A Case of Anaphylaxis Induced by Contact with Young Radish (Raphanus sativus L).
- Author:
Yung Hee LEE
1
;
Jae Hyoung LEE
;
Hye Ran KANG
;
Jung Hoon HA
;
Byoung Hoon LEE
;
Sang Hoon KIM
Author Information
- Publication Type:Case Report
- Keywords: Anaphylaxis; food hypersensitivity; Raphanus; skin test
- MeSH: Adult; Anaphylaxis*; Dizziness; Emergency Service, Hospital; Epinephrine; Female; Food Hypersensitivity; Humans; Hypersensitivity; Hypersensitivity, Immediate; Middle Aged; Mustard Plant; Pruritus; Raphanus*; Skin; Skin Tests; Urticaria; Vegetables
- From:Allergy, Asthma & Immunology Research 2015;7(1):95-97
- CountryRepublic of Korea
- Language:English
- Abstract: Young radish (Raphanus sativus L), a member of the mustard family (Cruciferae), is a common ingredient of Kimchi. Although few reports have described anaphylaxis to cruciferous vegetables, we report the case of anaphylaxis induced by contact with young radish. A 46-year-old female with a history of contact allergy to metal presented to our emergency room (ER) with dizziness, generalized eruption and gastrointestinal upset. Her symptoms developed after re-exposure to young radish while chopping it. Hypotensive blood pressures were noted. Three days prior, the patient had experienced generalized urticaria with pruritus immediately after chopping the fresh young radish, which resolved spontaneously. In the ER, her symptoms improved by the administration of epinephrine (0.3 mL), antihistamine (chlorpheniramine) and isotonic saline hydration. A skin prick test with young radish extract showed positive reactivity. The same skin test was negative in five adult controls. IgE-mediated hypersensitivity could be an important immunologic mechanism in the development of young radish-induced anaphylaxis.
