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First case report of anaphylaxis to quinoa, a novel food in France.

机译:首次对法国新型食品藜麦进行过敏性反应的报道。

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摘要

Quinoa seeds belonging to the plants of Chenopodiaceae family, such as spinach, beets and Swisschard, represent a staple food in high altitude Andean regions because of their high protein content levels(about 15% wet weight) and their balanced essential amino acid profile, thereby offering a wider spectrum of nutrition than that of cereals and legumes (1). Quinoa seeds are a novel food in France, available in health food stores. They are consumed as a substitute to cereals by patients allergic to wheat or intolerant to gluten. We present the first case of allergy to quinoa reported to the Allergy Vigilance Network. A 52-year-old man developed a serious systemic reaction with dysphagia, dysphonia, generalized urticaria and angio-oedema after the ingestion of quinoa with fish and bread.The symptoms were resolved with intravenous cortico steroids and anti-Hl. Clinical history of this patient included a previous reaction to quinoa in 2006 and a seasonal rhinitis to grass pollens. The prick-test to crushed quinoa seeds was positive with a wheal diameter of 15 mm while that for the codeine control was 5 mm. Prick tests were negative to fish and wheat. Specific IgEs were documented by ImmunoCAP? (Phadia AB, Uppsala, Sweden): 7 kU/L. Immunocap to spinach was negative.
机译:藜属植物藜麦种子,例如菠菜,甜菜和瑞士甜菜,因其高蛋白质含量(约15%湿重)和均衡的必需氨基酸特征而成为高海拔安第斯地区的主食。提供的营养比谷物和豆类更为广泛(1)。藜麦种子是法国的一种新型食品,可在健康食品商店购买。对小麦过敏或对面筋不耐受的患者食用它们作为谷物的替代品。我们介绍了向过敏警戒网报告的第一例藜麦过敏病例。一名52岁的男子在摄入藜麦和鱼和面包后,出现了严重的全身反应,出现吞咽困难,声音障碍,泛发性荨麻疹和血管性水肿,并通过静脉注射皮质类固醇和抗H1症状得以缓解。该患者的临床病史包括2006年以前对藜麦的反应和对草花粉的季节性鼻炎。粉碎藜麦种子的点刺试验阳性,风团直径为15 mm,可待因对照的为5 mm。刺试验对鱼和小麦均呈阴性。 ImmunoCAP记录了特定的IgE? (Phadia AB,瑞典乌普萨拉):7 kU / L。菠菜的免疫帽为阴性。

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