Bee Pollen-Induced Anaphylaxis: A Case Report and Literature Review

Allergy, Asthma & Immunology Research
Jeong Hee ChoiIn Gyu Hyun

Abstract

Bee pollen is pollen granules packed by honey bees and is widely consumed as natural healthy supplements. Bee pollen-induced anaphylaxis has rarely been reported, and its allergenic components have never been studied. A 40-year-old male came to the emergency room with generalized urticaria, facial edema, dyspnea, nausea, vomiting, abdominal pain, and diarrhea 1 hour after ingesting one tablespoon of bee pollen. Oxygen saturation was 91%. His symptoms resolved after injection of epinephrine, chlorpheniramine, and dexamethasone. He had seasonal allergic rhinitis in autumn. Microscopic examination of the bee pollen revealed Japanese hop, chrysanthemum, ragweed, and dandelion pollens. Skin-prick with bee pollen extracts showed positive reactions at 0.1 mg/mL (A/H ratio > 3+). Serum specific IgE to ragweed was 25.2, chrysanthemum 20.6, and dandelion 11.4 kU/L; however, Japanese hop, honey-bee venom and yellow-jacket venom were negative (UniCAP®, Thermo Fisher Scientific, Uppsala, Sweden). Enzyme-linked immunosorbent assay (ELISA) confirmed serum specific IgE to bee-pollen extracts, and an ELISA inhibition assay for evaluation of cross-allergenicity of bee pollen and other weed pollens showed more than 90% of inhibition with chrysant...Continue Reading

References

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Citations

Aug 23, 2019·Phytotherapy Research : PTR·Michele AntonelliFabio Firenzuoli
Jul 22, 2017·Current Opinion in Allergy and Clinical Immunology·Natasha C Gunawardana
Jul 17, 2020·Archives of Gynecology and Obstetrics·Karsten Münstedt, Heidrun Männle
Apr 20, 2019·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·Maria Beatrice BilòMamidipudi T Krishna
May 27, 2020·Allergologia et immunopathologia·Karsten Münstedt, Heidrun Männle
Nov 3, 2020·Frontiers in Veterinary Science·Jéssica Baeça Rezende Marinho, Benito Soto-Blanco
Jun 3, 2021·Nutrients·Shaden A M KhalifaHesham R El-Seedi

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Methods Mentioned

BETA
enzyme-linked immunosorbent assay
ELISA
electrophoresis

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