A 20-year-old woman developed anaphylaxis after eating pizza on 4 different occasions in 2 restaurants. Both restaurants made their pizza dough with a mixture of wheat and buckwheat flours. A prick-to-prick test with buckwheat flour was positive. Skin prick tests and specific immunoglobulin E responses to soybean and peanut were weakly positive while the response to buckwheat was negative. We ruled out a pathogenic role for peanut and soybean because the patient usually eats both with no signs of allergic reaction. Double-blind, placebo-controlled food challenges with buckwheat flour were positive after the administration of a cumulative dose of 2.3 g of the culprit flour. To our knowledge, our report describes the first case of anaphylaxis after intake of buckwheat flour as the hidden allergen in pizza dough.
Titolo: | Anaphylaxis after eating Italian pizza containing buckwheat as the hidden food allergen | |
Autori Riconosciuti: | ||
Autori: | HEFFLER E; GUIDA G; BADIU I; NEBIOLO F; ROLLA G | |
Data di pubblicazione: | 2007 | |
Abstract: | A 20-year-old woman developed anaphylaxis after eating pizza on 4 different occasions in 2 restaurants. Both restaurants made their pizza dough with a mixture of wheat and buckwheat flours. A prick-to-prick test with buckwheat flour was positive. Skin prick tests and specific immunoglobulin E responses to soybean and peanut were weakly positive while the response to buckwheat was negative. We ruled out a pathogenic role for peanut and soybean because the patient usually eats both with no signs of allergic reaction. Double-blind, placebo-controlled food challenges with buckwheat flour were positive after the administration of a cumulative dose of 2.3 g of the culprit flour. To our knowledge, our report describes the first case of anaphylaxis after intake of buckwheat flour as the hidden allergen in pizza dough. | |
Volume: | 17 | |
Pagina iniziale: | 261 | |
Pagina finale: | 263 | |
URL: | http://www.jiaci.org/issues/vol17issue04/9.pdf | |
Parole Chiave: | Buckwheat; Pizza; Hidden allergen; Anaphylaxis; Allergy | |
Rivista: | JOURNAL OF INVESTIGATIONAL ALLERGOLOGY & CLINICAL IMMUNOLOGY | |
Appare nelle tipologie: | 03A-Articolo su Rivista |