Anaphylaxis to rice by inhalation

To the Editor: The ingestion of rice can trigger eczema, bronchial asthma, rhinitis, or gastrointestinal symptoms, but anaphylaxis from the inhalation of rice has not hitherto been described.1 The case we present is unusual in that an 8-year-old child was unconscious with cardiopulmonary collapse an...

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Veröffentlicht in:Journal of allergy and clinical immunology 2003-01, Vol.111 (1), p.193-195
Hauptverfasser: Fiocchi, Alessandro, Bouygue, Gabriel Robert, Restani, Patrizia, Gaiaschi, Antonella, Terracciano, Luigi, Martelli, Alberto
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container_end_page 195
container_issue 1
container_start_page 193
container_title Journal of allergy and clinical immunology
container_volume 111
creator Fiocchi, Alessandro
Bouygue, Gabriel Robert
Restani, Patrizia
Gaiaschi, Antonella
Terracciano, Luigi
Martelli, Alberto
description To the Editor: The ingestion of rice can trigger eczema, bronchial asthma, rhinitis, or gastrointestinal symptoms, but anaphylaxis from the inhalation of rice has not hitherto been described.1 The case we present is unusual in that an 8-year-old child was unconscious with cardiopulmonary collapse and generalized urticaria, the proximate cause of which was the inhalation of steam while rice was being cooked in his presence. To the best of our knowledge, anaphylaxis to rice in children has been described only in the context of exercise-induced reactions.6 Respiratory reactions to cereals are well known from bakers' asthma, in which the airborne transport and the major allergenicity of the 16-kD α-amylase/trypsin inhibitors have been documented.7 Thus it could be that this child, already sensitized by a rice allergen in the range of mo-lecular weights compatible with this family of enzymes, developed a reaction triggered by these allergens.
doi_str_mv 10.1067/mai.2003.12
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subjects Administration, Inhalation
Airway management
Allergens - administration & dosage
Allergies
Anaphylaxis - etiology
Bands
Child
Dermatitis, Atopic - immunology
Food
Food allergies
Humans
Male
Molecular weight
Oryza - immunology
Ostomy
Proteins
Ventilation
title Anaphylaxis to rice by inhalation
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