Anaphylaxis to Oatmeal and Psocid Crisps
Abstract
Occasionally, a seemingly straightforward history of food-induced anaphylaxis may prove to be misleading. Both patients and their physicians have a tendency to attribute the cause of an allergic reaction to the most conspicuous ingredient that had been ingested while overlooking less likely causes. Here, we describe a patient whose history pointed to oatmeal allergy, but skin prick tests to oats and serologic testing for oat-specific IgE were negative. Ultimately, we found that the oatmeal had been contaminated with an allergenic insect, Psocid of the order Psocoptera.
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12. Fukutomi Y, Kawakami Y, Taniguchi M, Saito A, Fukuda A, Yasueda H, et al. Allergenicity and cross-reactivity of booklice (Liposcelis bostrichophila): a common household insect pest in Japan. Int Arch Allergy Immunol. 2012;157(4):339–48.
13. Jakubas-Zawalska J, Asman M SK. Sensitization to the storage mites Lepidoglyphus destructor and Tyrophagus putrescentiae (Acari, Sarcoptiformes, Astigmatina) in a suburban population in Southern Poland. Ann Parasitol. 2017;63(3):183–8.
2. Warren CM, Gupta RS, Smith BM, Davis MM, Jiang J, Blumenstock JA, et al. Prevalence and Severity of Food Allergies Among US Adults. JAMA Netw Open. 2019;2(1):e185630.
3. Boyce JA, Assa’ad A, Burks AW, Jones SM, Sampson HA, Wood RA, et al. Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsored expert panel. J Allergy Clin Immunol. 2010 Dec;126(6 Suppl):S1-58.
4. Phillips TW, Throne JE. Biorational approaches to managing stored-product insects. Annu Rev Entomol. 2010;55:375–97.
5. Athanassiou CG, Arthur FH, Opit GP, Throne JE. Insecticidal effect of diatomaceous earth against three species of stored-product psocids on maize, rice, and wheat. J Econ Entomol. 2009 Aug;102(4):1673–80.
6. Obr S. Psocoptera of food-processing plants and storages, dwellings and collections of natural objects in Czechoslovakia. Acta Entomol Bohemoslov. 1978;75:226–42.
7. Turner BD. poscelis bostrychophila (Psocoptera: Liposcelididae), a stored-product pest in the UK. Int J Pest Manag. 1994;40:179–90.
8. Schroeckenstein DC, Meier-Davis S BR. Occupational sensitivity to Tenebrio molitor Linnaeus(yellow mealworm). Allergy Clin Immunol. 1990;86(2):182–8.
9. Masaki K, Fukunaga K, Kawakami Y, Haque R. Rare presentation of anaphylaxis: pancake syndrome. BMJ Case Reports CP [Internet]. 2019;12(3). Available from: https://casereports.bmj.com/content/12/3/e228854
10. Ishibashi O, Sakuragi K, Fukutomi Y, Kawakami Y, Kamata Y, Sakurai M, et al. Lip b 1 is a novel allergenic protein isolated from the booklouse, Liposcelis bostrychophila. Allergy. 2017 Jun;72(6):918–26.
11. Patil MP, Niphadkar P V, Bapat MM. Psocoptera spp. (book louse): a new major household allergen in
Mumbai. Ann Allergy Asthma Immunol. 2001 Aug;87(2):151–5.
12. Fukutomi Y, Kawakami Y, Taniguchi M, Saito A, Fukuda A, Yasueda H, et al. Allergenicity and cross-reactivity of booklice (Liposcelis bostrichophila): a common household insect pest in Japan. Int Arch Allergy Immunol. 2012;157(4):339–48.
13. Jakubas-Zawalska J, Asman M SK. Sensitization to the storage mites Lepidoglyphus destructor and Tyrophagus putrescentiae (Acari, Sarcoptiformes, Astigmatina) in a suburban population in Southern Poland. Ann Parasitol. 2017;63(3):183–8.
| Files | ||
| Issue | Vol 19, No 2 (2020) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/ijaai.v19i2.2773 | |
| PMID | 32372633 | |
| Keywords | ||
| Food allergy Oatmeal allergy Psocid | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Babaei D, Vadas P. Anaphylaxis to Oatmeal and Psocid Crisps. Iran J Allergy Asthma Immunol. 2020;19(2):200-202.
