult onset.

scholarly journals Granulomatous Lesion in Inserted Gum-Metastasis of Renal Clear Cell Carcinoma. Case Presentation

2019 ◽  
pp. 125-134
Author(s):  
Francisco Germán Villanueva Sánchez DDS,MSc,PhD ◽  
David Fonseca Lozada DDS ◽  
Claudia Ivonne Rojas Sánchez DDS ◽  
Lilia Haidé Escalante Macías DDS, MSc
Keyword(s):  
Oral Cavity ◽  
Clear Cell ◽  
Left Lung ◽  
Treatment Protocol ◽  
Renal Clear Cell Carcinoma ◽  
Biological Behavior ◽  
Case Presentation ◽  
Granulomatous Lesions ◽  
History Of ◽  
The Right

Worldwide, renal carcinoma constitutes 3% of all forms of cancer in the human body. Its biological behavior is variable depending on the biology of each individual; it tends to metastasize to contiguous sites such as adrenal glands, liver, lung, bone, lymph nodes, however, remote presentation in the oral cavity is less frequent, even in inserted gums. Granulomatous lesions of the periodontium include pyogenic granulomas, giant cell granulomas among others. The main objective of this clinical case is to describe the clinical and histopathological characteristics of oral cavity metastases as granulomatous lesions. The case of a 60-year-old female patient with a history of renal cell papillary carcinoma in the right kidney treated by nephrectomy in 2017 is presented, in 2019 she presented metastases to the left lung and oral cavity. It is currently under treatment protocol for renal clear cell metastases.

scholarly journals Delayed-Onset Interface Fluid Syndrome After LASIK Following Phacotrabeculectomy

2019 ◽  
Author(s):  
Chung Young Kim ◽  
Young Ho Jung ◽  
Eun Ji Lee ◽  
Joon Young Hyon ◽  
Kyu Hyung Park ◽  
...  
Keyword(s):  
Corneal Edema ◽  
Unusual Complication ◽  
Scleral Flap ◽  
Case Presentation ◽  
First Case ◽  
History Of ◽  
Possible Cause ◽  
Slit Lamp Microscopy ◽  
Tomography Scanning

Abstract Background Interface fluid syndrome (IFS) is an unusual complication after laser-assisted in-situ keratomileusis (LASIK). We report the first case of IFS after uncomplicated phacotrabeculectomy in a patient who had undergone LASIK 10 years previously. This case emphasizes the importance of intraocular pressure (IOP) interpretation in eyes that have undergone LASIK. Case presentation A 30-year-old woman with a history of LASIK surgery presented to glaucoma clinic due to uncontrolled IOP despite of maximally tolerable medical treatment. After receiving phacotrabeculectomy, IOP decreased to 3mmHg on the first postoperative day, but again increased up to 21mmHg and a diffuse corneal edema with cloudy flap interface was demonstrated by slit-lamp microscopy. Corneal edema was sustained even after the IOP was lowered to 14 mmHg. Spectral-domain optical coherence tomography scanning of the cornea revealed a diffuse, thin fluid pocket in the corneal interface. After laser lysis of the scleral flap sutures, IOP was further decreased to 9mmHg and interface fluid was resolved. Conclusion IFS should be considered as a possible cause of postoperative corneal edema despite of low IOP in the eyes that underwent LASIK surgery. Additional IOP lowering may be helpful for resolving the corneal edema.

scholarly journals Delayed-Onset Interface Fluid Syndrome After LASIK Following Phacotrabeculectomy

2019 ◽  
Author(s):  
Chung Young Kim ◽  
Young Ho Jung ◽  
Eun Ji Lee ◽  
Joon Young Hyon ◽  
Kyu Hyung Park ◽  
...  
Keyword(s):  
Corneal Edema ◽  
Unusual Complication ◽  
Scleral Flap ◽  
Case Presentation ◽  
First Case ◽  
History Of ◽  
Possible Cause ◽  
Slit Lamp Microscopy ◽  
Tomography Scanning

Abstract Background Interface fluid syndrome (IFS) is an unusual complication after laser-assisted in-situ keratomileusis (LASIK). We report the first case of IFS after uncomplicated phacotrabeculectomy in a patient who had undergone LASIK 10 years previously. This case emphasizes the importance of intraocular pressure (IOP) interpretation in eyes that have undergone LASIK. Case presentation A 30-year-old woman with a history of LASIK surgery presented to glaucoma clinic due to uncontrolled IOP despite of maximally tolerable medical treatment. After receiving phacotrabeculectomy, IOP decreased to 3mmHg on the first postoperative day, but again increased up to 21mmHg and a diffuse corneal edema with cloudy flap interface was demonstrated by slit-lamp microscopy. Corneal edema was sustained even after the IOP was lowered to 14 mmHg. Spectral-domain optical coherence tomography scanning of the cornea revealed a diffuse, thin fluid pocket in the corneal interface. After laser lysis of the scleral flap sutures, IOP was further decreased to 9mmHg and interface fluid was resolved. Conclusion IFS should be considered as a possible cause of postoperative corneal edema despite of low IOP in the eyes that underwent LASIK surgery. Additional IOP lowering may be helpful for resolving the corneal edema.

scholarly journals Delayed-Onset Interface Fluid Syndrome After LASIK Following Phacotrabeculectomy

2019 ◽  
Author(s):  
Chung Young Kim ◽  
Young Ho Jung ◽  
Eun Ji Lee ◽  
Joon Young Hyon ◽  
Kyu Hyung Park ◽  
...  
Keyword(s):  
Corneal Edema ◽  
Unusual Complication ◽  
Scleral Flap ◽  
Case Presentation ◽  
First Case ◽  
History Of ◽  
Possible Cause ◽  
Slit Lamp Microscopy ◽  
Tomography Scanning

Abstract Background: Interface fluid syndrome (IFS) is an unusual complication after laser-assisted in-situ keratomileusis (LASIK). We report the first case of IFS after uncomplicated phacotrabeculectomy in a patient who had undergone LASIK 10 years previously. This case emphasizes the importance of intraocular pressure (IOP) interpretation in eyes that have undergone LASIK. Case presentation: A 30-year-old woman with a history of LASIK surgery presented to glaucoma clinic due to uncontrolled IOP despite of maximally tolerable medical treatment. After receiving phacotrabeculectomy, IOP decreased to 3mmHg on the first postoperative day, but again increased up to 21mmHg and a diffuse corneal edema with cloudy flap interface was demonstrated by slit-lamp microscopy. Corneal edema was sustained even after the IOP was lowered to 14 mmHg. Spectral-domain optical coherence tomography scanning of the cornea revealed a diffuse, thin fluid pocket in the corneal interface. After laser lysis of the scleral flap sutures, IOP was further decreased to 9mmHg and interface fluid was resolved. Conclusion: IFS should be considered as a possible cause of postoperative corneal edema despite of low IOP in the eyes that underwent LASIK surgery. Additional IOP lowering may be helpful for resolving the corneal edema. Key Words : Interface fluid syndrome, LASIK, Glaucoma, Phacotrabeculectomy.

scholarly journals Prognosis of food-induced anaphylaxis in children: A single-center real-life study

2022 ◽  
Vol 43 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Sule Buyuk Yaytokgil ◽  
Ilknur Kulhas Celik ◽  
Betul Karaatmaca ◽  
Tayfur Ginis ◽  
Selma Alim Aydin ◽  
...  
Keyword(s):  
Natural History ◽  
Real Life ◽  
Food Allergies ◽  
Prick Test ◽  
Life Study ◽  
History Of ◽  
Wheal Size ◽  
Food Anaphylaxis ◽  
Over Time

Background: Food allergies are known to resolve over time, but there is little information on the natural history of food-induced anaphylaxis (FIA). Objective: This study aimed to evaluate the natural history of FIA in children and determine the factors that affect prognosis. Methods: Children with FIA who were followed up for at least 3 years, between 2010 and 2020, were included. Patients' families were contacted by telephone to question their child's tolerance status and invite them for reevaluation if uncertain. The patients were grouped as tolerant or persistent according to parent reports or reevaluation results. Logistic regression analysis was performed to determine the factors that affected persistence. Results: The study included 185 patients (62.2% boys) with 243 anaphylactic reactions to various foods. Fifty-eight patients (31%) gained tolerance within a 3-year follow-up period. Tolerance rates were higher in patients with FIA to milk (40%) and egg (43.9%) compared with to tree nuts (18.8%), legumes (5.6%), and/or seafood (11.1%) (p < 0.001). In a multivariate analysis, risk factors for persistent FIA were multiple food anaphylaxis (odds ratio [OR] 3.755 [95% confidence interval {CI}, 1.134‐12.431]; p = 0.030), total IgE > 100 kU/L (OR 5.786 [95% CI, 2.065‐16.207]; p = 0.001), and skin-prick test wheal size > 10 mm (OR 4.569 [95% CI, 1.395‐14.964]; p = 0 .012) at presentation. Conclusion: Approximately a third of the patients with FIA developed tolerance within 3 years. Clinicians should remember that children with food allergies, even anaphylaxis, may develop tolerance over time. Regular follow up and reevaluation of tolerance status are necessary to avoid unnecessary elimination.

scholarly journals Adult onset egg allergy: a case report

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Elisa Maria Cremonte ◽  
Eugenia Galdi ◽  
Chiara Roncallo ◽  
Elisa Boni ◽  
Luigi Giovanni Cremonte
Keyword(s):  
Gastrointestinal Symptoms ◽  
Rare Condition ◽  
Specific Ige ◽  
Food Allergies ◽  
Adult Onset ◽  
Egg Allergy ◽  
Case Presentation ◽  
Prick Test ◽  
Active Smoker ◽  
Ige Mediated

Abstract Background Egg allergy is one of the most frequent food allergies in childhood while adult onset of egg allergy is a rare condition. Case presentation We report the case of a 30 years old man sent to our center in order to investigate gastrointestinal symptoms occurring since 2 years after egg and derivatives intake. He did not suffer from egg or other food allergies in childhood. He is an active smoker with a contact dermatitis related to nickel and mild allergic rhinoconjunctivitis to grass pollen. Skin prick test and serum specific IgE to egg were performed and revealed sensitization to egg proteins. Conclusions Even though IgE-mediated egg allergy affects children, this report witnesses a rare case of adult onset.

Aspergillus Spondylodiscitis After Spinal Stenosis Surgery: A Case Report

2020 ◽  
Vol 5 (3 And 4) ◽  
pp. 155-160
Author(s):  
Mohsen Aghapoor ◽  
◽  
Babak Alijani Alijani ◽  
Mahsa Pakseresht-Mogharab ◽  
◽  
...  
Keyword(s):  
Antifungal Drugs ◽  
The Body ◽  
Lower Limbs ◽  
Lumbar Pain ◽  
Case Presentation ◽  
Delay In Diagnosis ◽  
Death Case ◽  
Therapeutic Results ◽  
History Of ◽  
Probable Diagnosis

Background and Importance: Spondylodiscitis is an inflammatory disease of the body of one or more vertebrae and intervertebral disc. The fungal etiology of this disease is rare, particularly in patients without immunodeficiency. Delay in diagnosis and treatment of this disease can lead to complications and even death. Case Presentation: A 63-year-old diabetic female patient, who had a history of spinal surgery and complaining radicular lumbar pain in both lower limbs with a probable diagnosis of spondylodiscitis, underwent partial L2 and complete L3 and L4 corpectomy and fusion. As a result of pathology from tissue biopsy specimen, Aspergillus fungi were observed. There was no evidence of immunodeficiency in the patient. The patient was treated with Itraconazole 100 mg twice a day for two months. Pain, neurological symptom, and laboratory tests improved. Conclusion: The debridement surgery coupled with antifungal drugs can lead to the best therapeutic results.

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