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Anaphylaxis to Agaricus bisporus ingestion

2020-11-27Journal article Open access
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dc.contributor.authorCunha, Inês Machado
dc.contributor.authorMarques, Maria Luís
dc.contributor.authorAbreu, Carmo
dc.contributor.authorBartolomé, Borja
dc.contributor.authorgomes, Eva
dc.date.accessioned2021-11-22T12:16:58Z
dc.date.available2021-11-22T12:16:58Z
dc.date.issued2020-11-27
dc.description.abstractA 33-year-old male with house dust mite allergic rhinitis and asthma reported an episode of facial and lip angioedema, dyspnea, cough and dysphagia at the age of 25, minutes after eating a mushroom ( Agaricus bisporus ) pizza. He denied any drug intake, hymenoptera stings or other possible triggers, and no identifiable cofactors were present. Since then he avoided all types of mushrooms, however an accidental contact occurred with mushroom sauce that resulted in angioedema of the lip within minutes. The allergy workup included measurements of total IgE and specific IgE to mushroom, and skin prick test to aeroallergens sources, possible food allergen sources and mushroom extract, a prick to prick test with raw and cooked A. bisporus , in addition to a SDS-PAGE and immunoblotting assay. The study revealed a specific IgE to mushroom of 0.76kUA/L positive skin prick test to mushroom extract, and prick to prick test positive to white and brown A. bisporus (raw and cooked). The immunoblotting identified two IgE binding proteins with 10kDa and 27kDa. We report a case of A. bisporus anaphylaxis probably due to primary mushroom sensitization. We detected two IgE-reactive proteins with 10kDa and 27kDa as possible culprit allergens.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCunha IM, Marques ML, Abreu C, Bartolomé B, Gomes E. Anaphylaxis to Agaricus bisporus ingestion. Einstein (Sao Paulo). 2020;18:eRC5478. doi:10.31744/einstein_journal/2020RC5478pt_PT
dc.identifier.doi10.31744/einstein_journal/2020RC5478pt_PT
dc.identifier.issn1679-4508
dc.identifier.issn2317-6385
dc.identifier.urihttp://hdl.handle.net/10400.16/2588
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherInstituto de Ensino e Pesquisa Albert Einsteinpt_PT
dc.relation.publisherversionhttps://www.scielo.br/j/eins/a/PMd6xC7tQpnkxvnFGWGK6hd/?lang=enpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAnaphylaxispt_PT
dc.subjectAgaricalespt_PT
dc.subjectImmunoblottingpt_PT
dc.titleAnaphylaxis to Agaricus bisporus ingestionpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceBrazilpt_PT
oaire.citation.titleEinstein (São Paulo)pt_PT
oaire.citation.volume18pt_PT
person.familyNamegomes
person.givenNameeva
person.identifier.ciencia-id0D1C-83A7-A086
person.identifier.orcid0000-0001-8956-9145
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication7e99b85c-5096-43a3-800b-02207a45237d
relation.isAuthorOfPublication.latestForDiscovery7e99b85c-5096-43a3-800b-02207a45237d

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