From respiratory sensitization to food allergy: Anaphylactic reaction after ingestion of mushrooms (Agaricus bisporus)

Medical Mycology Case Reports
Marta F GabrielJorge Martínez

Abstract

We report a case of a 38-year-old mold-allergic patient who developed episodes of generalized urticaria and systemic anaphylactic shock immediately after ingesting button mushrooms. A manganese-dependent superoxide dismutase (MnSOD) and a NADP-dependent mannitol dehydrogenase (MtDH) from Agaricus bisporus mushroom were identified as patient-specific IgE-binding proteins. Cross-reactivity between A. bisporus MnSOD and mold aeroallergens was confirmed. We conclude that prior sensitization to mold aeroallergens might explain severe food reactions to cross-reacting homologs mushroom proteins.

References

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Citations

Mar 5, 2016·Annual Review of Food Science and Technology·Shridhar K SatheValerie D Zaffran
Sep 26, 2019·Frontiers in Immunology·Lennart M Roesner, Thomas Werfel

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