A nurse with anaphylaxis to stone fruits and latex sensitivity: potential diagnostic difficulties to consider

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
S J Weiss, J F Halsey

Abstract

There have been several recent reports describing a cross-reactivity between latex and antigens derived from a number of fruits, including those of the stone fruit family. The relationships between the allergic reactions to the antigens from these plant products are still being defined. To characterize the IgE reactivity of a patient who had anaphylactic reactions following the ingestion of several members of the stone fruit family (ie, plum, peach, and nectarine) and had a positive clinical history for latex allergy. The patient's serum was tested for the presence of specific IgE for latex, stone fruits, and a panel of other foods reported to be cross-reactive with latex. Prick testing was also performed with freshly prepared extracts from the implicated fruits. Finally, the immunochemical relationship between this patient's fruit and latex sensitivity was investigated by RAST inhibition. The patient had strongly positive skin tests to the freshly prepared fruit extracts but the in vitro food-specific IgE tests were equivocal or very low positive. In vitro latex-specific IgE tests were strongly positive. The stone fruit extracts were shown to be inhibitors of the patient's latex specific IgE by RAST inhibition. Skin testing wi...Continue Reading

References

Feb 22, 1992·Lancet·F LavaudI Holmquist
Feb 1, 1995·The Journal of Allergy and Clinical Immunology·F LavaudS Kochman
Jun 1, 1994·The Journal of Allergy and Clinical Immunology·J P RosenH A Sampson
Jul 1, 1994·The Journal of Allergy and Clinical Immunology·B L CharousJ W Yunginger
May 1, 1994·The Journal of Allergy and Clinical Immunology·K J KellyJ N Fink

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Citations

Dec 4, 1998·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·K J Kelly, C M Walsh-Kelly
Dec 2, 1998·Annals of Emergency Medicine·K J Kelly, C M Walsh-Kelly
Aug 13, 2005·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Keith I Lenchner, Anne Marie Ditto
May 8, 2002·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·M F SutherlandR E O'Hehir
Jun 16, 2012·Revista latino-americana de enfermagem·Aline Nair Biaggio Mota, Ruth Natalia Teresa Turrini

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