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首页> 外文期刊>Allergy >Allergy for cheese: evidence for an IgE-mediated reaction from the natural dye annatto.
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Allergy for cheese: evidence for an IgE-mediated reaction from the natural dye annatto.

机译：奶酪过敏：天然染料胭脂红素对IgE介导反应的证据。

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摘要

A 58-year-old atopic man was referred to our outpatients' clinic because of four episodes in 3 years of severe anaphylaxis with urticaria, angio-oedema and finally loss of consciousness within a few minutes after consumption of a sandwich or toast with Gouda cheese. Detailed history, quantification of specific IgE (slgE) and skin tests confirmed allergy for house dust mite and cat epithelium. There was neither evidence of a classical IgE-mediated food allergy (in particular, wheat and diary products) nor of pollen or latex allergy that could have explained a secondary food allergy. Serum tryptase level was normal at the clinical visit. Careful revision of labels from different brands of Gouda cheese revealed that the reaction could potentially be elicited by the natural dye annatto (E160b).
机译：一名58岁的异位男子因在3年内出现严重的过敏性荨麻疹，血管性水肿并在数分钟内失去意识，最终在食用三明治或烤面包加Gouda奶酪后几分钟内失去知觉，因此被转诊至我们的门诊。详细的病史，特定IgE（slgE）的定量和皮肤测试证实了屋尘螨和猫上皮过敏。既没有证据表明经典的IgE介导的食物过敏（尤其是小麦和乳制品），也没有花粉或乳胶过敏可以解释为继发性食物过敏。临床就诊时血清类胰蛋白酶水平正常。仔细修改了不同品牌的Gouda奶酪的标签后发现，该反应可能是由天然染料annatto（E160b）引起的。

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